Evolución y Tasa de Recuperación en el Tratamiento Ependimoma Cortical. Relato de caso
Right handed female, 46-year-old, was admitted to the ER with a new-onset seizure and left hemiparesis. Neurosurgical service was consulted. Laboratory examinations were normal.
MRI showed a large, bilateral frontoparietal tumor with moreextension to the right hemisphere, associated to important perilesional edema (Figures 1, 2). Meningioma and anaplastic meningioma were the primary differential radiological diagnosis.
Bifrontal craniotomy with extended resection to the right side was performed disclosing important edema and bleeding. Patient underwent radical resection of the tumor located in the parenchyma with no dural attachment. Histological examination demonstrated findings compatible with high grade anaplastic ependymoma. Radiotherapy with linear accelerator (LINAC) was performed. The patient reached a satisfactory recovery with a left hemiparesis as sequel.
Articulo publicado en JBNC BRAZILIAN JOURNAL OF NEUROSURGERY
Comentarios