A case report of bilateral lateral ventricle calcified pseudoneoplasm of the neuraxins.

CAPNON Imaging Operation Pathology

Journal

Chinese neurosurgical journal
ISSN: 2057-4967
Titre abrégé: Chin Neurosurg J
Pays: England
ID NLM: 101672561

Informations de publication

Date de publication:
18 Oct 2023
Historique:
received: 29 04 2023
accepted: 06 10 2023
medline: 19 10 2023
pubmed: 19 10 2023
entrez: 18 10 2023
Statut: epublish

Résumé

Calcifying pseudoneoplasm of the neuraxis (CAPNON) is indeed a rare central nervous system lesion that can occur in central nervous system (CNS). Due to its infrequency and limited literature reports, it is challenging to diagnose and manage CAPNON. In this intriguing study, we embarked on a quest to uncover the story of a 16-year-old girl who experienced bothersome headaches. Through advanced imaging techniques like computed tomography (CT) and magnetic resonance imaging (MRI), we glimpsed a delicate calcified growth within the lateral ventricles' posterior horn. Motivated by our unwavering commitment to solving mysteries, we embarked on a surgical journey that not only freed the young patient from her ailment but also shed light on the true nature of her puzzling adversary-a remarkable CAPNON. For patients with CAPNON who have multiple or non-respectable lesions, the primary goal is to alleviate symptoms. After alleviating the symptoms with partial resection, close monitoring of any residual lesions is essential. If there is no evidence for disease progression, a strategy of continued close observation is appropriate.

Sections du résumé

BACKGROUND BACKGROUND
Calcifying pseudoneoplasm of the neuraxis (CAPNON) is indeed a rare central nervous system lesion that can occur in central nervous system (CNS). Due to its infrequency and limited literature reports, it is challenging to diagnose and manage CAPNON.
CASE PRESENTATION METHODS
In this intriguing study, we embarked on a quest to uncover the story of a 16-year-old girl who experienced bothersome headaches. Through advanced imaging techniques like computed tomography (CT) and magnetic resonance imaging (MRI), we glimpsed a delicate calcified growth within the lateral ventricles' posterior horn. Motivated by our unwavering commitment to solving mysteries, we embarked on a surgical journey that not only freed the young patient from her ailment but also shed light on the true nature of her puzzling adversary-a remarkable CAPNON.
CONCLUSIONS CONCLUSIONS
For patients with CAPNON who have multiple or non-respectable lesions, the primary goal is to alleviate symptoms. After alleviating the symptoms with partial resection, close monitoring of any residual lesions is essential. If there is no evidence for disease progression, a strategy of continued close observation is appropriate.

Identifiants

pubmed: 37853457
doi: 10.1186/s41016-023-00344-1
pii: 10.1186/s41016-023-00344-1
pmc: PMC10583472
doi:

Types de publication

Journal Article

Langues

eng

Pagination

29

Subventions

Organisme : Open Research Fund of Anhui Province Key Laboratory of High Field Magnetic Resonance Imaging
ID : KFKT-2020-0002
Organisme : Joint Fund for Medical Artificial Intelligence
ID : MAI2022Q011

Informations de copyright

© 2023. Department of Neurosurgery Beijing Tiantan Hospital.

