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Multifocal atypical teratoid/rhabdoid tumour in an infant—a rare case report

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Abstract

Background

Atypical teratoid/rhabdoid tumours (AT/RT) are uncommon but aggressive, malignant tumours in the paediatric age group. Presentation of concomitant supratentorial and infratentorial lesions in an infant is extremely rare. We discuss an infant diagnosed with such lesions. Systematic PubMed search was conducted using keywords ‘atypical teratoid /rhabdoid tumor’, ‘paediatric’ and ‘multifocal’. Reports were included for patients younger than 18 years with two or more lesions. The search yielded additional five cases and were tabulated. Age, sex, location, treatment given and survival/outcome were noted.

Case report

A 10-month-old child presented with complaints of drowsiness and intractable vomiting. Imaging showed multifocal supra- and infratentorial lesions with obstructive hydrocephalus. The child underwent ventriculoperitoneal shunt followed by surgical removal of the posterior fossa lesion. Histopathological features were consistent with AT/RT.

Conclusions

Multifocal AT/RT are very rare. The impact of multifocality in the outcome is not known as very few reports are available. Newer targeted therapies may offer insight in improving outcomes in the future.

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Authors and Affiliations

  1. Department of Neurosurgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India

    Ashwin Pai & G Lakshmi Prasad

  2. Department of Neurosurgery, Kasturba Hospital, Manipal, India

    G Lakshmi Prasad

  3. Department of Pathology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, India

    Geetha Vasudevan & Deepak M Nayak

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  1. Ashwin Pai
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  2. G Lakshmi Prasad
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  3. Geetha Vasudevan
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  4. Deepak M Nayak
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Contributions

AP, LP, GV and DN wrote the main manuscript text. All authors reviewed the manuscript.

Corresponding author

Correspondence to G Lakshmi Prasad.

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Pai, A., Prasad, G.L., Vasudevan, G. et al. Multifocal atypical teratoid/rhabdoid tumour in an infant—a rare case report. Childs Nerv Syst 40, 1591–1596 (2024). https://doi.org/10.1007/s00381-023-06274-8

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  • DOI: https://doi.org/10.1007/s00381-023-06274-8

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