Document Detail


Supratentorial malignant ependymoma in childhood: 16 years without relapse after hemispherectomy.
MedLine Citation:
PMID:  15095106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Malignant intracranial ependymomas in childhood have a poor prognosis, supratentorial ependymomas have the poorest clinical course with a survival rate after 5 years of 45%. The most important prognostic factor in these cases is a radical operation, which cannot usually, however, prevent relapse. CASE REPORT: We demonstrate the case of a large malignant ependymoma of the left cerebral hemisphere in a child who has so far lived for 16 years without relapse after an extensive but uncomplicated left-sided hemispherectomy. The patient has also shown an improvement in her preoperative neurologic deficits. Her epilepsy, which was difficult to manage preoperatively, has been completely eliminated. She went to a special school for handicapped children and now works there. She does not need any help in handling everyday activities. CONCLUSION: This case shows the significance of complete tumor resection in malignant ependymomas, which may, under certain circumstances, lead to lasting tumor control.
Authors:
R Ahmadi; H P Schmitt; S Kunze; H H Steiner
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-04-17
Journal Detail:
Title:  Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery     Volume:  21     ISSN:  0256-7040     ISO Abbreviation:  Childs Nerv Syst     Publication Date:  2005 Feb 
Date Detail:
Created Date:  2005-02-07     Completed Date:  2005-06-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503227     Medline TA:  Childs Nerv Syst     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  156-60     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University of Heidelberg, INF 400, 69120, Heidelberg, Germany. rezvan.ahmadi@med.uni-heidelberg.de
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MeSH Terms
Descriptor/Qualifier:
Ependymoma / surgery*
Female
Hemispherectomy / methods*
Humans
Infant
Longitudinal Studies
Magnetic Resonance Imaging / methods
Staining and Labeling / methods
Supratentorial Neoplasms / pathology,  surgery*
Tomography, X-Ray Computed / methods
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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