Malaysian Journal of Medical Sciences, Vol. 7, No. 2, July 2000 (32-37)
CASE REPORT
BIVENTRICULAR CENTRAL NEUROCYTOMA
A R Ariff, AS Muda, JM Abdullah* Gurjeet K**, B M Biswal*** Department of Radiology, *Neuroscience Unit **Department of Pathology, ***Department of Radiotherapy School of Medical Sciences, Universiti Sains Malaysia 16150 Kubang Kerian, Kelantan, Malaysia
A case of biventricular neurocytoma is reported. A 36 year old Malay lady presented with headache of 8 months duration. Physical examination revealed signs of increase intracranial pressure. CT-scan and MRI showed tumour in both lateral ventricles. Patient underwent tumour debulking followed by adjuvant radiotherapy. The radiological appearances of central neurocytoma are discussed. Key words : Central neurocytoma, treatment, radiology.
Case report
A 36-year old Malay lady presented with an 8-month history of frontal headache which was throbbing in nature. There was no history of blurring of vision, nausea, numbness, vomiting, trauma, loss of weight, loss of appetite or neck stiffness. Prior to admission, the headache became more frequent and Figure 1:
severe and was not relieved by analgesics. Her husband noticed a change in her behaviour. She had no previous significant medical history. Her social and family history were unremarkable. On examination, the patient was alert and conscious. The vital signs were normal. Funduscopic examination revealed papilloedema on the left side. Other systems were essentially normal. Routine
Axial NCCT brain reveals lobulated mass in both lateral ventricles. The mass has solid and cystic components.
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Figure 2:
Axial T1WI shows lobulated mass in both lateral ventricles which appear to be isointense to the cortical gray matter.
blood investigations were also within normal limits. Computed tomography (CT-scan) revealed a lobulated mass predominantly in the body of both lateral ventricles associated with hydrocephalus (Figure 1]. Areas of coarse calcification were not seen on CT-scan as expected in intraventricular neurocytoma. Attachment to the septum pellucidum could not be ascertained. Magnetic resonance imaging revealed

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