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Massive intratumoral hemorrhage of ependymoma of the fourth ventricle

Child's Nervous System volume 21, pages 926–929 (2005)Cite this article

Abstract

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.

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References

  1. Asari S, Katayama S, Itoh T, Tsuchida S, Furuta T, Ohmoto T (1992) Neurinomas presenting as spontaneous intratumoral hemorrhage [review]. Neurosurgery 31:406–411; discussion 411–412

    Google Scholar 

  2. Fujimoto M, Odake G, Suzuki K, Naruse S (1978) Repeated intracerebral hemorrhage in malignant astrocytoma—a case of apoplectic manifestation (author’s translation). No Shinkei Geka 6:585–589

    Google Scholar 

  3. Fukai J, Uematsu Y, Shintani A, Nakai K, Itakura T (2002) Intraoperative hemorrhage in medulloblastoma: a case report and review of the literature. Childs Nerv Syst 18:356–360

    Google Scholar 

  4. Fuse T, Nagai H, Ohara S, Fukushima T, Fukuoka H, Takagi T, Banno T, Nakamura T (1989) Massive hemorrhage within an acoustic neurinoma. Case report. Neurol Med Chir (Tokyo) 29:933–937

    Google Scholar 

  5. Kazimiroff PB, Weichsel ME, Grinnell V, Young RF (1980) Acute cerebellar hemorrhage in childhood: etiology, diagnosis, and treatment. Neurosurgery 6:524–538

    Google Scholar 

  6. Kikuchi K, Kowada M, Sasaki J, Yanagida N (1994) Cerebellar hemangioblastoma associated with fatal intratumoral hemorrhage: report of an autopsied case [review]. No Shinkei Geka 22:593–597

    Google Scholar 

  7. Kojima Y, Tanaka N, Kuwana N (1990) Massive hemorrhage in acoustic neurinoma after minor head trauma—case report. Neurol Med Chir (Tokyo) 30:972–976

    Google Scholar 

  8. Matsumoto K, Imaoka T, Tomita S, Ohmoto T (1997) Pineocytoma with massive intratumoral hemorrhage after ventriculoperitoneal shunt—case report. Neurol Med Chir (Tokyo) 37:911–915

    Google Scholar 

  9. Nishizaki T, Orita T, Tsuha M, Wakuta Y, Fujii M, Ito H (1991) Brain metastasis of testicular tumor with massive hemorrhage—report of two cases. Neurol Med Chir (Tokyo) 31:586–589

    Google Scholar 

  10. Pittman T, Levy B, Awwad E, Martin D (1991) Catastrophic hemorrhage as the presenting symptom of an infratentorial ependymoma. Mo Med 88:98–100

    Google Scholar 

  11. Poon TP, Solis OG (1985) Sudden death due to massive intraventricular hemorrhage into an unsuspected ependymoma. Surg Neurol 24:63–66

    Google Scholar 

  12. Reichenthal E, Rubinstein AB, Cohen ML (1989) Infratentorial intratumoral hemorrhage. Mt Sinai J Med 56:306–314

    Google Scholar 

  13. Sawa H, Taomoto K, Tamaki N, Obayashi C, Nishimura R (2001) Metastatic bronchogenic carcinoma with human chorionic gonadotropin production manifesting as cerebellar hemorrhage—case report. Neurol Med Chir (Tokyo) 41:406–410

    Google Scholar 

  14. Shuangshoti S, Dharmmapopila J (1978) Supratentorial glioblastoma and infratentorial ependymoma with repeated hemorrhages. J Med Assoc Thai 61:489–496

    Google Scholar 

  15. Sugawara T, Shingai J, Ogawa A, Wada T, Suzuki J, Namiki T (1986) A case of massive fatal hemorrhage in a recurrent medulloblastoma during radiotherapy. No Shinkei Geka 14:109–113

    Google Scholar 

  16. Tachibana O, Oki H, Hayashi Y, Nonomura A, Yamashita T, Yamashita J (1990) Repetitive intratumoral hemorrhage in medulloblastoma. A case report. Surg Neurol 33:378–383

    Google Scholar 

  17. Takano S, Saitoh M, Ohbu M, Miyasaka Y, Yada K, Takagi H (1993) Brain metastasis of testicular yolk sac tumor with massive hemorrhage: case report. No Shinkei Geka 21:533–537

    Google Scholar 

  18. Waga S, Shimizu T, Shimosaka S, Tochio H (1981) Intratumoral hemorrhage after a ventriculoperitoneal shunting procedure. Neurosurgery 9:249–252

    Google Scholar 

  19. Wakai S, Yamakawa K, Manaka S, Takaura K (1982) Spontaneous intratumoral hemorrhage caused by brain tumor: its incidence and significance. Neurosurgery 10:437–444

    Google Scholar 

  20. Zuccarello M, Dollo C, Carollo C (1985) Spontaneous intratumoral hemorrhage after ventriculoperitoneal shunting. Neurosurgery 16:245–246

    Google Scholar 

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Authors and Affiliations

  1. Department of Neurosurgery, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan

    Masaru Honda, Gohei So, Makio Kaminogo & Izumi Nagata

  2. Department of Clinical Pathology, Nagasaki University Hospital, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan

    Kuniko Abe

Authors
  1. Masaru Honda
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  2. Gohei So
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  3. Makio Kaminogo
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  4. Kuniko Abe
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  5. Izumi Nagata
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Correspondence to Masaru Honda.

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Honda, M., So, G., Kaminogo, M. et al. Massive intratumoral hemorrhage of ependymoma of the fourth ventricle. Childs Nerv Syst 21, 926–929 (2005). https://doi.org/10.1007/s00381-004-1064-6

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  • DOI: https://doi.org/10.1007/s00381-004-1064-6

Keywords

  • Ependymoma
  • Cerebellum
  • Intratumoral hemorrhage