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Chaouche I, EL Bouardi N, Benabderrazik B, Haloua M, Lamrani MYA, Boubbou M, Maaroufi M, Alami B. Cerebellar liponeurocytoma: Rare posterior fossa tumor. Radiol Case Rep 2024; 19:3382-3385. [PMID: 38841602 PMCID: PMC11152941 DOI: 10.1016/j.radcr.2024.04.094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 04/27/2024] [Accepted: 04/29/2024] [Indexed: 06/07/2024] Open
Abstract
Cerebellar liponeurocytoma is a rare WHO grade II glioneuronal tumor, characterized by a benign course and a more favorable prognosis. In this paper, we report a 52-year-old man, hospitalized in emergency because of clinical signs of increased intracranial pressure, and gait disturbances. The MRI revealed a lateral well shaped solid lesion within the left cerebellar hemisphere, having a low signal intensity compared to the cerebrospinal fluid, and causing a triventicular hydrocephalus and tonsillar herniation. The patient underwent a direct approach of the tumor through a left suboccipital craniectomy. Total removal of the lesion was achieved, and the histological diagnosis was cerebellar liponeurocytoma. The tumor cell proliferation index was < 6 %, therefore, radiotherapy and chemotherapy were not implemented after surgery. After 5 years of close follow-up there were no clinical or radiological signs of recurrence. Our objective in reporting another case of this unusual tumor is to discuss clinical profile, radiologic and histologic features as well as treatment and prognosis of this rare posterior fossa tumor.
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Affiliation(s)
- Ismail Chaouche
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Nizar EL Bouardi
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Btissam Benabderrazik
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Meriem Haloua
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Moulay youssef alaoui Lamrani
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Maryam Boubbou
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Mustapha Maaroufi
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
| | - Badreeddine Alami
- Diagnostic and Interventional Radiology Service, Hassan II Hospital Center, Route de Sefrou, Fes, Morocco
- Faculty of Medicine and Pharmacy of Fes, Sidi Mohammed Ben Abdallah University, Route d'Imouzzer, Fes, Morocco
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Li SZ, Shen F, Xu T, Yang Y, Zhou LL, Bai GH, Sheng HS. A rare case report of infratentorial cisternal angiolipoma with review of literature. Childs Nerv Syst 2024; 40:549-553. [PMID: 37552306 DOI: 10.1007/s00381-023-06099-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Accepted: 07/20/2023] [Indexed: 08/09/2023]
Abstract
Angiolipomas are slow-growing benign mesenchymal-derived tumors consisting of mature adipocytes and thin-walled blood vessels. While the majority of angiolipomas are found in subcutaneous tissues, rarely there are case reports of intracranial lesions. We present a case of cisternal angiolipoma in a 10-year-old female. She presented with vague symptoms like dizziness without neurological deficits and radiological evaluation confirmed a left-sided infratentorial cisternal partially enhancing mass. She underwent craniotomy and had complete resection of the mass, which was histologically composed of mature adipocytes and blood vessels, consistent with angiolipoma. A review of the literature found only 18 cases of intracranial angiolipoma ever reported with our case representing the first case of infratentorial cisternal region.
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Affiliation(s)
- Shi-Ze Li
- Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Fang Shen
- Department of Surgery, Box Hill Hospital Eastern Health, VIC, Australia
| | - Tao Xu
- Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Yue Yang
- Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Ling-Li Zhou
- Department of Pathology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Guang-Hui Bai
- Department of Radiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China
| | - Han-Song Sheng
- Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
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Ali R, Durrani S, Nathani KR, Jarrah R, Bydon M. Cerebellar Liponeurocytoma: Publication Trends, Scientometrics Analysis, and Critical Review. World Neurosurg 2023; 171:e137-e146. [PMID: 36460199 DOI: 10.1016/j.wneu.2022.11.098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 11/21/2022] [Accepted: 11/22/2022] [Indexed: 12/02/2022]
Abstract
BACKGROUND The literature on cerebellar liponeurocytoma (CL) has never been systematically assessed using bibliometric analytic methodologies. We quantitatively analyzed the major trends and scientific output regarding CL, highlighting potential avenues for research. METHODS Elsevier's Scopus database was used to collect all published studies relevant to cerebellar liponeurocytoma from 1978 to 2021. The specific bibliometric parameters were extracted and analyzed with R v4.1.2. RESULTS Our search yielded 108 documents published in 67 sources from 1978 to 2021. The annual growth rate of publications regarding CL has been 7.47% per year since 1978. Journals with the most publications on CL include Clinical Neuropathology and Neurology India (n = 5), followed by Acta Neuropathologica and Journal of Neuro-oncology (n = 4). A total of 529 authors have published on CL and they have been cited 598 times. The 10 most influential authors in the field were determined using their total number of citations and the local H-index. Kleihues P has the highest number of citations (n = 177) with a local H index of 3, followed by Chimelli L with 167 citations and a local H index of 4. Davis DG has 149 citations and a local H index of 3. China had the most single country publications followed by India, Italy, and the USA. France and Austria have the most multiple country publications followed by China, Tunisia, Brazil, United Kingdom, Egypt, and Israel. CONCLUSIONS Our study is the first bibliometric analysis evaluating the present literature and publication trends in CL. Generally, the current literature has a few studies regarding CL relative to other neuro-oncological pathologies. This can be due to the low incidence of the disease and highlights a need for high volume database studies that can offer high quality evidence on the subject.
