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Case Report
Unusual location of a central neurocytoma: Particularities of a rare brain tumor
1 Service d’anatomie Pathologique, CHU de Bogodogo, Karpala, Ouagadougou, Burkina Faso
2 UFR/SDS Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso
3 Service d’anatomie Pathologique, CHU de Tingandogo, Sandogo, Ouagadougou, Burkina Faso
4 Service d’anatomie Pathologique, CHUR de Ouahigouya, Ouahigouya, Burkina Faso
5 Service d’histologie Embryologie, Cytogénétique et Biologie de la Reproduction du CHU de Bogodogo, Ouagadougou, Burkina Faso
6 Service d’anatomie Pathologique, CHU Yalgado Ouédraogo, Ouagadougou, Burkina Faso
Address correspondence to:
Aimé Sosthène Ouédraogo
Service d’anatomie Pathologique, CHU de Bogodogo, Karpala, Ouagadougou,
Burkina Faso
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Article ID: 100075Z11AO2023
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Ouédraogo AS, Ido FAHA, Ouattara S, Ibrahim S, Ouédraogo RA, Lamien AS. Unusual location of a central neurocytoma: Particularities of a rare brain tumor. J Case Rep Images Pathol 2023;9(2):13–17.ABSTRACT
Introduction: Central neurocytoma is a typically rare intraventricular glioneuronal tumor in young adults. Clinically, it is revealed by symptomatology of intracranial hypertension. Intra-parenchymal, extraventricular, and intramedullary localizations are exceptional. Central neurocytoma is considered a benign tumor that can recur locally, but craniospinal dissemination remains as an exception.
Case Report: We report a case in a 35-year-old male subject who consulted for quadriparesis and genito-sphincter dysfunctions. The clinical examination noted a syndrome of intracranial hypertension, a kinetic and static cerebellar syndrome, spastic tetraplegia with crural predominance, and anesthesia going up to the sixth thoracic vertebra (T6). A magnetic resonance imaging (MRI) showed a heterogeneous left cerebellar lesion. This lesion was excised, and the sample was freshly sent to the pathological anatomy laboratory. Extemporaneous cytology using the Smear technique was performed and was consistent with a hemangioblastoma. The standard histological examination also revealed the diagnosis of hemangioblastoma, and an additional immunohistochemical (IHC) study was performed for better diagnostic accuracy. The study was conducted in a North African laboratory and was conclusive of a neurocytoma. The evolution was marked by cerebellar tumor regrowth at five months, then the death of the patient at eight (08) months after surgery.
Conclusion: Central neurocytoma is a rare tumor that can be confused with several other tumors of the central nervous system. Immunohistochemistry is essential for diagnostic confirmation.
Keywords: Brain tumor, Central neurocytoma, Cerebellar region
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Author Contributions
Aimé Sosthène Ouédraogo - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
FAHA Ido - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Souleymane Ouattara - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Savadogo Ibrahim - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
R Alexis Ouédraogo - Acquisition of data, Analysis of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Assita Sanou Lamien - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 AS Ouédraogo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
