Brain ganglioglioma, a diagnostic challenge in pediatrics. Case report

Authors

DOI:

https://doi.org/10.61708/t1rdxg86

Keywords:

central nervous system neoplasia, ganglioglioma, intracranial hypertension, obstructive hydrocephalus

Abstract

Central nervous system tumors are the most common neoplasms in pediatrics, characterized by a diverse group of locations, histological variants and different forms of clinical presentation, which depend on age, tumor location and the possibility of producing obstruction of cerebrospinal fluid flow, peritumoral cerebral edema and intracranial hypertension (HE). The most common clinical presentations derive from HE, highlighting persistent headache, repeated vomiting, both predominantly present upon awakening. Another common presentation is epileptic seizures (EC), which have focal characteristics and are accompanied by loss of consciousness; in this presentation entity it is frequent to find a normal physical examination. This publication aims to present a clinical case of a 5-year-old patient who debuted with headache, vomiting and focal neurological data, approached and underwent surgery with the diagnosis of intraparenchymal hemorrhage, with the surgical finding of organized intraparenchymal hematoma, partially encapsulated with liquid collection, whose histopathological result was cerebral ganglioglioma, a primary brain tumor, rare in pediatric age.

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Author Biographies

  • Patricio Vasco Morales, Hospital de Niños Dr. Roberto Gilbert, Ecuador

    Servicio de Pediatría, Hospital de Niños Dr. Roberto Gilbert E. Guayaquil, Ecuador.

  • Jean Delgado Macías, Hospital de Niños Dr. Roberto Gilbert, Ecuador

    Servicio de Pediatría, Hospital de Niños Dr. Roberto Gilbert E. Guayaquil, Ecuador.

  • Juleysi Onofre Jacome, Hospital de Niños Dr. Roberto Gilbert, Ecuador

    Servicio de Pediatría, Hospital de Niños Dr. Roberto Gilbert E. Guayaquil, Ecuador.

  • Jessika Mora Sosa, Hospital de Niños Dr. Roberto Gilbert, Ecuador

    Servicio de Pediatría, Hospital de Niños Dr. Roberto Gilbert E. Guayaquil, Ecuador.

  • Aura Gabriela Cruz Barrera, Hospital de Niños Dr. Roberto Gilbert, Ecuador

    Servicio de Pediatría, Hospital de Niños Dr. Roberto Gilbert E. Guayaquil, Ecuador.

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Published

2024-12-30

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Section

Case report

How to Cite

1.
Vasco Morales P, Delgado Macías J, Onofre Jacome J, Mora Sosa J, Cruz Barrera AG. Brain ganglioglioma, a diagnostic challenge in pediatrics. Case report. Gac Med JBG [Internet]. 2024 Dec. 30 [cited 2026 Mar. 7];2(3):70-5. Available from: https://gacetamedicajbgmedec.biteca.online/index.php/GMJBG/article/view/37
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