Hemorrhage in a highly vascularized subependymoma of the septum pellucidum: case report

• Published in: Neurosurgery Vol. 31; no. 4; p. 741
• Main Authors: Lindboe, C F, Stolt-Nielsen, A, Dale, L G
• Format: Journal Article
• Language: English
• Published: United States 01.10.1992
• Subjects: Brain Neoplasms - blood supply; Brain Neoplasms - pathology; Brain Neoplasms - surgery; Cerebral Hemorrhage - pathology; Cerebral Hemorrhage - surgery; Cerebral Ventricle Neoplasms - blood supply; Cerebral Ventricle Neoplasms - pathology; Cerebral Ventricle Neoplasms - surgery; Glioma - blood supply; Glioma - pathology; Glioma - surgery; Humans; Male; Middle Aged; Muscle, Smooth, Vascular - pathology; Neuroglia - pathology; Neurons - pathology; Postoperative Complications - pathology; Septum Pellucidum - blood supply; Septum Pellucidum - pathology; Septum Pellucidum - surgery; Tomography, X-Ray Computed
• ISSN: 0148-396X
• DOI: 10.1227/00006123-199210000-00019

A 63-year-old man was admitted to our hospital because of loss of memory, disorientation, nausea, and urinary incontinence. Cerebral computed tomographic and magnetic resonance imaging scans revealed a tumor with intratumoral hemorrhage affecting the corpus callosum and the septum pellucidum. A partial resection of the tumor was performed, but the patient died the next day from an episode of bleeding. Postmortem examination revealed a highly vascularized subependymoma with acute bleeding in the tumor and in the surrounding brain parenchyma. The importance of considering a highly vascularized subependymoma is noted when a tumor related to the ventricular system is diagnosed.