The huge congenital intracranial
teratoma is very rare. We report a case of a 77 years
old male with giant congenital brain teratoma without clinical symptoms. His computed
tomography (CT) scan showed a massive tumor (6 × 5 × 6 cm) of
irregular high density (inside with some point flaky low density) in left
temporal lobe region, the lower corner of the left ventricle
downward shift, and enhanced CT scan no enhancement. Magnetic resonance imaging
(MRI) on brain showed an irregular huge tumor in the left temporal lobe area, with multiple nodular or lobulated mixd high and
low or equal signal changes, in which the liquid signal based. The midline was shift to the right, and the posterior horn of the
left ventricle was compressed and downward shift, expansion, and hydrocephalus.
After follow-up 12 months, the patient presents a normal daily life and work
and no neurological signs as usual. Our observations show that the huge tumor in
brain with multiple nodular or lobulated variety of mixed signal changes on MRI without
symptoms is a congenital intracranial silent teratoma.
Cite this paper
Y. Zhou, D. Tong, X. Chen, G. Wang, T. Yang and Y. Wang, "Rare Huge Congenital Intracranial Silent Teratoma in Older People: A Case Report," Advances in Molecular Imaging
, Vol. 3 No. 4, 2013, pp. 61-63. doi: 10.4236/ami.2013.34009
 Y. H. Chien, P. N. Tsao, P. N. Lee, S. F. Peng and K. I. Yau, “Congenital Intracranial Teratoma,” Pediatric Neu- rology, Vol. 22, No. 1, 2000, pp. 72-74.
 F. A. Soares, S. E. Fischer, M. A. Reis and E. G. Soares, “Massive Intracranial Immature Teratoma. Report of a Case with Polyhidramnios and Intense Pelvic Pain,” Arq Neuropsiquiatr, Vol. 54, No. 2, 1996, pp. 309-312.
 N. Isik, S. Yildirim, M. Onoz and A. Aras, “Surgical Treatment of Huge Congenital Extracranial Immature Teratoma: A Case Report,” Child’s Nervous System, Vol. 27, No. 5, 2011, pp. 833-839.
 G. Hedlund, “Congenital Frontonasal Masses: Developmental Anatomy, Malformations, and MR Imaging,” Pediatric Radiology, Vol. 36, No. 7, 2006, pp. 726-727.
 Headache Classification Committee of the International Headache Society (IHS), “The International Classification of Headache Disorders,” 3rd Edition, Cephalalgia, Vol. 33, No. 9, 2013, pp. 629-808.
 P. Kropp, M. Holzhausen, E. Kolodny, et al., “Headache as a Symptom at Stroke Onset in 4431 Young Ischaemic Stroke Patients. Results from the Stroke in Young Fabry Patients (SIFAP1) Study,” Journal of Neural Transmission, 2013. http://dx.doi.org/10.1007/s00702-013-1014-0