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Child's Nervous System

, Volume 15, Issue 4, pp 197–201 | Cite as

Congenital glioblastoma diagnosed by fetal sonography

  • Dong-Yeob Lee
  • Yeon-Mee Kim
  • Shi-Joon Yoo
  • Byung-Kyu Cho
  • J. G. Chi
  • In One Kim
  • K.-C. Wang
CASE REPORT

Abstract

Congenital brain tumors are very rare, and 2–9% of them are accounted for by glioblastomas. We encountered a case of congenital glioblastoma detected at the 39th week of gestation by fetal sonography, which revealed a large echogenic mass in the left temporo-parietal area of the fetal brain with significant midline shift and dilatation of the contralateral lateral ventricle. A detailed sonogram obtained 7 h later showed that the mass had increased in size, and this suggested an expanding hematoma. An emergency cesarean section was performed. Postnatal MRI demonstrated an enhancing mass with a large hematoma. Biopsy revealed a malignant brain tumor. Further management was refused and the boy died 6 days after birth. The postmortem pathological diagnosis was glioblastoma. When fetal sonography demonstrates an echogenic mass, a congenital brain tumor should be considered. The mode of delivery should be determined by the nature of the mass and the condition of the fetus.

Key words Congenital brain tumor Glioblastoma Fetal sonography 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1999

Authors and Affiliations

  • Dong-Yeob Lee
    • 1
  • Yeon-Mee Kim
    • 2
  • Shi-Joon Yoo
    • 3
  • Byung-Kyu Cho
    • 1
  • J. G. Chi
    • 2
  • In One Kim
    • 4
  • K.-C. Wang
    • 1
  1. 1.Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, 28 Yongon-dong, Chongno-gu, Seoul 110-744, Korea Tel.: +82-2-760-3489 Fax: +82-2-747-5130KR
  2. 2.Division of Pediatric Pathology, Seoul National University Children's Hospital, Seoul, KoreaKR
  3. 3.Department of Ultrasound, Samsung Cheil Hospital, Seoul, KoreaKR
  4. 4.Division of Pediatric Radiology, Seoul National University Children's Hospital, Seoul, KoreaKR

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