Intraventricular Ganglioglioma Presenting with Spontaneous Hemorrhage

Authors

  • Alexandre Rainha Campos Neurosurgery Unit. Hospital CUF Descobertas. Lisboa. Instituto CUF de Oncologia. Lisboa. http://orcid.org/0000-0003-4781-4717
  • Luisa Biscoito Imaging Unit. Hospital CUF Infante Santo. Lisboa. Instituto CUF de Oncologia. Lisboa.
  • Maria Gabriela Gasparinho Anatomical Pathology Unit. Hospital CUF Descobertas. Lisboa. Instituto CUF de Oncologia. Lisboa.

DOI:

https://doi.org/10.20344/amp.8943

Keywords:

Cerebral Ventricle Neoplasms, Diffusion Tensor Imaging, Epilepsy, Ganglioglioma/surgery

Abstract

Intraventricular gangliogliomas presenting with spontaneous hemorrhage are rare. Due to high density of important tracts lateral to the ventricular atrium, the intraparietal trans sulcal approach is a good option to remove lesions in this location. These tracts are displaced and sometimes destroyed by the presence of large masses. A 33-year-old male presented with a sudden headache and a generalized seizure. He had a left visual field hemianopia and left visual field neglect. Brain computer tomography and magnetic resonance imaging revealed a hemorrhagic tumor located in his right atrium. With the help of tractography an optimal corridor to the tumor through the intraparietal sulcus was planned. Gross total removal of a ganglioglioma was possible with recovery of visual impairment and control of epilepsy. The efficacy in using tractography as a planning tool for safe tumor removal is demonstrated with clinical, imagiological and histological data, and a surgical video.

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Published

2018-03-29

How to Cite

1.
Campos AR, Biscoito L, Gasparinho MG. Intraventricular Ganglioglioma Presenting with Spontaneous Hemorrhage. Acta Med Port [Internet]. 2018 Mar. 29 [cited 2024 Mar. 29];31(3):170-5. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/8943

Issue

Section

Case Report