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Published in: Child's Nervous System 2/2017

01-02-2017 | Case-Based Update

Pediatric intracranial primary anaplastic ganglioglioma

Authors: Wolf Lüdemann, Rouzbeh Banan, Christian Hartmann, Helmut Bertalanffy, Concezio Di Rocco

Published in: Child's Nervous System | Issue 2/2017

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Abstract

Background

Primary intracranial anaplastic gangliogliomas are rare tumors in the pediatric patient group. Most of them present with symptoms of elevated pressure or symptomatic epilepsy. Extraaxial location is far more common than axial location. On MRI examination, they mimic pilocytic astrocytomas. The outcome after surgery depends mainly on the possible amount of surgical resection, and oncological therapy is necessary to prevent recurrence of the disease.

Case report

An 11-year-old boy presented with headache and double vision due to obstructive hydrocephalus. MRI of the brain revealed an axial partially contrast enhancing lesion in the quadrigeminal plate extending from the cerebellum to the pineal gland and causing hydrocephalus. Subtotal removal of the lesion was performed, and the diagnosis of an anaplastic ganglioglioma was established and confirmed by the reference center. At the latest follow up (3 months), the boy is without any neurological symptoms and scheduled for radiation therapy as well as chemotherapy
Literature
1.
go back to reference Bautista F, Paci A, Minard-Colin V, Dufour C, Grill J, Lacroix L, Varlet P, Valteau-Couanet D, Geoerger B (2014) Vemurafenib in pediatric patients with BRAFV600E mutated high-grade gliomas. Pediatr Blood Cancer 61:1101–1103CrossRefPubMed Bautista F, Paci A, Minard-Colin V, Dufour C, Grill J, Lacroix L, Varlet P, Valteau-Couanet D, Geoerger B (2014) Vemurafenib in pediatric patients with BRAFV600E mutated high-grade gliomas. Pediatr Blood Cancer 61:1101–1103CrossRefPubMed
2.
go back to reference Campos MG, Zentner J, Ostertun B, Wolf HK, Schramm J (1994) Anaplastic ganglioglioma: case report and review of the literature. Neurol Res 16:317–320CrossRefPubMed Campos MG, Zentner J, Ostertun B, Wolf HK, Schramm J (1994) Anaplastic ganglioglioma: case report and review of the literature. Neurol Res 16:317–320CrossRefPubMed
3.
go back to reference Chintagumpala MM, Armstrong D, Miki S, Nelson T, Cheek W, Laurent J, Woo SY, Mahoney DH Jr (1996) Mixed neuronal-glial tumors (gangliogliomas) in children. Pediatr Neurosurg 24:306–313CrossRefPubMed Chintagumpala MM, Armstrong D, Miki S, Nelson T, Cheek W, Laurent J, Woo SY, Mahoney DH Jr (1996) Mixed neuronal-glial tumors (gangliogliomas) in children. Pediatr Neurosurg 24:306–313CrossRefPubMed
4.
go back to reference Dummer R, Goldinger SM, Turtschi CP, Eggmann NB, Michielin O, Mitchell L, Veronese L, Hilfiker PR, Felderer L, Rinderknecht JD (2014) Vemurafenib in patients with BRAF(V600) mutation-positive melanoma with symptomatic brain metastases: final results of an open-label pilot study. Eur J Cancer 50:611–621CrossRefPubMed Dummer R, Goldinger SM, Turtschi CP, Eggmann NB, Michielin O, Mitchell L, Veronese L, Hilfiker PR, Felderer L, Rinderknecht JD (2014) Vemurafenib in patients with BRAF(V600) mutation-positive melanoma with symptomatic brain metastases: final results of an open-label pilot study. Eur J Cancer 50:611–621CrossRefPubMed
5.
go back to reference Gessi M, Dorner E, Dreschmann V, Antonelli M, Waha A, Giangaspero F, Gnekow A, Pietsch T (2016) Intramedullary gangliogliomas: histopathologic and molecular features of 25 cases. Hum Pathol 49:107–113CrossRefPubMed Gessi M, Dorner E, Dreschmann V, Antonelli M, Waha A, Giangaspero F, Gnekow A, Pietsch T (2016) Intramedullary gangliogliomas: histopathologic and molecular features of 25 cases. Hum Pathol 49:107–113CrossRefPubMed
