Solitary fibrous tumour of the IV ventricle.
BACKGROUND
Solitary Fibrous Tumour (SFT) is a rare tumour occurring mainly in the pleural cavity, with less than 100 cases reported in the Central Nervous System, where it typically presents as a meningeal-based lesion. We describe the case of a SFT located in the fourth ventricle and briefly review the pertinent literature.


METHODS
A 61-year-old man presented with a 6-month-history of dizziness, nausea and gait imbalance. Brain magnetic resonance imaging revealed a contrast enhancing, space occupying lesion in the fourth ventricle, with no dural attachment. The patient underwent a sub-occipital craniectomy and total excision of the lesion. Histological examination documented a SFT. The patient is recurrent free at the 2-year follow-up.


CONCLUSIONS
Although uncommon, SFT should always be included in the differential diagnosis of intraventricular tumours. SFTs of the fourth ventricle are usually benign tumours. Surgery remains the treatment of choice.
Montano
Nicola
N
Institute of Neurosurgery, Catholic University School of Medicine, Rome, Italy. nicolamontanomd@yahoo.it
Doglietto
Francesco
F
Lauriola
Libero
L
Signorelli
Francesco
F
Pallini
Roberto
R
D002551:Cerebral Ventricle Neoplasms / Q000175:diagnosis* / Q000601:surgery; D020546:Fourth Ventricle; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D054364:Solitary Fibrous Tumors / Q000175:diagnosis* / Q000601:surgery