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Affiliation(s)
- Rabia Ali
- Department of Public Health, John Hopkins University, Baltimore, Maryland, USA
| | - Sulaman Durrani
- Mayo Clinic Neuro-Informatics Laboratory, Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Karim Rizwan Nathani
- Mayo Clinic Neuro-Informatics Laboratory, Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Ryan Jarrah
- Mayo Clinic Neuro-Informatics Laboratory, Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA
| | - Mohamad Bydon
- Mayo Clinic Neuro-Informatics Laboratory, Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA; Department of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota, USA.
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Dong C, Jiang Y, Zhao L, Wang Y, Bai Y, Sun Y, Li Y. Cerebellar Liponeurocytoma Mimicking Medulloblastoma: Case Report of a Childhood and Literature Review. Front Oncol 2021; 11:759581. [PMID: 34900708 PMCID: PMC8655243 DOI: 10.3389/fonc.2021.759581] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2021] [Accepted: 11/05/2021] [Indexed: 11/15/2022] Open
Abstract
Background Cerebellar liponeurocytoma is a rare benign neoplasm of the central nervous system, which arises mainly in adult patients with only 3 cases reported in children. Due to its rarity, the diagnosis and treatment strategies for cerebellar liponeurocytoma remain unclear. The purpose of this study was to explore the epidemiology, clinical features, imaging findings, pathological characteristics, different diagnoses, treatment, and prognosis of cerebellar liponeurocytoma in juveniles. Case Description A 5-year-old boy was admitted to the department of neurosurgery due to a 5-month history of headaches, nausea, vomiting, dizziness, dysphoria, as well as visual blurring associated with the peak of the headache. Magnetic resonance imaging showed a 4.9×5.4×6.2 cm mass located in the fourth ventricle and cerebellar vermis combined with hydrocephalus and periventricular edema. The mass was completely removed, and pathological examination indicated a cerebellar liponeurocytoma of the World Health Organization Grade II classification. Conclusion The present study was the first to report a cerebellar liponeurocytoma with total tumor resection and adjuvant radiotherapy in a pediatric patient. Total tumor resection and postoperative radiotherapy together with close and long-term follow-up seem to be the optimal treatment strategy for juvenile patients. However, the side-effect of radiation needs to be considered.
