Adult hippocampal ganglioneuroblastoma: Case report and literature review

作者:Yao Pei-Sen; Chen Guo-Rong; Shang-Guan Huang-Cheng; Lin Qing-Song; Wang Xing-Fu; Zheng Shu-Fa*; Kang De-Zhi*
来源:Medicine, 2017, 96(51): e8894.
DOI:10.1097/MD.0000000000008894

摘要

Rationale:Intracranial ganglioneuroblastoma represents a rare subtype of primitive neuroectodermal tumor. Here, we report a hippocampal ganglioneuroblastoma and a literature review of cerebral anglioneuroblastoma is carried out.Patient concerns:We report a 16-year-old male patient presenting with absence seizure and high-infiltration hippocampal ganglioneuroblastoma.Interventions:Magnetic resonance imaging (MRI) indicates a space-occupying lesion with a well-defined margin in the right temporal lobe and hippocampus. However, hyper-signal on flair and diffusion-weighted imaging (DWI) with a low apparent diffusion coefficient (ADC) value is detected, which prompts high tumoral invasiveness.Interventions:A total resection of tumor and subsequent chemotherapy combing with radiotherapy is performed.Outcomes:For a follow-up period of 60 months, no evidence of recurrence and further seizures are detected.Lessons:High-infiltration hippocampal ganglioneuroblastoma is a rare event. MRI examination often showed features of low-grade gliomas, while hyper-signal lesion on DWI with a low ADC value can be detected. Complete resection combined with fractionated radiotherapy and chemotherapy was the optimal treatment for cerebral ganglioneuroblastoma.