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Journal of Korean Neurosurgical Society > Volume 42(1); 2007 > Article
Journal of Korean Neurosurgical Society 2007;42(1): 56-58.
A Case of Pineal Ependymoma.
Seung Jae Hyun, Seung Won Park, Taek Kyun Nam, Sung Nam Hwang
Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea. tarheelk@hanmail.net
ABSTRACT
A 64-year-old man was admitted to our hospital in semicomatous consciousness. Brain computed tomography scans demonstrated 2.6 x 2.5 cm sized hyperdense mass in the pineal region with multiple punctate calcifications and hydrocephalus. Brain magnetic resonance imaging demonstrated a pineal mass which was heterogeneously enhanced with gadolinium. After external ventricular drainage, the patient regained consciousness. The mass was totally removed via occipital transtentorial approach. No consequent ventricular shunt was needed and the patient recovered without any neurological deficit. Final pathologic report of the tumor was ependymoma.
Key Words: Pineal tumors; Ependymoma; Surgery; Occipital; Transtentorial approach
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