Congenital oligodendroglioma with initial manifestation of jaundice

Pediatr Neurol. 2002 Sep;27(3):230-3. doi: 10.1016/s0887-8994(02)00423-x.

Abstract

Neonatal brain tumor is a rare clinical entity. The initial presentation in affected newborn infants is often subtle, nonspecific, and rarely includes focal neurologic signs. We report a 2-day-old male infant with congenital oligodendroglioma with initial manifestations of hyperbilirubinemia. Phototherapy was started immediately after admission. Because of a tense anterior fontanel and irritable crying, head ultrasonography, computed tomography, and magnetic resonance imaging were performed and revealed a heterogenous brain tumor in the left temporoparietal lobe. Craniotomy and tumor evacuation was performed, and WHO grade III anaplastic oligodendroglioma was confirmed by the pathologic studies. The patient was discharged 3 weeks later, and outpatient follow-up examination revealed a normally developed infant at 6 months of age. The cause of jaundice was thought to be secondary to tumor hemorrhage, which was not infrequent in neonatal brain tumor.

Publication types

  • Case Reports

MeSH terms

  • Brain Neoplasms / congenital*
  • Brain Neoplasms / diagnosis
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery
  • Craniotomy
  • Diagnosis, Differential
  • Follow-Up Studies
  • Humans
  • Infant, Newborn
  • Jaundice, Neonatal / diagnosis
  • Jaundice, Neonatal / etiology*
  • Magnetic Resonance Imaging
  • Male
  • Oligodendroglioma / congenital*
  • Oligodendroglioma / diagnosis
  • Oligodendroglioma / pathology
  • Oligodendroglioma / surgery
  • Parietal Lobe* / pathology
  • Parietal Lobe* / surgery
  • Temporal Lobe* / pathology
  • Temporal Lobe* / surgery
  • Tomography, X-Ray Computed