Current Issues of Pharmacy and Medical Sciences

Unusual presentation of a tectal plate tumor in a young adult

Annales UMCS, Sectio DDD, Pharmacia, Vol. XXIV, N 3, 6

ANNA JAMROZ-WIŚNIEWSKA1, MAŁGORZATA KULKA1, EWA BELNIAK1,
MARZENA JANCZAREK2, ZBIGNIEW STELMASIAK1, HALINA BARTOSIK-PSUJEK1

Department of Neurology, Medical University of Lublin, Poland

2 Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland

Abstract

Tectal plate tumors are a subgroup of brain stem tumors uncommon among adults. We describe a case of tectal plate tumor in a young adult of atypical appearance. As 14-year-old girl the patient had a ventricular-peritoneal shunt placed because of symptoms of increased intracranial pressure and hydrocephalus of unknown etiology. At the age of 19 recurrent episodes of complex partial seizures (including cluster seizures) appeared and therapy with valproic acid was introduced. The seizures ceased, however rapidly progressing cognitive impairment and psycho-motor slowness were observed. In neurological examination bradyphrenia and bradykinesia and the Parinaud syndrome were present. MRI of the brain showed a tumor of the tectal plate without active hydrocephalus. In MR spectroscopy the morphologic picture was suggestive of tectal glioma of low-grade malignancy. Steroid-tapering therapy was applied and the patient’s state improved. After 3 years of observation, the patient’s state is stable, with no abnormalities in neurological examination.

Files to download

Keywords

tectal plate tumors, brain stem tumors, the Parinaud syndrome, seizures

Calendar

April 2021

Mon Tue Wed Thu Fri Sat Sun
      01 02 03 04
05 06 07 08 09 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
26 27 28 29 30