@entity75 in @entity1 with XXXX . A case report.

@entity2504 @entity1 @entity1289 @entity1276 @entity428 @entity75 @entity500 @entity7993 @entity230 @entity2443 @entity1779 @entity288
We present a case of isolated @entity1779 with remitting nodular lesions resembling @entity2504 . The @entity1 , admitted at our Department for surgical treatment of a magnetic resonance imaging (MRI) demonstrated fourth @entity75 , presented @entity428 . A second MRI performed before the scheduled operation showed the disappearance of the fourth @entity75 and a tetra-ventricular @entity1276 . The @entity1 has been treated with a third-ventriculostomy, followed, after 15 days, by ventriculoperitoneal shunt. High doses of @entity230 have been administered. Cerebrospinal fluid analysis has been conducted and a high concentration of @entity1289 , specific marker of @entity7993 , has been found. No biopsy was performed to avoid surgical complications. A systemic chemotherapy with @entity500 has been started, but the @entity1 died six months later for worsening of the clinical conditions. The autopsy confirmed the diagnosis of @entity7993 . This is the first MRI documented case of @entity7993 with remitting lesions. Diagnosis of @entity7993 is difficult and it is based on clinical and radiological exclusion of other entities. CSF examination is useful for diagnosis, for the reported specificity and sensibility of @entity1289 . Medical treatment is based on @entity288 and chemotherapic agents. Neurosurgical intervention can be related to treat @entity1276 due to ependymal and @entity2443 or to remove large lesions. In our opinion biopsy should be limited only to @entity1289 negative @entity1 and to those who do not respond to chemotherapy.