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Affiliation(s)
- Changhui Dong
- Department of Neurosurgery, Central Hospital of Changchun, Changchun, China
| | - Yining Jiang
- Department of Neurosurgery, First Hospital of Jilin University, Changchun, China
| | - Liyan Zhao
- Department of Clinical Laboratory, Second Hospital of Jilin University, Changchun, Jilin, China
| | - Yubo Wang
- Department of Neurosurgery, First Hospital of Jilin University, Changchun, China
| | - Yang Bai
- Department of Neurosurgery, First Hospital of Jilin University, Changchun, China
| | - Ying Sun
- Department of Clinical Laboratory, Second Hospital of Jilin University, Changchun, Jilin, China
| | - Yunqian Li
- Department of Neurosurgery, First Hospital of Jilin University, Changchun, China
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Wang S, Xu X, Wang C. Radiological and Clinical Findings of Multiple Cerebellar Liponeurocytoma: A Case Report. Front Surg 2021; 8:686892. [PMID: 34307442 PMCID: PMC8293275 DOI: 10.3389/fsurg.2021.686892] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Accepted: 06/09/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Cerebellar liponeurocytoma is an extremely rare benign tumor which generally occurs in cerebellum and is almost always solitary. Multifocal cerebellar liponeurocytoma is exceedingly rare, only 8 cases has been reported so far. Herein we present the 9th case of multifocal cerebellar liponeurocytoma in a 70-year-old woman with the complete clinical course and comprehensive imaging findings. Case Presentation: A 70-year-old woman presented with a history of intermittent headache for 5 years. Computed tomography (CT) and magnetic resonance imaging (MRI) of the brain have been performed and suggested a diagnosis of teratoma based on the imaging findings. After the surgical resection of the lesion, histopathological and immunohistochemical analyses revealed neuronal, glial, and lipomatous components and confirmed the diagnosis of multifocal cerebellar liponeurocytoma after surgical resection. During the 2-year follow-up period, the patient showed no signs of recurrence or metastasis. Conclusion: We described the radiological characteristics and clinical course of an exceedingly rare case of multifocal cerebellar liponeurocytoma in the cerebellar vermis and temporal lobe. The clear multifocality makes this case unusual.
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Affiliation(s)
- Shan Wang
- Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Xiaopei Xu
- Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Chao Wang
- Department of Radiology, The Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
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Abstract
Neuronal and mixed glioneuronal tumors represent a group of neoplasms with varying degrees of neural and glial elements. Their age of presentation varies, but they are most commonly seen in children and young adults. With the exception of anaplastic ganglioglioma and other atypical variants, most lesions are low grade; however, they can have significant morbidity because of seizures, mass effect, or difficult to treat hydrocephalus. Although many tumors show overlapping clinical and imaging features, some have relatively distinctive imaging characteristics that may aid in narrowing the differential diagnosis. In this review, we discuss relevant clinical and pathologic characteristics of these tumors and provide an overview of conventional and advanced imaging features that provide clues as to the diagnosis.
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Linsenmann T, Monoranu CM, Alkonyi B, Westermaier T, Hagemann C, Kessler AF, Ernestus RI, Löhr M. Cerebellar liponeurocytoma - molecular signature of a rare entity and the importance of an accurate diagnosis. INTERDISCIPLINARY NEUROSURGERY 2019. [DOI: 10.1016/j.inat.2018.10.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Khatri D, Bhaisora KS, Das KK, Behari S, Pal L. Cerebellar Liponeurocytoma: The Dilemma of Multifocality. World Neurosurg 2018; 120:131-137. [DOI: 10.1016/j.wneu.2018.08.156] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2018] [Revised: 08/20/2018] [Accepted: 08/21/2018] [Indexed: 11/26/2022]
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9
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Central liponeurocytoma as a clinical entity. Neurol Neurochir Pol 2018; 52:670-676. [DOI: 10.1016/j.pjnns.2018.09.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Revised: 09/01/2018] [Accepted: 09/01/2018] [Indexed: 11/18/2022]
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Cai J, Li W, Du J, Xu N, Gao P, Zhou J, Li X. Supratentorial intracerebral cerebellar liponeurocytoma: A case report and literature review. Medicine (Baltimore) 2018; 97:e9556. [PMID: 29480846 PMCID: PMC5943890 DOI: 10.1097/md.0000000000009556] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
RATIONALE Cerebellar liponeurocytoma is a rare tumor of the central nervous system (CNS) characterized by low proliferation but high likelihood of recurrence. Because of its rarity and the paucity of systematic follow-up, the biological behaviors and clinical features of this tumor are still poorly understood. We herein reported a case of cerebellar liponeurocytoma originating in the cerebral hemisphere. PATIENT CONCERNS A 11-year-old male with intermittent headache, nausea, and vomiting. The first computed tomography revealed a large mass in the right cerebral hemisphere. He was transferred to our institution for neurosurgical treatment. DIAGNOSIS Magnetic resonance imaging showed a large cystic-solid mass in the right frontal lobe with obvious contrast enhancement. Histopathological examinations showed sheets of isomorphic small neoplastic cells with clear cytoplasm and focal lipomatous differentiation. On immunohistochemistry, tumor cells were positive for synaptophysin, microtubule-associated protein 2, and neuronal nuclei antigen. INTERVENTIONS The patient was performed a right fronto-parietal craniotomy, and gross total resection of the tumor was achieved without adjuvant therapy. OUTCOMES No clinical or neuroradiological evidence of recurrence or residual of the tumor was found 6 years and 2 months after initial surgery. LESSONS Cerebellar liponeurocytoma developing in supratentorial cerebral hemisphere was first reported in the present study. The radiological and histopathological features may be useful in differentiating this rare tumor from other tumors at similar locations. A change in the nomenclature of cerebellar liponeurocytomas should be considered in future World Health Organization (WHO) classifications.
