Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex

22-year-old male diagnosed with Tuberous Sclerosis Complex (TSC), a genetic disorder characterized by benign tumors in various organs, with a focus on neurological implications. Central to the study is the development of Subependymal Giant Cell Astrocytomas (SEGAs), leading to hydrocephalus in the...

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Main Authors: Antonio Navarro-Ballester, Rosa Álvaro-Ballester, Miguel Ángel Lara-Martínez
Format: Article
Language:English
Published: Vilnius University Press 2024-05-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://www.journals.vu.lt/AML/article/view/34418
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author Antonio Navarro-Ballester
Rosa Álvaro-Ballester
Miguel Ángel Lara-Martínez
author_facet Antonio Navarro-Ballester
Rosa Álvaro-Ballester
Miguel Ángel Lara-Martínez
author_sort Antonio Navarro-Ballester
collection DOAJ
description 22-year-old male diagnosed with Tuberous Sclerosis Complex (TSC), a genetic disorder characterized by benign tumors in various organs, with a focus on neurological implications. Central to the study is the development of Subependymal Giant Cell Astrocytomas (SEGAs), leading to hydrocephalus in the patient. The diagnosis of TSC was made in the patient’s childhood, and he was monitored regularly. The study highlights a significant growth in a subependymal nodule, leading to monoventricular hydrocephalus. MRI scans played a crucial role in identifying the progression of SEGAs and the subsequent hydrocephalus. The treatment approach involved endoscopic surgical removal of the SEGA, with histopathology confirming the diagnosis. Post-surgical outcomes over an eight-year follow-up period showed a normalization in ventricular size and the stability of other subependymal nodules, without any complications. This case underscores the importance of regular monitoring for TSC patients, early intervention for complications like hydrocephalus, and the need for a multidisciplinary treatment approach. The case study provides valuable insights into the management of neurodevelopmental disorders and the complexities surrounding TSC and SEGAs.
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publishDate 2024-05-01
publisher Vilnius University Press
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series Acta Medica Lituanica
spelling doaj-art-9b289927f02f43eaab472fcc342b21922025-01-20T18:07:58ZengVilnius University PressActa Medica Lituanica1392-01382029-41742024-05-0131110.15388/Amed.2024.31.1.9Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis ComplexAntonio Navarro-Ballester0https://orcid.org/0000-0003-1684-5473Rosa Álvaro-Ballester1Miguel Ángel Lara-Martínez2Radiology Department, Hospital General Universitari de Castelló, Castellón de la Plana (Castellón), SpainRadiology Department, Hospital General Universitari de Castelló, Castellón de la Plana (Castellón), SpainRadiology Department, Hospital General Universitari de Castelló, Castellón de la Plana (Castellón), Spain 22-year-old male diagnosed with Tuberous Sclerosis Complex (TSC), a genetic disorder characterized by benign tumors in various organs, with a focus on neurological implications. Central to the study is the development of Subependymal Giant Cell Astrocytomas (SEGAs), leading to hydrocephalus in the patient. The diagnosis of TSC was made in the patient’s childhood, and he was monitored regularly. The study highlights a significant growth in a subependymal nodule, leading to monoventricular hydrocephalus. MRI scans played a crucial role in identifying the progression of SEGAs and the subsequent hydrocephalus. The treatment approach involved endoscopic surgical removal of the SEGA, with histopathology confirming the diagnosis. Post-surgical outcomes over an eight-year follow-up period showed a normalization in ventricular size and the stability of other subependymal nodules, without any complications. This case underscores the importance of regular monitoring for TSC patients, early intervention for complications like hydrocephalus, and the need for a multidisciplinary treatment approach. The case study provides valuable insights into the management of neurodevelopmental disorders and the complexities surrounding TSC and SEGAs. https://www.journals.vu.lt/AML/article/view/34418GliomaTuberous SclerosisHydrocephalus
spellingShingle Antonio Navarro-Ballester
Rosa Álvaro-Ballester
Miguel Ángel Lara-Martínez
Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex
Acta Medica Lituanica
Glioma
Tuberous Sclerosis
Hydrocephalus
title Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex
title_full Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex
title_fullStr Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex
title_full_unstemmed Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex
title_short Beyond Benign: A Case of Subependymal Giant Cell Astrocytomas Provoking Hydrocephalus in Tuberous Sclerosis Complex
title_sort beyond benign a case of subependymal giant cell astrocytomas provoking hydrocephalus in tuberous sclerosis complex
topic Glioma
Tuberous Sclerosis
Hydrocephalus
url https://www.journals.vu.lt/AML/article/view/34418
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AT miguelangellaramartinez beyondbenignacaseofsubependymalgiantcellastrocytomasprovokinghydrocephalusintuberoussclerosiscomplex