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Tectal glioma presenting with adult-onset epileptic seizures

  • Kim, Jin Hee (Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jo, Hyunjin (Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Choi, Jung Won (Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Joo, Eun Yeon (Department of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • Received : 2020.11.07
  • Accepted : 2021.01.04
  • Published : 2021.04.30

Abstract

Tectal glioma is an indolent and benign tumor that occurs predominantly in the pediatric population. It arises in the tectum of the midbrain and, due to its location, contributes to the development of obstructive hydrocephalus, typically presenting with increased intracranial pressure (IICP) symptoms or signs. Here we report a rare case of tectal glioma that presented as adult-onset epileptic seizures without IICP symptoms and was treated with endoscopic third ventriculostomy and antiepileptic drugs.

Keywords

References

  1. Hosking GP. Fits in hydrocephalic children. Arch Dis Child 1974;49:633-635. https://doi.org/10.1136/adc.49.8.633
  2. Phi JH, Kim SK, Kang TH, Wang KC. Hydrocephalic fits: forgotten but not gone. Childs Nerv Syst 2012;28:1863-1868. https://doi.org/10.1007/s00381-012-1832-7
  3. Dabscheck G, Prabhu SP, Manley PE, Goumnerova L, Ullrich NJ. Risk of seizures in children with tectal gliomas. Epilepsia 2015;56:e139-e142. https://doi.org/10.1111/epi.13080
  4. Igboechi C, Vaddiparti A, Sorenson EP, Rozzelle CJ, Tubbs RS, Loukas M. Tectal plate gliomas: a review. Childs Nerv Syst 2013;29:1827-1833. https://doi.org/10.1007/s00381-013-2110-z
  5. Reyes-Botero G, Mokhtari K, Martin-Duverneuil N, Delattre JY, Laigle-Donadey F. Adult brainstem gliomas. Oncologist 2012;17:388-397. https://doi.org/10.1634/theoncologist.2011-0335
  6. Liu APY, Harreld JH, Jacola LM, Gero M, Acharya S, Ghazwani Y, et al. Tectal glioma as a distinct diagnostic entity: a comprehensive clinical, imaging, histologic and molecular analysis. Acta Neuropathol Commun 2018;6:101. https://doi.org/10.1186/s40478-018-0602-5
  7. Lapras C, Bognar L, Turjman F, Villanyi E, Mottolese C, Fischer C, et al. Tectal plate gliomas. Part I: microsurgery of the tectal plate gliomas. Acta Neurochir (Wien) 1994;126:76-83. https://doi.org/10.1007/BF01476414
  8. Li KW, Roonprapunt C, Lawson HC, Abbott IR, Wisoff J, Epstein F, et al. Endoscopic third ventriculostomy for hydrocephalus associated with tectal gliomas. Neurosurg Focus 2005;18:E2.
  9. Heo K. Sleep and epilepsy. J Korean Sleep Res Soc 2009;6:69-73. https://doi.org/10.13078/jksrs09014