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Affiliation(s)
- Jinxiu Cai
- Department of Radiology, Beijing Tiantan Hospital affiliated to Capital Medical University
| | - Wanlan Li
- Department of Radiology, Beijing Tiantan Hospital affiliated to Capital Medical University
| | - Jiang Du
- Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing
| | - Nini Xu
- Department of Radiology, Beijing Tiantan Hospital affiliated to Capital Medical University
| | - Peiyi Gao
- Department of Radiology, Beijing Tiantan Hospital affiliated to Capital Medical University
| | - Jian Zhou
- Department of Radiology, Beijing Tiantan Hospital affiliated to Capital Medical University
| | - Xiaofeng Li
- Department of Nuclear Medicine, Shenzhen Hospital of Southern Medical University, Bao’an, Shenzhen, China
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Xu N, Cai J, Du J, Yang R, Zhu H, Gao P, Zhou J, Li X. Clinical features and prognosis for intraventricular liponeurocytoma. Oncotarget 2017; 8:62641-62647. [PMID: 28977976 PMCID: PMC5617536 DOI: 10.18632/oncotarget.16024] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2016] [Accepted: 02/23/2017] [Indexed: 11/25/2022] Open
Abstract
Cerebellar liponeurocytoma is a rare central nervous system tumor, we investigate its biological behaviors and clinical prognosis to improve the understanding of this tumor. We retrospectively analyzed the clinical, radiological and histopathological findings as well as follow-up data of two patients with intraventricular liponeurocytomas in Beijing Tiantan Hospital between July 2000 and July 2016. The main clinical manifestations of the two patients were headache. The supratentorial intraventricular liponeurocytoma appeared as isodense to slight hyperdense on CT scan and heterogeneous intensity on T1-weighted imaging (T1WI) and T2-weighted imaging (T2WI). The plaque-like hypodense on CT images and hyperintensity on T1WI resembling fat could be seen inside the tumor. The liponeurocytoma located in the fourth ventricle showed isointensity on T1 and T2WI as well as slight enhancement on contrast. Two patients accepted gross total resection of tumors. Two intraventricular tumors demonstrated similarly histopathological features, such as isomorphic small tumor cells with clear cytoplasm, sheets of monomorphic round cells and focal lipomatous differentiation. In addition, expression of synaptophysin, neuron specific enolase, microtubule-associated protein 2 and S-100 were found. No radiological or clinical evidence of recurrence of the tumors was observed in their follow-up surveys. In conclusion, intraventricular liponeurocytoma has a favorable clinical course, radiological features may be useful in the diagnosis of this rare tumor before surgery.
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Affiliation(s)
- Nini Xu
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Jinxiu Cai
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Jiang Du
- Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
| | - Rong Yang
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Huachen Zhu
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Peiyi Gao
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Jian Zhou
- Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
| | - Xiaofeng Li
- PET/CT/MRI Center, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China.,Department of Radiology, University of Louisville, Louisville, KY, USA
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Tucker A, Boon-Unge K, McLaughlin N, Ibrahim H, Rao N, Martin N, Everson R, Khanlou N. Cerebellar Liponeurocytoma: Relevant Clinical Cytogenetic Findings. J Pathol Transl Med 2016; 51:335-340. [PMID: 27750407 PMCID: PMC5445196 DOI: 10.4132/jptm.2016.07.24] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Revised: 07/20/2016] [Accepted: 07/25/2016] [Indexed: 11/17/2022] Open
Affiliation(s)
- Alexander Tucker
- Department of Neurosurgery, University of California-Los Angeles, Los Angeles, CA, USA
| | - Kritsanapol Boon-Unge
- Division of Neuropathology, Department of Pathology and Laboratory Medicine, University of California-Los Angeles, Los Angeles, CA, USA
| | - Nancy McLaughlin
- Department of Neurosurgery, University of California-Los Angeles, Los Angeles, CA, USA
| | - Hassana Ibrahim
- Division of Neuroradiology, Department of Radiological Sciences, University of California-Los Angeles, Los Angeles, CA, USA
| | - Nagesh Rao
- Division of Clinical and Molecular Cytogenetics, Department of Pathology and Laboratory Medicine, University of California-Los Angeles, Los Angeles, CA, USA
