Massive intratumoral hemorrhage of ependymoma of the fourth ventricle

✍ Scribed by Masaru Honda; Gohei So; Makio Kaminogo; Kuniko Abe; Izumi Nagata

• Book ID: 106051620
• Publisher: Springer
• Year: 2005
• Tongue: English
• Weight: 215 KB
• Volume: 21
• Category: Article
• ISSN: 0256-7040
• DOI: 10.1007/s00381-004-1064-6

✦ Synopsis

Introduction:

Ependymomas of the fourth ventricle usually show slowly progressive neurological deterioration and acute onset resulting from major intratumoral bleeding is very rare.

Case report:

A 16-month-old girl, previously in good health, showed gradual gait disturbance and appetite loss. she was transferred to our hospital because of a large enhanced tumor of the fourth ventricle with mild hydrocephalus. she suddenly lost consciousness on the next day. a computed tomography showed massive intratumoral hemorrhage and acute hydrocephalus. emergency tumor removal was performed. histopathological diagnosis was ependymoma.

Discussion:

We speculated the mechanism of intratumoral hemorrhage in posterior fossa ependymomas.