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Rehabilitation Practice and Science

Translated Title

天幕上原始神經外胚層腫瘤：病例報告

Abstract

Supratentorial primitive neuroectodermal tumors are a very rare brain tumor. This reports the case of a 14 year old girl who visited our emergency department owing to severe headache and vomiting. One 72mm×45mm mass located at the left corpus callosum and extending to the left ventricle was identified by Brain magnetic imaging. The tumor was removed and the pathology demonstrated highly cellular tumor with poorly differential cells and brisk miotic activity. Based on the tumor location and pathology, a supratentorial primitive neuroectodermal tumor was diagnosed. Following the surgery the patient presented with right side weakness, unsteady gait, and speech difficulty. Rehabilitation programs, including physical therapy, occupational therapy and speech therapy, were scheduled. Craniospinal radiation therapy was also administered to prevent tumor recurrence. Poor appetite and bone marrow suppression were observed one week after the craniospinal radiation, and the radiation therapy was ceased. Spinal magnetic resonance imaging showed no spinal matastasis. White blood and platelet counts gradually increased. Subsequently, brain radiation was initiated. The patient currently can walk with good endurance and without device. Our experience of this case and the literature reviewarticle can offer some help to clinicians in managing supratentorial primitive neuroectodermal tumors.

Language

Traditional Chinese

First Page

103

Last Page

109

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