CHILDHOOD INTRACRANIAL EPENDYMOMA PRESENTING AS CYSTIC SUPRATENTORIAL BRAIN TUMOUR

Supratentorial ependymomas in children are rare, and ependymomas that fill the whole supratentorial hemicramium is even rarer. We present a 5-year old male patient who was admitted with left spastic hemiparesis, generalized tonic-clonic seizures and altered level of consciousness. CT scan revealed a cystic right cerebral mass with secondary obstructive hydrocephalus. A frontoparietal craniotomy for drainage of the cyst and resection of the tumour was performed. The histopathology report indicated an ependymoma. Being the first and only childhood ependymoma in our centre so far, this confirms the rarity of this condition in children and also highlights the diagnostic challenges presented by its atypical radiological appearance.