Extraventricular Neurocytoma in Parietal Lobe

Extraventricular neurocytoma (EVN) was classified as a World Health Organization (WHO) grade II tumor; however, EVN is not fully understood; it presents a variable histological feature that included oligodendroglioma-like, neuropil-like matrix, ganglion or gangloid cells, perivascular pseudorosettes...

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Main Authors: Katherine Gallego-Henao, José M. Ramos-Delgado, Angelica Moreno-Blanco, Aureliano Placido-Méndez, Antonio Zarate-Mendez
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-04-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1727546
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author Katherine Gallego-Henao
José M. Ramos-Delgado
Angelica Moreno-Blanco
Aureliano Placido-Méndez
Antonio Zarate-Mendez
author_facet Katherine Gallego-Henao
José M. Ramos-Delgado
Angelica Moreno-Blanco
Aureliano Placido-Méndez
Antonio Zarate-Mendez
author_sort Katherine Gallego-Henao
collection DOAJ
description Extraventricular neurocytoma (EVN) was classified as a World Health Organization (WHO) grade II tumor; however, EVN is not fully understood; it presents a variable histological feature that included oligodendroglioma-like, neuropil-like matrix, ganglion or gangloid cells, perivascular pseudorosettes, vessel hyalinization, calcifications, and myxoid degeneration. In some very rare cases, atypical histological features such as increased mitotic figures, focal necrosis, endothelial cell proliferation, and Ki-67 index of >2% made this tumor more aggressive and more susceptible to recur. We present the case of a young patient who presents with a 2-year history of seizure without other symptoms. Magnetic resonance imaging reveals a parietal lobe and well-circumscribed lesion treated by gross total resection and adjuvant radiotherapy. Clear guidelines to treat this kind of lesions are not well established and there is not a consensus of correct treatment in these tumors.
format Article
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institution OA Journals
issn 2277-954X
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language English
publishDate 2021-04-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Neurosurgery
spelling doaj-art-b6dd925e871c40169cd7161289fce3fa2025-08-20T02:00:28ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672021-04-01100214414710.1055/s-0041-1727546Extraventricular Neurocytoma in Parietal LobeKatherine Gallego-Henao0José M. Ramos-Delgado1Angelica Moreno-Blanco2Aureliano Placido-Méndez3Antonio Zarate-Mendez4Department of Neurosurgery, Centro Médico Nacional “20 de Noviembre” Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, MéxicoDepartment of Neurosurgery, Centro Médico Nacional “20 de Noviembre” Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, MéxicoDepartment of Pathology, Centro Medico Nacional “20 de Noviembre” Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, MéxicoDepartment of Pathology, Centro Medico Nacional “20 de Noviembre” Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, MéxicoDepartment of Neurosurgery, Centro Médico Nacional “20 de Noviembre” Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico City, MéxicoExtraventricular neurocytoma (EVN) was classified as a World Health Organization (WHO) grade II tumor; however, EVN is not fully understood; it presents a variable histological feature that included oligodendroglioma-like, neuropil-like matrix, ganglion or gangloid cells, perivascular pseudorosettes, vessel hyalinization, calcifications, and myxoid degeneration. In some very rare cases, atypical histological features such as increased mitotic figures, focal necrosis, endothelial cell proliferation, and Ki-67 index of >2% made this tumor more aggressive and more susceptible to recur. We present the case of a young patient who presents with a 2-year history of seizure without other symptoms. Magnetic resonance imaging reveals a parietal lobe and well-circumscribed lesion treated by gross total resection and adjuvant radiotherapy. Clear guidelines to treat this kind of lesions are not well established and there is not a consensus of correct treatment in these tumors.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1727546evnextraventricular neurocytomacentral neurocytoma
spellingShingle Katherine Gallego-Henao
José M. Ramos-Delgado
Angelica Moreno-Blanco
Aureliano Placido-Méndez
Antonio Zarate-Mendez
Extraventricular Neurocytoma in Parietal Lobe
Indian Journal of Neurosurgery
evn
extraventricular neurocytoma
central neurocytoma
title Extraventricular Neurocytoma in Parietal Lobe
title_full Extraventricular Neurocytoma in Parietal Lobe
title_fullStr Extraventricular Neurocytoma in Parietal Lobe
title_full_unstemmed Extraventricular Neurocytoma in Parietal Lobe
title_short Extraventricular Neurocytoma in Parietal Lobe
title_sort extraventricular neurocytoma in parietal lobe
topic evn
extraventricular neurocytoma
central neurocytoma
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1727546
work_keys_str_mv AT katherinegallegohenao extraventricularneurocytomainparietallobe
AT josemramosdelgado extraventricularneurocytomainparietallobe
AT angelicamorenoblanco extraventricularneurocytomainparietallobe
AT aurelianoplacidomendez extraventricularneurocytomainparietallobe
AT antoniozaratemendez extraventricularneurocytomainparietallobe