Open AccessA 3‐YEAR‐ OLD GIRL WITH ALTERED MENTAL STATUS, GAIT DIFFICULTY, AND VOMITING
Author(s) -
Lim Ilya,
Mikolaenko Irina,
Cohen Mark
Publication year - 2011
Publication title -
brain pathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.986
H-Index - 132
eISSN - 1750-3639
pISSN - 1015-6305
DOI - 10.1111/j.1750-3639.2010.00450.x
Subject(s) - synaptophysin , neuropil , immunostaining , pathology , medicine , third ventricle , anatomy , immunohistochemistry , central nervous system
We report a case of a 3-year-old girl with a 9-month history of focal neurologic finding and signs of increased intracranial pressure. Radiological imaging studies showed a minimally heterogeneous enhancing large tumor involving left parietal region and partly filling the left lateral ventricle. Microscopically, the tumor contained prominent small true rosettes set into areas of fibrillar neuropil-like matrix. Foci of cellular tumor with extensive apoptosis were present. The neuropil-like areas and true rosettes were positive for synaptophysin immunostain. The tumor was negative for GFAP and neurofilament protein immunostains. MIB-1 proliferation index was high focally approaching 80%.