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Case Report

Rare presentation of atypical Teratoid / Rhabdoid tumor : Case report and review of literature

Krishna Kumar K. , Krishna Kumar K. , Menon G. , Nair S. , Radhakrishnan V.V.

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International Journal of Neurology and Neurosurgery 2(2-4):p 71-73, April - December 2010. | DOI:

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Abstract

An 18 year old female presented with recurrent generalized tonic clonic seizures of four years duration. After the first episode she was evaluated at a local hospital and was detected to have a right parieto-occipital lesion and was advised surgery but she defaulted from treatment. She presented with a 30 day history of headache and vomiting and on examination was alert with stable vital signs. She had left homonymous hemianopia and fundus examination revealed papilledema. She did not have  any other cranial nerve or focal neurological deficits. Her systemic examination was unremarkable. Computerized tomogram of brain showed a large heterogeneous cortical based lesion in the right parietooccipital lobe with enhancing hyper dense irregular wall and central hypodensity suggestive of necrosis. Small area of calcification was seen in the inner wall of the lesion. There was no perilesional oedema. Figure 1A, B). Her magnetic resonance imaging which was done earlier showed a right parieto-occipital lesion which was isodense on T1 weighted sequences, hyperintense on T2 weighted and FLAIR sequences with irregular contrast enhancement. There was no perilesional edema. (Figure 1 C, D)  

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