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  • Title: Massive intratumoral hemorrhage of ependymoma of the fourth ventricle.
    Author: Honda M, So G, Kaminogo M, Abe K, Nagata I.
    Journal: Childs Nerv Syst; 2005 Oct; 21(10):926-9. PubMed ID: 15690195.
    Abstract:
    INTRODUCTION: Ependymomas of the fourth ventricle usually show slowly progressive neurological deterioration and acute onset resulting from major intratumoral bleeding is very rare. CASE REPORT: A 16-month-old girl, previously in good health, showed gradual gait disturbance and appetite loss. She was transferred to our hospital because of a large enhanced tumor of the fourth ventricle with mild hydrocephalus. She suddenly lost consciousness on the next day. A computed tomography showed massive intratumoral hemorrhage and acute hydrocephalus. Emergency tumor removal was performed. Histopathological diagnosis was ependymoma. DISCUSSION: We speculated the mechanism of intratumoral hemorrhage in posterior fossa ependymomas.
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