Case Report
Cortical Anaplastic Ependymoma with Significant Desmoplasia: A Case Report and Literature Review
Table 1
All of the ectopic anaplastic ependymomas with no connection to the ventricles reported before January 2012.
| Series | Sex/age | Location | Clinical presentation | Surgery | Postop. treatment | Recurrence | Outcome | Follow-up |
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Alexiou et al. [21] | F/10 | Rt. Frontal | Headache | GTE | NAT | Cortical | No deficits | 6 | Davis et al. [19] | F/22 | Rt. Frontotemporal | Headache | GTE | Radiotherapy | Metastasis to scalp | No deficits | 60 | Fukui et al. [13] | M/66 | Lt. Posterior fossa | Nerve deficit | GTE | Radiotherapy | Extra-axial cerebellar | No deficits | 30 | Hamano et al. [11] | M/15 | Lt. Parieto-occipital | Headache | GTE | Chemotherapy | Parenchymal with cortical extension | No deficits | 12 | Kojima et al. [26] | F/56 | Lt. Temporal | Seizure | STE | Radiotherapy | Pure cortical | No deficits | 5 | Kutlay et al. [10] | F/11 | Lt. Frontoparietal | Seizure | STE | Radiotherapy | cortical |
— | | Miyazawa et al. [23] | M/33 | Lt. Parietal | Headache | STE | Combined | Extra-axial intratumoral hemorrhage | Mild deficits | 10 | Moritani et al. [6] | F/50 | Rt. Temporal | Headache | STE | Combined | Recurrence in 20 m the exact grading is debatable | — | | Ng et al. [27] | F/51 | Bifrontal | Incidental | GTE | Radiotherapy | Parenchymal with cortical extension | Handicapped | 8 | Niazi et al. [15] | F/36 | Rt. Frontal | Seizure | GTE | Radiotherapy | Parenchymal with cortical extension | No deficits | 29 |
Niazi et al. [15] | F/18 | Rt. Frontoparietal | Seizure | GTE | Radiotherapy | Recurrence | Death | 14 | Ohla et al. [28] | M/29 | Lt. Parietal | Seizure | STE | Radiotherapy | Parenchymal with cortical extension | Death | | Park et al. [7] | F/17 | Rt. Parafalcine, falx | Seizure | GTE | Radiotherapy | Extra-axial meningioma | Mild deficits | 2 | Romero et al. [9] | M/23 | Lt. Frontal | Seizure | GTE | Radiotherapy | Pure cortical | No deficits | 60 | Singh et al. [14] | M/35 | Lt. Parafalcine, falx | Seizure | GTE | Radiotherapy | Extra-axial meningioma | No deficits | 12 | Takeshima et al. [8] | F/70 | Rt. Frontal | Loss of consciousness | GTE | NAT | Extra-axial intratumoral hemorrhage | Bedridden | 36 | Thakar et al. [12] | M/12 | Brainstem | Headache | Biopsy | Combined | Brainstem | Death | 1 | Van Gompel et al. [20] | M/12 | Rt. Parietal | Seizure | GTE | Radiotherapy | Unusual epileptogenic | No deficits | 101 |
Van Gompel et al. [20] | M/25 | Rt. Frontal | Seizure | GTE | Radiotherapy | Unusual epileptogenic | No deficits | 80 | Van Gompel et al. [20] | M/59 | Rt. Frontal | Seizure | GTE | Radiotherapy | Unusual epileptogenic | No deficits | 47 | Vinchon et al. [22] | M/15 |
Lt._Insular | Headache | STE | Combined | Recurrence in 3 m | Death | 14 |
Vinchon et al. [22] | M/0.3 | Rt. Central | Headache | STE | NAT | Recurrence in 5 m | Death | 6 | Vinchon et al. [22] | F/13.5 | Rt. Temporal | Headache | GTE | Radiotherapy | Recurrence in 8 m | Death | 11 | Vinchon et al. [22] | M/11.3 | Rt. Parietal | Seizure | GTE | Radiotherapy | Recurrence in 20 m | No deficits | 80 | Present-case | M/25 | Rt. Frontal | Seizure | GTE | Radiotherapy | Extra-axial Meningioma | No deficits | 6 |
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Lt.: left, Rt.: right, M: male, F: female, GTE: gross total excision, STE: Subtotal excision, NAT: no adjuvant therapy, ND: no deficits.
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