Navigating the Diagnostic and Therapeutic Challenges of Central Neurocytoma: A Case Report

• Published in: Curēus (Palo Alto, CA) Vol. 16; no. 5; p. e60882
• Main Authors: Agrawal, Soumya, Shukla, Samarth, Vagha, Sunita
• Format: Journal Article
• Language: English
• Published: United States Cureus Inc 22.05.2024; Cureus
• Subjects: Brain cancer; Brain diseases; Brain research; Case reports; Critical care; General anesthesia; Hydrocephalus; Internal Medicine; Magnetic resonance imaging; Medical diagnosis; Medical Education; Medical imaging; Nervous system; Neuroimaging; Neurosurgery; Ostomy; Oxygen saturation; Tracheotomy; Tumors; intracranial tumor; neurological deficits; hydrocephalus; central neurocytoma; multidisciplinary management; surgical intervention
• ISSN: 2168-8184; 2168-8184
• DOI: 10.7759/cureus.60882

Central neurocytoma, a rare intracranial tumor predominantly located in the lateral and third ventricles, presents a diagnostic and therapeutic challenge due to its varied clinical manifestations. We report the case of a 53-year-old male presenting with right upper and lower limb weakness, headaches, blurred vision, and tingling sensations, leading to the diagnosis of central neurocytoma with associated hydrocephalus. Initial evaluation, including magnetic resonance imaging (MRI) and subsequent computed tomography (CT) scans, revealed characteristic features of the tumor. The patient underwent a two-stage surgical intervention, including tumor excision and ventriculoperitoneal shunting, followed by a tracheostomy due to respiratory complications post-surgery. Histopathological examination confirmed the diagnosis of central neurocytoma, prompting multidisciplinary management and further referral for long-term follow-up. This case underscores the importance of comprehensive evaluation, multidisciplinary collaboration, and continued research in optimizing the diagnosis and management of central neurocytomas.