J Korean Neurosurg Soc.  2014 Mar;55(3):164-166. 10.3340/jkns.2014.55.3.164.

Ganglioglioma in Brainstem : Case Report and a Review of Literatures

Affiliations
  • 1Department of Neurosurgery, Konyang University Hospital, Daejeon, Korea. yellowsd1@naver.com
  • 2Graduate School of Medicine, Kyung Hee University, Seoul, Korea.

Abstract

Ganglioglioma is an infrequent tumor of the central nervous system (CNS); mostly supratentorial region. But, they can occur anywhere in the central nervous system such as brainstem, cerebellopontine angle (CPA), thalamus, optic nerve and spinal cord. Although it occurs rarely, ganglioglioma should be included in the differential diagnosis of a posterior fossa mass because early recognition is important for treatment and patient counseling.

Keyword

Ganglioglioma; Brainstem

MeSH Terms

Brain Stem*
Central Nervous System
Cerebellopontine Angle
Counseling
Diagnosis, Differential
Ganglioglioma*
Humans
Optic Nerve
Spinal Cord
Thalamus

Figure

  • Fig. 1 MRI findings. A : T2-weighted images showing slightly high signal intensity mass on the dorsal surface of brainstem and high cervical cord. B and C : T1-weighted images showing an isointensity with a well-enhanced mass.

  • Fig. 2 Photomicrographs of the tumor pathology. Ganglioglioma composed of astrocytes and ganglion cells with dysplastic, binucleated neuron (H-E, ×400).

  • Fig. 3 Immunohistochemical staing. A : Neurons reactive for Chro-magranin (×400). B : Glial cells reactive for GFAP (×200).


Reference

1. Chae JH, Kim SK, Wang KC, Kim KJ, Hwang YS, Cho BK. Hemifacial seizure of cerebellar ganglioglioma origin : seizure control by tumor resection. Epilepsia. 2001; 42:1204–1207. PMID: 11580771.
Article
2. Chan MH, Kleinschmidt-Demasters BK, Donson AM, Birks DK, Foreman NK, Rush SZ. Pediatric brainstem gangliogliomas show overexpression of neuropeptide prepronociceptin (PNOC) by microarray and immunohistochemistry. Pediatr Blood Cancer. 2012; 59:1173–1179. PMID: 22706982.
Article
3. Jang EW, Cho JH, Chang JH, Ahn JY. Cerebellar ganglioglioma in an old patient. J Korean Neurosurg Soc. 2007; 42:53–55.
4. Kwon JW, Kim IO, Cheon JE, Kim WS, Chi JG, Wang KC, et al. Cerebellopontine angle ganglioglioma : MR findings. AJNR Am J Neuroradiol. 2001; 22:1377–1379. PMID: 11498430.
5. Lagares A, Gómez PA, Lobato RD, Ricoy JR, Ramos A, de la Lama A. Ganglioglioma of the brainstem : report of three cases and review of the literature. Surg Neurol. 2001; 56:315–322. discussion 322-324. PMID: 11750003.
6. Lang FF, Epstein FJ, Ransohoff J, Allen JC, Wisoff J, Abbott IR, et al. Central nervous system gangliogliomas. Part 2 : Clinical outcome. J Neurosurg. 1993; 79:867–873. PMID: 8246055.
7. Löbel U, Ellison DW, Shulkin BL, Patay Z. Infiltrative cerebellar ganglioglioma : conventional and advanced MRI, proton MR spectroscopic, and FDG PET findings in an 18-month-old child. Clin Radiol. 2011; 66:194–201. PMID: 21216337.
Article
8. Manning HL, Leiter JC. Respiratory control and respiratory sensation in a patient with a ganglioglioma within the dorsocaudal brain stem. Am J Respir Crit Care Med. 2000; 161:2100–2106. PMID: 10852794.
Article
9. Milligan BD, Giannini C, Link MJ. Ganglioglioma in the cerebellopontine angle in a child. Case report and review of the literature. J Neurosurg. 2007; 107(4 Suppl):292–296. PMID: 17941493.
10. Mpairamidis E, Alexiou GA, Stefanaki K, Sfakianos G, Prodromou N. Brainstem ganglioglioma. J Child Neurol. 2008; 23:1481–1483. PMID: 19073857.
Article
11. Park SH, Kim E, Son EI. Cerebellar ganglioglioma. J Korean Neurosurg Soc. 2008; 43:165–168. PMID: 19096627.
Article
12. Shin JJ, Oh SH, Yoon DH, Kim TS. Cervical ganglioglioma. J Korean Neurosurg Soc. 2001; 30:239–243.
13. Shin MJ, Yang KH, Kim TS, Choi JU. Ganglioglioma of the brain stem : case report. J Korean Neurosurg Soc. 2002; 32:279–282.
14. Westwood DA, MacFarlane MR. Pontomedullary ganglioglioma : a rare tumour in an unusual location. J Clin Neurosci. 2009; 16:108–110. PMID: 19013803.
15. Wetmore C. Location, location, location-gene expression studies of brainstem ganglioglioma : a rare tumor in a very rare location. Pediatr Blood Cancer. 2012; 59:1153–1154. PMID: 22976749.
Article
16. Zhang S, Wang X, Liu X, Ju Y, Hui X. Brainstem gangliogliomas : a retrospective series. J Neurosurg. 2013; 118:884–888. PMID: 23373800.
Full Text Links
  • JKNS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr