Rare Huge Congenital Intracranial Silent Teratoma in Older People: A Case Report

Yeting Zhou, Daoming Tong, Xiaodong Chen, Guangsheng Wang, Tonghui Yang, Yuanwei Wang

Departments of Neurology, Shuyang People’Hospital, Shuyang, China.
Medical Evaluation Unit, Shuyang People’Hospital, Shuyang, China.

DOI: 10.4236/ami.2013.34009                

Abstract

The huge congenital intracranial teratoma is very rare. We report a case of a 77 years old male with giant congenital brain teratoma without clinical symptoms. His computed tomography (CT) scan showed a massive tumor (6 × 5 × 6 cm) of irregular high density (inside with some point flaky low density) in left temporal lobe region, the lower corner of the left ventricle downward shift, and enhanced CT scan no enhancement. Magnetic resonance imaging (MRI) on brain showed an irregular huge tumor in the left temporal lobe area, with multiple nodular or lobulated mixd high and low or equal signal changes, in which the liquid signal based. The midline was shift to the right, and the posterior horn of the left ventricle was compressed and downward shift, expansion, and hydrocephalus. After follow-up 12 months, the patient presents a normal daily life and work and no neurological signs as usual. Our observations show that the huge tumor in brain with multiple nodular or lobulated variety of mixed signal changes on MRI without symptoms is a congenital intracranial silent teratoma.

Keywords

Tumor; Congenital Intracranial Teratoma; Computed Tomography; Magnetic Resonance Imaging; Outcome

Conflicts of Interest

The authors declare no conflicts of interest.

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