The authors present the clinical and pathological features of a malignant triton tumour (MTT) in the lateral ventricle with neurofibromatosis type 1. A 57 year-old man presented with disorientation and memory disturbance. A Computed tomographic scan and magnetic resonance imaging studies revealed an enhancing lesion in the left lateral ventricle. A parieto-occipital transcallosal approach was taken and resection of the lesion was performed. The operative findings suggested that the tumour arose from the perivascular nerves. The final pathological diagnosis was a MTT. This is the first case of an intraventricular MTT. Aggressive treatment including radical surgery combined with radiochemotherapy is recommended for a MTT of the central nervous system.
We report a case of a ruptured aneurysm occurring at the peripheral bifurcation of the azygos anterior cerebral artery with fenestration at the unilateral horizontal segment, Ai. Further, hypoplasia was noted at the contralateral A i. It is considered extremely rare that an aneurysm is cornplicated by such a combination of anomalies. Presence of these anomalies might significantly influence hemodynamics, and hemodynamic stress might play an important role in the occurrence and growth of an aneurysm.
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