Fact-sheet: Central neurocytoma


Updated on 08/25/2025 at 4:36 PM

Note : 0/10
Share

View all RADEOS cases associated with this fact-sheet

Definition

Central neurocytoma is a WHO grade II intraventricular neuroepithelial tumor of the young adult.

Clinical features

  • Young adult
  • Symptoms of increased intracranial pressure
  • Seizure
  • Rarely: intraventricular hemorrhage

CT

Intraventricular lesion, often located in the lateral ventricles near the foramina of Monro, which may extend into the third ventricle and be bilateral.

Hyperdense relative to white matter

Punctate calcifications (50%)

Moderate contrast enhancement

Obstructive hydrocephalus

MRI

Intraventricular lesion, often located near the foramina of Monro, which may extend into the third ventricle and be bilateral, with obstructive hydrocephalus

Isointense to cortex on T1 and heterogeneous

Moderate contrast enhancement after injection

Possible microcystic areas hyperintense on T2

T2*/SWI hypointensities of calcifications

Intralesional hemorrhage in cases of large lesions

Decreased ADC coefficient of the solid component

Spectroscopy: marked choline peak. Glycine peak at 3.55 ppm

Management

Complete surgical resection: favorable prognosis

Differential diagnosis

Ependymoma of brain

Myxoid neuroglial tumor

Intraventricular meningioma

Subependymoma

Subependymal giant cell astrocytoma

Choroid plexus papilloma