6.
go back to reference Haddad SF, Moore SA, Menezes AH, VanGilder JC (1992) Ganglioglioma: 13 years of experience. Neurosurgery 31:171–178CrossRefPubMed Haddad SF, Moore SA, Menezes AH, VanGilder JC (1992) Ganglioglioma: 13 years of experience. Neurosurgery 31:171–178CrossRefPubMed
7.
go back to reference Hall WA, Yunis EJ, Albright AL (1986) Anaplastic ganglioglioma in an infant: case report and review of the literature. Neurosurgery 19:1016–1020CrossRefPubMed Hall WA, Yunis EJ, Albright AL (1986) Anaplastic ganglioglioma in an infant: case report and review of the literature. Neurosurgery 19:1016–1020CrossRefPubMed
8.
go back to reference Hirose T, Kannuki S, Nishida K, Matsumoto K, Sano T, Hizawa K (1992) Anaplastic ganglioglioma of the brain stem demonstrating active neurosecretory features of neoplastic neuronal cells. Acta Neuropathol 83:365–370CrossRefPubMed Hirose T, Kannuki S, Nishida K, Matsumoto K, Sano T, Hizawa K (1992) Anaplastic ganglioglioma of the brain stem demonstrating active neurosecretory features of neoplastic neuronal cells. Acta Neuropathol 83:365–370CrossRefPubMed
9.
go back to reference Jay V, Squire J, Becker LE, Humphreys R (1994) Malignant transformation in a ganglioglioma with anaplastic neuronal and astrocytic components. Report of a case with flow cytometric and cytogenetic analysis Cancer. 73: 2862–2868 Jay V, Squire J, Becker LE, Humphreys R (1994) Malignant transformation in a ganglioglioma with anaplastic neuronal and astrocytic components. Report of a case with flow cytometric and cytogenetic analysis Cancer. 73: 2862–2868
10.
go back to reference Karabekir HS, Balci C, Tokyol C (2006) Primary spinal anaplastic ganglioglioma. Pediatr Neurosurg 42:374–378CrossRefPubMed Karabekir HS, Balci C, Tokyol C (2006) Primary spinal anaplastic ganglioglioma. Pediatr Neurosurg 42:374–378CrossRefPubMed
11.
go back to reference Karremann M, Pietsch T, Janssen G, Kramm CM, Wolff JE (2009) Anaplastic ganglioglioma in children. J Neuro-Oncol 92:157–163CrossRef Karremann M, Pietsch T, Janssen G, Kramm CM, Wolff JE (2009) Anaplastic ganglioglioma in children. J Neuro-Oncol 92:157–163CrossRef
12.
go back to reference Kawataki T, Sato E, Sato T, Kinouchi H (2010) Anaplastic ganglioglioma with malignant features in both neuronal and glial components—case report. Neurol Med Chir (Tokyo) 50:228–231CrossRef Kawataki T, Sato E, Sato T, Kinouchi H (2010) Anaplastic ganglioglioma with malignant features in both neuronal and glial components—case report. Neurol Med Chir (Tokyo) 50:228–231CrossRef
13.
go back to reference Lucas JT Jr, Huang AJ, Mott RT, Lesser GJ, Tatter SB, Chan MD (2015) Anaplastic ganglioglioma: a report of three cases and review of the literature. J Neuro-Oncol 123:171–177CrossRef Lucas JT Jr, Huang AJ, Mott RT, Lesser GJ, Tatter SB, Chan MD (2015) Anaplastic ganglioglioma: a report of three cases and review of the literature. J Neuro-Oncol 123:171–177CrossRef
14.
go back to reference Pandita A, Balasubramaniam A, Perrin R, Shannon P, Guha A, Sarkaria JN, Carlson BL, Schroeder MA, Grogan P, Brown PD, Giannini C, Ballman KV, Kitange GJ, James CD, Aldape KD, Zadeh G (2007) Malignant and benign ganglioglioma: a pathological and molecular study use of an orthotopic xenograft model for assessing the effect of epidermal growth factor receptor amplification on glioblastoma radiation response contrasting in vivo and in vitro fates of glioblastoma cell subpopulations with amplified EGFR. Neuro-Oncology 9:124–134CrossRefPubMedPubMedCentral Pandita A, Balasubramaniam A, Perrin R, Shannon P, Guha A, Sarkaria JN, Carlson BL, Schroeder MA, Grogan P, Brown PD, Giannini C, Ballman KV, Kitange GJ, James CD, Aldape KD, Zadeh G (2007) Malignant and benign ganglioglioma: a pathological and molecular study use of an orthotopic xenograft model for assessing the effect of epidermal growth factor receptor amplification on glioblastoma radiation response contrasting in vivo and in vitro fates of glioblastoma cell subpopulations with amplified EGFR. Neuro-Oncology 9:124–134CrossRefPubMedPubMedCentral
