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Case No. 461
2017-11-01~2017-11-30
출제자 : 유인선
Hit : 263
| Period | 2017-11-01~2017-11-30 |
|---|---|
| Diagnosis | Supratentorial ependymoma (anaplastic ependymoma) |
| Clinical information | M/18 C.C> 1주일전부터 시작된 headache, fever, vomiting |
| Discussion | Ependymoma - Glial tumors most often arising from the lining (ependymocyte) the ventricles of the brain or the central canal of the spinal cord - Bimodal distribution (1-5yrs, 20-30yrs) 30% of all brain tumor in children <3yrs 3rd m/c posterior fossa tumor of childhood - WHO classification Grade I: subependymoma, myxopapillary ependymoma Grade II: ependymoma Grade III: anaplastic ependymoma More rapid growth, vascular proliferation, increased cellularity, higher mitotic activity - Location dependent symptoms Supratentorial: seizure, focal neurologic deficit Infatentorial: obstructive hydrocephalus, headache, vomiting, papilledema, ataxia |
| Correct answer |
Correct AnswerSemi-Correct Answer |