Brain tumor, five years post rhabdoid meningioma surgery

1. Remberto Burgos de la Espriella Dr Antonio Becerra Gómez
Presidente Honorario FLANC. Jefe Neurocirugía
Miembro Academia Nacional Organización Sanitas
de Medicina

5. PATHOLOGY:
NEUROPATHOLOGY OPINION:
The immunostaining showed immunoreactive for EMA in the
meningotheliomatous component and vimentin in the rhabdoid component. KI:
30-40%

12. DECREASE IN THE NUMBER OF FIBERS IN THE CORTICOSPINAL TRACT WITH RIGHT SHIFT.
CLUSTERING OF FIBERS TO THE MEDIAL,SUPERIOR AND ANTERIOR SURFACE.”

13. 2011 -PATHOLOGY.
STEREOTACTIC BIOPSY:

14. SUMMARY:
We report a 20 years old male with seizure secondary a Rhabdoid Meningioma (
five years ago). Radical surgery was done.He didnt receive radiation therapy.
Clinical and images during the next 5 years were normal.
Since the last six months he present progressive neurological deficit (left
hemiparesis).
New images show an intraxial lesion in the same palce were the meningioma was
resected.Spectroscopy show glioma patterns and behavior.
A stereotactic biopsy its performed.First report: oligodendroglioma.Neuropathology
second opinion:: Astrocitoma grade II.
Your recommendations:
1-) radical surgery with neurophysiology monitoring
2-) awake surgery
3-) radiotherapy
4-) Follow up-,( progressive hemiparesis allow radical surgery After surgery:
radiotherapy)