15.
go back to reference Schindler G, Capper D, Meyer J, Janzarik W, Omran H, Herold-Mende C, Schmieder K, Wesseling P, Mawrin C, Hasselblatt M, Louis DN, Korshunov A, Pfister S, Hartmann C, Paulus W, Reifenberger G, von Deimling A (2011) Analysis of BRAF V600E mutation in 1,320 nervous system tumors reveals high mutation frequencies in pleomorphic xanthoastrocytoma, ganglioglioma and extra-cerebellar pilocytic astrocytoma. Acta Neuropathol 121:397–405CrossRefPubMed Schindler G, Capper D, Meyer J, Janzarik W, Omran H, Herold-Mende C, Schmieder K, Wesseling P, Mawrin C, Hasselblatt M, Louis DN, Korshunov A, Pfister S, Hartmann C, Paulus W, Reifenberger G, von Deimling A (2011) Analysis of BRAF V600E mutation in 1,320 nervous system tumors reveals high mutation frequencies in pleomorphic xanthoastrocytoma, ganglioglioma and extra-cerebellar pilocytic astrocytoma. Acta Neuropathol 121:397–405CrossRefPubMed
16.
go back to reference Scoccianti S, Giordano F, Agresti B, Detti B, Cipressi S, Franceschini D, Greto D, Mussa F, Sardi I, Buccoliero A, Arico M, Genitori L, Biti G (2012) Pediatric primary anaplastic ganglioglioma: a case report and review of the literature. Pediatr Neurosurg 48:35–41CrossRefPubMed Scoccianti S, Giordano F, Agresti B, Detti B, Cipressi S, Franceschini D, Greto D, Mussa F, Sardi I, Buccoliero A, Arico M, Genitori L, Biti G (2012) Pediatric primary anaplastic ganglioglioma: a case report and review of the literature. Pediatr Neurosurg 48:35–41CrossRefPubMed
17.
go back to reference Selvanathan SK, Hammouche S, Salminen HJ, Jenkinson MD (2011) Outcome and prognostic features in anaplastic ganglioglioma: analysis of cases from the SEER database. J Neuro-Oncol 105:539–545CrossRef Selvanathan SK, Hammouche S, Salminen HJ, Jenkinson MD (2011) Outcome and prognostic features in anaplastic ganglioglioma: analysis of cases from the SEER database. J Neuro-Oncol 105:539–545CrossRef
18.
go back to reference Silver JM, Rawlings CE 3rd, Rossitch E Jr, Zeidman SM, Friedman AH (1991) Ganglioglioma: a clinical study with long-term follow-up. Surg Neurol 35:261–266CrossRefPubMed Silver JM, Rawlings CE 3rd, Rossitch E Jr, Zeidman SM, Friedman AH (1991) Ganglioglioma: a clinical study with long-term follow-up. Surg Neurol 35:261–266CrossRefPubMed
19.
go back to reference Tamburrini G, Colosimo C Jr, Giangaspero F, Riccardi R, Di Rocco C (2003) Desmoplastic infantile ganglioglioma. Childs Nerv Syst 19:292–297CrossRefPubMed Tamburrini G, Colosimo C Jr, Giangaspero F, Riccardi R, Di Rocco C (2003) Desmoplastic infantile ganglioglioma. Childs Nerv Syst 19:292–297CrossRefPubMed
20.
go back to reference Zorlu F, Selek U, Onal C, Soylemezoglu F, Gurkaynak M (2006) Postoperative radiotherapy in cranial ganglioglioma. J Neuro-Oncol 77:321–324CrossRef Zorlu F, Selek U, Onal C, Soylemezoglu F, Gurkaynak M (2006) Postoperative radiotherapy in cranial ganglioglioma. J Neuro-Oncol 77:321–324CrossRef
Metadata
Title
Pediatric intracranial primary anaplastic ganglioglioma
Authors
Wolf Lüdemann
Rouzbeh Banan
Christian Hartmann
Helmut Bertalanffy
Concezio Di Rocco
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 2/2017
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3302-0

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