| | - Neil Martin
- Department of Neurosurgery, University of California-Los Angeles, Los Angeles, CA, USA
| | - Richard Everson
- Department of Neurosurgery, University of California-Los Angeles, Los Angeles, CA, USA
| | - Négar Khanlou
- Division of Neuropathology, Department of Pathology and Laboratory Medicine, University of California-Los Angeles, Los Angeles, CA, USA
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Pikis S, Fellig Y, Margolin E. Cerebellar liponeurocytoma in two siblings suggests a possible familial predisposition. J Clin Neurosci 2016; 32:154-6. [PMID: 27349466 DOI: 10.1016/j.jocn.2016.04.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2016] [Accepted: 04/12/2016] [Indexed: 11/16/2022]
Abstract
There is limited data on the genetic origin and natural history of cerebellar liponeurocytoma. To the best of our knowledge there has been only one report of a familial presentation of this rare entity. We report a 72-year-old female with a posterior fossa tumor presenting with progressive cerebellar signs and symptoms. The patient underwent total tumor resection via an uncomplicated sub-occipital craniotomy. Histopathologic examination was diagnostic for cerebellar liponeurocytoma. Her sister was previously treated for a similar tumor. Our report provides further evidence for the possible existence of a hereditary abnormality predisposing afflicted families to cerebellar liponeurocytoma development.
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Affiliation(s)
- Stylianos Pikis
- Department of Neurosurgery, "Korgialenio Benakio" Red Cross Hospital of Athens, Athens 11526, Greece
| | - Yakov Fellig
- Department of Pathology, Hadassah-Hebrew University Medical Center, Jerusalem 91120, Israel
| | - Emil Margolin
- Department of Neurosurgery, Hadassah-Hebrew University Medical Center, Kiryat Hadassah, P.O. Box 12000, Jerusalem 91120, Israel.
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Abstract
A 54-year-old female presented with a two year history of progressive headaches and upper neck pain. The headaches were worse with coughing and bending. Neurological examination was unremarkable including a normal cranial nerve examination. There was no papilloedema. A computed tomogram (CT) demonstrated a midline, posterior fossa, partly fatty, partly solid mass (Figure 1). Magnetic resonance imaging (MRI) demonstrated a mixed fatty, solid mass arising from the fourth ventricle and extending downward below the foramen magnum to the C1 level (Figure 2). The solid portions demonstrated enhancement. In addition, in the lateral right cerebellar hemisphere, there was a second, separate, solid, enhancing mass without any connection to the larger central lesion. A subtotal resection of the tumor was achieved through a suboccipital craniectomy.
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Kakkar A, Sable M, Suri V, Sarkar C, Garg A, Satyarthee GD, Sharma MC. Cerebellar Liponeurocytoma, an Unusual Tumor of the Central Nervous System – Ultrastructural Examination. Ultrastruct Pathol 2015; 39:419-23. [DOI: 10.3109/01913123.2015.1027435] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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17
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Understanding cerebellar liponeurocytomas: case report and literature review. Case Rep Neurol Med 2014; 2014:186826. [PMID: 24716015 PMCID: PMC3970250 DOI: 10.1155/2014/186826] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2013] [Accepted: 12/10/2013] [Indexed: 12/03/2022] Open
Abstract
Cerebellar liponeurocytomas were recognized in the 2000 WHO 3rd edition of CNS tumors as a distinct grade I pathological entity, a tumor with a more favorable prognosis than medulloblastoma. But reports of long-term recurrences and some possible aggressive behavior led to an upgrade on the latest WHO 4th edition of CNS tumors. The case of a 64-year-old female patient is reported in this paper. More than 30 cases of this lately recognized pathological entity have been reported to date. The diagnostic, radiological, and pathological features associated with this tumor are discussed through a literature review.
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Beizig N, Ziadi S, Ladib M, Mokni M. Cerebellar liponeurocytoma: Case report. Neurochirurgie 2013; 59:39-42. [DOI: 10.1016/j.neuchi.2012.09.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Revised: 09/20/2012] [Accepted: 09/30/2012] [Indexed: 10/27/2022]
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