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J Neurol Surg Rep 2013; 74(02): 096-100
DOI: 10.1055/s-0033-1349203
Georg Thieme Verlag KG Stuttgart · New York

Mature Teratoma of the Petrous Bone with Extension into the Cerebellopontine Angle: Case Report

Nickalus Khan
1   Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States
,
Paul Klimo Jr.
1   Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States
2   Semmes-Murphey Neurologic & Spine Institute, Memphis, Tennessee, United States
3   Le Bonheur Children's Hospital, Memphis, Tennessee, United States
4   Department of Surgery, St. Jude Children's Research Hospital, Memphis, Tennessee, United States
,
Julie Harreld
5   Department of Radiological Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee, United States
,
Gregory T. Armstrong
6   Department of Epidemiology and Cancer Control, St. Jude Children's Research Hospital, Memphis, Tennessee, United States
,
L. Madison Michael II
1   Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States
2   Semmes-Murphey Neurologic & Spine Institute, Memphis, Tennessee, United States
› Author Affiliations
Further Information

Publication History

05 February 2013

20 May 2013

Publication Date:
23 July 2013 (online)

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Abstract

Purpose Intracranial teratomas in children involving lateral structures such as the petrous portion of the temporal bone are very uncommon. The authors report a case of a petrous teratoma with significant extension into the cerebellopontine angle with brainstem compression.

Case Report An 11-year-old girl presented left-sided facial weakness. Computed tomography (CT) demonstrated a multiloculated lesion expanding the labyrinthine structures in the left petrous temporal bone including the vestibule, semicircular canals, and cochlea, with extension to the left cerebellopontine angle via the expanded left internal auditory canal. The tumor was resected via a transtemporal approach with no evidence of recurrence at nearly 2 years.

Conclusion Complete resection should be the primary treatment for these tumors to minimize the risk of recurrence. To the authors' knowledge, this is the first case report of a mature teratoma originating in the petrous bone with extension into the cerebellopontine angle.

Keywords

mature teratoma - petrous - temporal bone - cerebellopontine angle - resection - child - pediatric
 

  • References

  • 1 Echevarría ME, Fangusaro J, Goldman S. Pediatric central nervous system germ cell tumors: a review. Oncologist 2008; 13 (6) 690-699
    CrossrefPubMedGoogle Scholar
  • 2 Merchut MP, Biller J, Ghobrial M, Fine M. Adult intrasellar teratoid tumor. J Clin Neuroophthalmol 1986; 6 (3) 175-180
    PubMedGoogle Scholar
  • 3 Nishioka H, Ito H, Haraoka J, Akada K. Immature teratoma originating from the pituitary gland: case report. Neurosurgery 1999; 44 (3) 644-647 , discussion 647–648
    CrossrefPubMedGoogle Scholar
  • 4 Noudel R, Vinchon M, Dhellemmes P, Litré CF, Rousseaux P. Intracranial teratomas in children: the role and timing of surgical removal. J Neurosurg Pediatr 2008; 2 (5) 331-338
    CrossrefPubMedGoogle Scholar
  • 5 Matsutani M, Sano K, Takakura K , et al. Primary intracranial germ cell tumors: a clinical analysis of 153 histologically verified cases. J Neurosurg 1997; 86 (3) 446-455
    CrossrefPubMedGoogle Scholar
  • 6 Drapkin AJ, Rose WS, Pellmar MB. Mature teratoma in the fourth ventricle of an adult: case report and review of the literature. Neurosurgery 1987; 21 (3) 404-410
    CrossrefPubMedGoogle Scholar
  • 7 Muzumdar D, Goel A, Desai K, Shenoy A. Mature teratoma arising from the sella—case report. Neurol Med Chir (Tokyo) 2001; 41 (7) 356-359
    CrossrefPubMedGoogle Scholar
  • 8 Ng HK, Poon WS, Chan YL. Basal ganglia teratomas: report of three cases. Aust N Z J Surg 1992; 62 (6) 436-440
    CrossrefPubMedGoogle Scholar
  • 9 Nishigaya K, Ueno T, Satou E, Nukui H, Kobayashi M. Mature teratoma incidentally found in the sylvian fissure: a report of an autopsy case. Noshuyo Byori 1994; 11 (2) 131-134
    PubMedGoogle Scholar
  • 10 Phadke RS, Shenoy AS, Hosangadi A, Nadkarni TD. Mature teratoma arising from the middle cranial fossa. Ann Diagn Pathol 2004; 8 (1) 28-31
    CrossrefPubMedGoogle Scholar
  • 11 Roncaroli F, Scheithauer BW, Pires MM, Rodrigues AS, Pereira JR. Mature teratoma of the middle ear. Otol Neurotol 2001; 22 (1) 76-78
    CrossrefPubMedGoogle Scholar
  • 12 Selçuki M, Attar A, Yüceer N, Tuna H, Cakiroğlu E. Mature teratoma of the lateral ventricle: report of two cases. Acta Neurochir (Wien) 1998; 140 (2) 171-174
    CrossrefPubMedGoogle Scholar
  • 13 Tobias S, Valarezo J, Meir K, Umansky F. Giant cavernous sinus teratoma: a clinical example of a rare entity: case report. Neurosurgery 2001; 48 (6) 1367-1370 , discussion 1370–1371
    PubMedGoogle Scholar
  • 14 Li ST, Zhong J, Zhu J. Surgical management of the petrous teratoma. ANZ J Surg 2009; 79 (9) 653-654
    CrossrefPubMedGoogle Scholar
  • 15 Kolwijck E, Wevers RA, Engelke UF , et al. Ovarian cyst fluid of serous ovarian tumors contains large quantities of the brain amino acid N-acetylaspartate. PLoS ONE 2010; 5 (4) e10293
    CrossrefPubMedGoogle Scholar
  • 16 Hoffman HJ, Otsubo H, Hendrick EB , et al. Intracranial germ-cell tumors in children. J Neurosurg 1991; 74 (4) 545-551
    CrossrefPubMedGoogle Scholar
  • 17 Chiu CD, Chung WY, Pan DH, Wong TT, Shih YH, Lee LS. Gamma knife radiosurgery for intracranial mature teratoma—long-term results and review of literature. Surg Neurol 2006; 65 (4) 343-351
    CrossrefPubMedGoogle Scholar