Subependymal giant cell astrocytoma in the absence of tuberous sclerosis complex: case report

Author:

Beaumont Thomas L.1,Godzik Jakub1,Dahiya Sonika2,Smyth Matthew D.13

Affiliation:

1. Departments of Neurosurgery and

2. Neuropathology, Washington University School of Medicine, and

3. St. Louis Children’s Hospital, St. Louis, Missouri

Abstract

The authors report the case of a 14-year-old male with a subependymal giant cell astrocytoma (SEGA) that occurred in the absence of tuberous sclerosis complex (TSC). The patient presented with progressive headache and the sudden onset of nausea and vomiting. Neuroimaging revealed an enhancing left ventricular mass located in the region of the foramen of Monro with significant mass effect and midline shift. The lesion had radiographic characteristics of SEGA; however, the diagnosis remained unclear given the absence of clinical features of TSC. The patient underwent gross-total resection of the tumor with resolution of his symptoms. Although tumor histology was consistent with SEGA, genetic analysis of both germline and tumor DNA revealed no TSC1/2 mutations. Similarly, a comprehensive clinical evaluation failed to reveal any clinical features characteristic of TSC. Few cases of SEGA without clinical or genetic evidence of TSC have been reported. The histogenesis, genetics, and clinical approach to this rare lesion are briefly reviewed.

Publisher

Journal of Neurosurgery Publishing Group (JNSPG)

Subject

General Medicine

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