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

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.

Keywords

• Aged
• Ependymoma
• Infratentorial Neoplasms
• Case Reports

Posterior Fossa Ependimomunun Yaşlı Hastada Nadir Bir Prezentasyonu: Olgu Sunumu

Abstract

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.

Keywords

• Yaşlı
• Epandimom
• İnfratentorial Neoplaziler
• Olgu Sunumları

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