title: Intraventricular metastatic clear cell renal carcinoma.
abstract: BACKGROUND
  Intraventricular tumors represent a diagnostic problem, due to a wide range of differential diagnosis, with an important variability of tumoral histological types in adult and pediatric population. Patient,
  
  
  RESULTS
  Our case is represented by a patient, aged 48 years, without any history of significant personal pathology, accusing nausea, vomiting, and intensive headache. In the morning, he became confused, having hallucinations for a short period of time, and has accused drowsiness for several weeks. Imaging (CT and MRI) shows a neoformation in the third ventricle, accompanied by bilateral lateral ventricles dilatation, with predominantly annular enhancement. During surgery, through the middle third transcallosal interhemispheric approach, it was revealed a reddish, well-demarcated intraventricular mass, well vascularized and with a firm consistency. Final pathologic diagnosis was metastatic clear cell renal carcinoma. Initial postoperative evolution was good, and then neurological and respiratory condition worsened as a bronchopneumonia lead to patient's death in 12 days after surgery.
  
  
  CONCLUSIONS
  Clear cell carcinoma metastasis located in the third ventricle should be taken into consideration for patients presenting a single intraventricular lesion even they have no documented primary malignancy.
authors.affiliation: Discipline of Radiology, "Grigore T. Popa" University of Medicine and Pharmacy, Iassy, Romania.
authors.forename: I
authors.initials: I
authors.lastname: Sava
authors.forename: Anca
authors.initials: A
authors.lastname: Sava
authors.forename: Elena
authors.initials: E
authors.lastname: Şapte
authors.forename: Claudia
authors.initials: C
authors.lastname: Mihailov
authors.forename: Gabriela
authors.initials: G
authors.lastname: Dumitrescu
authors.forename: I
authors.initials: I
authors.lastname: Poeată
authors.forename: Florina
authors.initials: F
authors.lastname: Sava
authors.forename: Danisia
authors.initials: D
authors.lastname: Haba
mesh_terms: D002292:Carcinoma, Renal Cell / Q000000981:diagnostic imaging / Q000556:secondary*; D002551:Cerebral Ventricle Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D014695:Cerebral Ventriculography; D006801:Humans; D007680:Kidney Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D020542:Third Ventricle / Q000473:pathology; D014057:Tomography, X-Ray Computed