Atypical teratoid rhabdoid tumor in a 65-year-old man presenting with disseminated leptomeningeal disease: A case report and review of the literature

Autor: Marc-Alain Babi, Peter Fecci, Matthew Luedke, Olinda Pineda, Yasmin Ali O’Keefe
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: SAGE Open Medical Case Reports, Vol 6 (2018)
Druh dokumentu: article
ISSN: 2050-313X
2050313X
DOI: 10.1177/2050313X18775298
Popis: Central nervous system atypical teratoid rhabdoid tumors are very rare aggressive tumor of childhood, primarily occurring at age of less than 3 years old. The prognosis of these tumors is very poor, with a reported median survival of 6–12 months in most cases. Treatment typically consists of aggressive chemotherapy and radiotherapy. We present the case of a 65-year-old man who presented with progressive encephalopathy and change in personality over 3 months period. The patient had further accelerated decline over 3 weeks. The diagnosis of atypical teratoid rhabdoid tumor initially remained elusive despite very extensive workup, but was eventually confirmed via open brain biopsy. To the best of our knowledge, this is the oldest reported case of atypical teratoid rhabdoid tumor in the literature. We further extend the spectrum of this rare disease.
Databáze: Directory of Open Access Journals