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Published in: Child's Nervous System 6/2020

01-06-2020 | Hydrocephalus | Case-Based Review

Pediatric septal dysembryoplastic neuroepithelial tumor (sDNT): case-based update

Authors: Ranbir Ahluwalia, Lili Miles, Laura Hayes, Andrea Scherer

Published in: Child's Nervous System | Issue 6/2020

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Abstract

Purpose

The purpose of this study was to review a case of a septal dysembryoplastic neuroepithelial tumor (sDNT) and compare it to cases reported in the current literature.

Methods

We review a case of sDNT and compare with 7 other previously noted cases in the literature.

Results

The mainstay treatment is gross total resection, and most patients achieve full clinical resolution. Septal dysembryoplastic neuroepithelial tumor (sDNT) is a rare pediatric disease most commonly presenting as intractable epilepsy or headache. sDNT has been recognized as a genotypically distinct entity from DNT. A high frequency (~ 80%) of mutations of platelet-derived growth factor receptor A (PDGFRA) has been isolated in sDNT and could form the basis for future therapy. MRI is most commonly used to radiographically diagnose the disease and usually demonstrates a lobular interventricular mass involving the septum, potentially extending to the third ventricle.

Conclusions

Our case and literature review validates endoscopic biopsy as a diagnostic and therapeutic intervention.
Literature
1.
go back to reference Rosemberg S, Vieira GS (1998) Dysembryoplastic neuroepithelial tumor. An epidemiological study from a single institution. Arq Neuropsiquiatr 56:232–236CrossRef Rosemberg S, Vieira GS (1998) Dysembryoplastic neuroepithelial tumor. An epidemiological study from a single institution. Arq Neuropsiquiatr 56:232–236CrossRef
2.
go back to reference Baisden BL, Brat DJ, Melhem ER, Rosenblum MK, King AP, Burger PC (2001) Dysembryoplastic neuroepithelial tumor-like neoplasm of the septum pellucidum: a lesion often misdiagnosed as glioma: report of 10 cases. Am J Surg Pathol 25:494–499CrossRef Baisden BL, Brat DJ, Melhem ER, Rosenblum MK, King AP, Burger PC (2001) Dysembryoplastic neuroepithelial tumor-like neoplasm of the septum pellucidum: a lesion often misdiagnosed as glioma: report of 10 cases. Am J Surg Pathol 25:494–499CrossRef
3.
go back to reference Cataltepe O, Marshall P, Smith TW (2009) Dysembryoplastic neuroepithelial tumor located in pericallosal and intraventricular area in a child. Case report. J Neurosurg Pediatr 3:456–460CrossRef Cataltepe O, Marshall P, Smith TW (2009) Dysembryoplastic neuroepithelial tumor located in pericallosal and intraventricular area in a child. Case report. J Neurosurg Pediatr 3:456–460CrossRef
4.
go back to reference Nguyen HS, Doan N, Gelsomino M, Shabani S (2017) Dysembryoplastic neuroectodermal tumor: an analysis from the surveillance, epidemiology, and end results program, 2004-2013. World neurosurgery 103:380–385CrossRef Nguyen HS, Doan N, Gelsomino M, Shabani S (2017) Dysembryoplastic neuroectodermal tumor: an analysis from the surveillance, epidemiology, and end results program, 2004-2013. World neurosurgery 103:380–385CrossRef
5.
go back to reference Yuan J, Sharma N, Choudhri H, Figueroa R, Sharma S (2011) Intraventricular dysembryoplastic neuroepithelial tumor in a pediatric patient: is it the most common extracortical location for DNT? Childs Nerv Syst 27:485–490CrossRef Yuan J, Sharma N, Choudhri H, Figueroa R, Sharma S (2011) Intraventricular dysembryoplastic neuroepithelial tumor in a pediatric patient: is it the most common extracortical location for DNT? Childs Nerv Syst 27:485–490CrossRef
6.
go back to reference Sontowska I, Matyja E, Malejczyk J, Grajkowska W (2017) Dysembryoplastic neuroepithelial tumour: insight into the pathology and pathogenesis. Folia Neuropathol 55:1–13CrossRef Sontowska I, Matyja E, Malejczyk J, Grajkowska W (2017) Dysembryoplastic neuroepithelial tumour: insight into the pathology and pathogenesis. Folia Neuropathol 55:1–13CrossRef
7.
go back to reference Luzzi S, Elia A, Del Maestro M et al (2019) Dysembryoplastic neuroepithelial tumors: what you need to know. World Neurosurg 127:255–265CrossRef Luzzi S, Elia A, Del Maestro M et al (2019) Dysembryoplastic neuroepithelial tumors: what you need to know. World Neurosurg 127:255–265CrossRef
8.
go back to reference Chiang JCH, Harreld JH, Tanaka R, Li X, Wen J, Zhang C, Boué DR, Rauch TM, Boyd JT, Chen J, Corbo JC, Bouldin TW, Elton SW, Liu LL, Schofield D, Lee SC, Bouffard JP, Georgescu MM, Dossani RH, Aguiar MA, Sances RA, Saad AG, Boop FA, Qaddoumi I, Ellison DW (2019) Septal dysembryoplastic neuroepithelial tumor: a comprehensive clinical, imaging, histopathologic, and molecular analysis. Neuro-Oncology 21:800–808CrossRef Chiang JCH, Harreld JH, Tanaka R, Li X, Wen J, Zhang C, Boué DR, Rauch TM, Boyd JT, Chen J, Corbo JC, Bouldin TW, Elton SW, Liu LL, Schofield D, Lee SC, Bouffard JP, Georgescu MM, Dossani RH, Aguiar MA, Sances RA, Saad AG, Boop FA, Qaddoumi I, Ellison DW (2019) Septal dysembryoplastic neuroepithelial tumor: a comprehensive clinical, imaging, histopathologic, and molecular analysis. Neuro-Oncology 21:800–808CrossRef
9.
go back to reference Chang EF, Christie C, Sullivan JE, Garcia PA, Tihan T, Gupta N, Berger MS, Barbaro NM (2010) Seizure control outcomes after resection of dysembryoplastic neuroepithelial tumor in 50 patients. J Neurosurg Pediatr 5:123–130CrossRef Chang EF, Christie C, Sullivan JE, Garcia PA, Tihan T, Gupta N, Berger MS, Barbaro NM (2010) Seizure control outcomes after resection of dysembryoplastic neuroepithelial tumor in 50 patients. J Neurosurg Pediatr 5:123–130CrossRef
Metadata
Title
Pediatric septal dysembryoplastic neuroepithelial tumor (sDNT): case-based update
Authors
Ranbir Ahluwalia
Lili Miles
Laura Hayes
Andrea Scherer
Publication date
01-06-2020
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 6/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04581-y

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