Brazilian Neurosurgery (Mar 2023)

Intracranial Teratoma in Young Adult Female: Case Report

  • Nathan Kulkys Marques,
  • Karine Haag,
  • Leonardo Trindade Buffara,
  • Chelin Auswaldt Steclan,
  • André Possamai Della,
  • Diogo Pasquali Nones,
  • Oscar Nelson Reimann Junior,
  • Gabriel Hoher Peres,
  • Arlindo Américo de Oliveira,
  • Amaurí Batista de Oliveira Júnior,
  • Leonard Rocha Fonseca de Brito,
  • Michael Ricardo Lang,
  • Filipe Laurindo Cabral

DOI
https://doi.org/10.1055/s-0042-1744114
Journal volume & issue
Vol. 42, no. 01
pp. e68 – e72

Abstract

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Abstract Intracranial teratoma corresponds to a type of germ cell tumor (GCT) of the central nervous system which is characterized by the presence of tissues derived from the germinal layers, which may have hair and adipose tissue inside, for example. The literature on the subject is scarce, and the T2 magnetic resonance imaging (MRI) pattern commonly found is that of a heterogeneously hyperintense mass and, after contrast, teratoma presents heterogeneous enhancement. Therefore, the present case report aims to present atypical results of a GCT in a young adult woman. Data analysis and compilation were performed from medical records, as well as the neuroimaging study. Thus, the present case report demonstrates neuroimaging findings with homogeneous postcontrast enhancement in an adult patient, with an unusual age profile when compared with most of the studies published so far. This demonstrates that it is possible to have atypical neuroimaging findings for mature teratomas and that they can behave in a less aggressive way, not requiring adjuvant postoperative therapies.

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