Références

Rhodes RH, Davis RL. An unusual fibro-osseous component in intracranial lesions. Hum Pathol. 1978;9(3):309–19.
doi: 10.1016/S0046-8177(78)80088-4 pubmed: 658964
Yang K, Reddy K, Chebib I, Hammond R, Lu JQ. Calcifying pseudoneoplasm of the neuraxis: from pathogenesis to diagnostic and therapeutic considerations. World Neurosurg. 2021;148:165–76.
doi: 10.1016/j.wneu.2021.01.076 pubmed: 33508489
Lu JQ, Popovic S, Provias J, Cenic A. collision lesions of calcifying pseudoneoplasm of the neuraxis and rheumatoid nodules: a case report with new pathogenic insights. Int J Surg Pathol. 2021;29(3):314–20.
doi: 10.1177/1066896920941939 pubmed: 32666850
Qian J, Rubio A, Powers JM, Rosenblum MK, Pilcher WH, Shrier DA, et al. Fibro-osseous lesions of the central nervous system: report of four cases and literature review. Am J Surg Pathol. 1999;23(10):1270–5.
doi: 10.1097/00000478-199910000-00013 pubmed: 10524529
Higa N, Yokoo H, Hirano H, Yonezawa H, Oyoshi T, Goto Y, et al. Calcifying pseudoneoplasm of the neuraxis in direct continuity with a low-grade glioma: a case report and review of the literature. Neuropathology. 2017;37(5):446–51.
doi: 10.1111/neup.12384 pubmed: 28387066
Li Y, Yang X, Liang Z, Zheng J, Zhou H, Li H. Giant calcified pseudoplasm of the nerve axis of the temporal lobe: a case report and review of the literature. Acta Neurol Belg. 2022;122(6):1477–84.
doi: 10.1007/s13760-021-01641-1 pubmed: 33675530
Vallejo FA, Chen SH, Bano G, Gultekin S, Morcos J. Calcifying pseudoneoplasm of the neuroaxis presenting with refractory seizures: case report and literature review. J Clin Neurosci. 2020;78:439–43.
doi: 10.1016/j.jocn.2020.05.001 pubmed: 32387256
Saha A, Arevalo-Perez J, Peck KK, Rosenblum M, Bilsky M, Lis E, et al. Calcifying pseudoneoplasm of the spine: imaging and pathological features. Neuroradiol J. 2018;31(4):440–4.
doi: 10.1177/1971400916682511 pubmed: 28463048
Blood TC, Rodriguez FJ, Nolan N, Ramanathan M Jr, Desai SC. Anterior cranial fossa calcifying pseudoneoplasm of the neuroaxis-diagnosis using a transblepharoplasty approach. J Neurol Surg Rep. 2018;79(3):e75–8.
doi: 10.1055/s-0038-1673392 pubmed: 30271701 pmcid: 6160293
Watanabe A, Nakanishi K, Kataoka K, Wakasa T, Ohta Y. Regrowth and progression of multiple calcifying pseudoneoplasms of the neuraxis: case report. Surg Neurol Int. 2018;9:243.
doi: 10.4103/sni.sni_181_18 pubmed: 30603228 pmcid: 6293594
Safaee MM, Jonzzon S, López GY, Asaikar S, Tihan T, Glenn OA, et al. Perilesional edema associated with an intracranial calcifying pseudoneoplasm of the neuraxis in a child: case report and review of imaging features. J Neurosurg Pediatr. 2018;22(5):528–31.
doi: 10.3171/2018.5.PEDS18104 pubmed: 30117793
García Duque S, Medina Lopez D, Ortiz de Méndivil A, Diamantopoulos Fernández J. Calcifying pseudoneoplasms of the neuraxis: report on four cases and review of the literature. Clin Neurol Neurosurg. 2016;143:116–20.
doi: 10.1016/j.clineuro.2016.02.025 pubmed: 26921671

Auteurs

Xiaolong Qiao (X)

Anhui University of Science and Technology, Huainan, Anhui, 232001, People's Republic of China.

Yinan Chen (Y)

Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, 1st Tianehu Road, Hefei, Anhui, 230031, People's Republic of China.

Ying Ji (Y)

Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, 1st Tianehu Road, Hefei, Anhui, 230031, People's Republic of China.

Chaoshi Niu (C)

Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, 1st Tianehu Road, Hefei, Anhui, 230031, People's Republic of China.

Chuandong Cheng (C)

Anhui University of Science and Technology, Huainan, Anhui, 232001, People's Republic of China. doctorcd@ustc.edu.cn.
Department of Neurosurgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, 1st Tianehu Road, Hefei, Anhui, 230031, People's Republic of China. doctorcd@ustc.edu.cn.

Classifications MeSH