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Journals / Düzce Tıp Fakültesi Dergisi / 2024 / Volume: 26 Issue: 3

An Uncommon Occurrence of Posterior Fossa Ependymoma in Elderly Patient: A Case Report

Posterior Fossa Ependimomunun Yaşlı Hastada Nadir Bir Prezentasyonu: Olgu Sunumu

Bilal Bahadır Akbulut(EGE UNIVERSITY, EGE FACULTY OF MEDICINE)0000-0002-7983-5056
Hüseyin Biçeroğlu(EGE UNIVERSITY, EGE FACULTY OF MEDICINE)0000-0003-2306-0826
Mustafa Serdar Bölük(EGE UNIVERSITY, EGE FACULTY OF MEDICINE)0000-0002-9406-4114
Taşkın Yurtseven(EGE UNIVERSITY, EGE FACULTY OF MEDICINE)0000-0001-7982-8115
Pages
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Publication Date
2024-12-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Hemiparesis showed partial recovery, the overall condition stabilized, and he was subsequently discharged.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Cerebellar ependymomas are rare neoplasms, even more so in elderly patients.
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Key Findings & Data:In this case report, a 75-year-old male patient admitted with a one-year history of progressive general decline, urinary retention, left-sided weakness, memory loss, and insomnia was presented.
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Conclusion & Impact:Hemiparesis showed partial recovery, the overall condition stabilized, and he was subsequently discharged.
🔬Design:Case Report
📍Scope:Comprehensive Sample
⚙️Variables:Aged · Ependymoma · Infratentorial Neoplasms

Abstract

Cerebellar ependymomas are rare neoplasms, even more so in elderly patients. In this case report, a 75-year-old male patient admitted with a one-year history of progressive general decline, urinary retention, left-sided weakness, memory loss, and insomnia was presented. Physical examination revealed left-sided hemiparesis and mild confusion. Cranial magnetic resonance imaging (MRI) showed a heterogeneously enhancing lesion measuring 22x15x20 mm originating from the fourth ventricle, with signs of hydrocephalus. The patient underwent tumor resection and placement of a ventriculoperitoneal (VP) shunt to address hydrocephalus. Postoperative MRI revealed no residual tumor, and the patient experienced gradual clinical improvement. Hemiparesis showed partial recovery, the overall condition stabilized, and he was subsequently discharged. Pathological examination confirmed a diagnosis of World Health Organization (WHO) grade II ependymoma. The patient is currently on a three-month follow-up.

Özet

Serebellar ependimomlar nadir görülen neoplazmlardır ve yaşlı hastalarda daha da nadirdir. Bu olgu sunumunda, bir yıl süresince ilerleyici genel durum bozukluğu, idrar yapamama, sol tarafta güçsüzlük, hafıza kaybı ve uykusuzluk öyküsü ile başvuran 75 yaşında bir erkek hasta sunulmuştur. Fizik muayenede sol taraflı hemiparezi ve hafif konfüzyon görüldü. Kranial manyetik rezonans görüntüleme (MRG), dördüncü ventrikülden kaynaklanan, 22x15x20 mm boyutlarında heterojen olarak kontrastlanan bir lezyon ve hidrosefali bulguları gösterdi. Hastaya hidrosefaliyi tedavi etmek için tümör rezeksiyonu ve ventriküloperitoneal (VP) şant yerleştirildi. Ameliyat sonrası MRG’de, rezidüel tümör görülmedi ve hasta kademeli olarak klinik iyileşme gösterdi. Hemiparezi kısmi iyileşme gösteren ve genel durumu stabilize olan hasta bunun ardından taburcu edildi. Patolojik inceleme, Dünya Sağlık Örgütü (DSÖ) evre II ependimom tanısını doğruladı. Hasta şu anda üç aylık takiptedir.

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Cite This Article

Akbulut, B. B., Biçeroğlu, H., Bölük, M. S., Yurtseven, T. (2024). An Uncommon Occurrence of Posterior Fossa Ependymoma in Elderly Patient: A Case Report. Düzce Tıp Fakültesi Dergisi, Volume: 26 Issue: 3. https://doi.org/10.18678/dtfd.1516994

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