CASE REPORT
Atypical clinical presentation mimicking stroke in an adult patient caused by a rare diffuse leptomeningeal glioneuronal tumour
 
More details
Hide details
1
Department of Neurosurgery, Institute of Psychiatry and Neurology, Warsaw, Poland
 
2
Department of Neurology, District Hospital in Wołomin, Wołomin, Poland
 
3
Department of Neuropathology, Institute of Psychiatry and Neurology, Warsaw, Poland
 
4
Department of Patomorphology, Center of Postgraduate Medical Education, Warsaw, Poland
 
 
Submission date: 2022-01-03
 
 
Acceptance date: 2022-01-06
 
 
Publication date: 2023-03-20
 
 
Corresponding author
Angelika Stapińska-Syniec
Angelika Stapiñska-Syniec, MD Department of Neurosurgery Institute of Psychiatry and Neurology 9 Sobieskiego St. 02-957 Warsaw, Poland
 
 
Pol J Pathol 2022;73(4):371-375
 
KEYWORDS
TOPICS
ABSTRACT
A diffuse leptomeningeal glioneuronal tumours (DLGNT) are very rare tumours of the central nervous system, typically characterized by enhancement of subarachnoid space with cystic lesions, diffuse leptomeningeal infiltration, and no primary mass. We report an atypical clinical presentation of DLGNT. A 48-year-old male was admitted to hospital with symptoms of ischaemic stroke. Magnetic resonance imaging of the head revealed contrast enhancement of the meninges and other parts of the brain. A stereotactic frame biopsy was performed on the patient, which revealed the DLGNT. Diffuse leptomeningeal glioneuronal tumours are mostly seen in individuals less than 18 years old and are characterized by slow growth and low-grade histological appearance. Diffuse leptomeningeal glioneuronal tumours can be aggressive in adults.
REFERENCES (16)
1.
Wesseling P, Capper D. WHO 2016 classification of gliomas. Neuropathol Appl Neurobiol 2018; 44: 139-150.
 
2.
Gardiman MP, Fassan M, Orvieto E, et al. Diffuse leptomeningeal glioneuronal tumors: a new entity? Brain Pathol 2010; 20: 361-366.
 
3.
Fiaschi P, Badaloni F, Cagetti B, et al. Disseminated oligodendroglial-like leptomeningeal tumor in the adult: case report and review of the literature. World Neurosurg 2018; 114: 53-57.
 
4.
Cho HJ, Myung JK, Kim H, et al. Primary diffuse leptomeningeal glioneuronal tumors. Brain Tumor Pathol 2015; 32: 49-55.
 
5.
Louis DN, Perry A, Reifenberger G, et al. The 2016 World Health Organization Classification of Tumors of the Central Nervous System: a summary. Acta Neuropathol 2016; 131: 803-820.
 
6.
Ghoniya R, Raheja A. Imaging in diffuse leptomeningeal glioneuronal tumor. Neurol India 2019; 67: 615-616.
 
7.
Lakhani DA, Mankad K, Chhabda S, et al. Diffuse leptomeningeal glioneuronal tumor of childhood.  Am J Neuroradiol 2020; 41: 2155-2159.
 
8.
Tiwari S, Yadav T, Pamnani J, et al. Diffuse leptomeningeal glioneuronal tumor: a unique leptomeningeal tumor entity. World Neurosurg 2020; 135: 297-300.
 
9.
Aguilera D, Castellino RC, Janss A, et al. Clinical responses of patients with diffuse leptomeningeal glioneuronal tumors to chemotherapy. Childs Nerv Syst 2018; 34:29-334.
 
10.
Deng MY, Sill M, Chiang J, et al. Molecularly defined diffuse leptomeningeal glioneuronal tumor (DLGNT) comprises two subgroups with distinct clinical and genetic features. Acta Neuropathol 2018; 136: 239-253.
 
11.
Xu H, Chen F, Zhu H, Luo L, Zhang R. Diffuse leptomeningeal glioneuronal tumor in a Chinese adult: a novel case report and review of literature. Acta neurologica Belgica 2020; 120: 247-256.
 
12.
Kang JH, Buckley AF, Nagpal S, Fischbein N, Peters KB. A diffuse leptomeningeal glioneuronal tumor without diffuse leptomeningeal involvement: detailed molecular and clinical characterization. J Neuropathol Exp Neurol 2018; 77: 751-756.
 
13.
Tiwari N, Tamrazi B, Robison N, Krieger M, Ji J, Tian D. Unusual radiological and histological presentation of a diffuse leptomeningeal glioneuronal tumor (DLGNT) in a 13-year-old girl. Childs Nerv Syst 2019; 35: 1609-1614.
 
14.
Appay R, Pages M, Colin C, Jones DTW, Varlet P, Figarella- Branger D. Diffuse leptomeningeal glioneuronal tumor: a double misnomer? A report of two cases. Acta Neuropathol Commun 2020; 8: 95.
 
15.
Karlowee V, Kolakshyapati M, Amatya VJ, et al. Diffuse leptomeningeal glioneuronal tumor (DLGNT) mimicking Whipple’s disease: a case report and literature review. Childs Nerv Syst 2017; 33: 1411-1414.
 
16.
Lee JK, Ko HC, Choi JG, Lee YS, Son BC. A case of diffuse leptomeningeal glioneuronal tumor misdiagnosed as chronic tuberculous meningitis without brain biopsy. Case Rep Neurol Med 2018; 2018: 1391943.
 
eISSN:2084-9869
ISSN:1233-9687
Journals System - logo
Scroll to top