A rare case of supratentorial intraparenchymal ependymoma in a 13 years old girl: Diagnostic and therapeutic challenges

Ependymomas are neuroepithelial tumors that may arise from the ependymal cells of the cerebral ventricles, the central canal of the spinal cord, or cortical rests. This case report is of a 13 years old girl with no prior health issues who presented with symptoms of blurred vision, intermittent diplopia, tinnitus, vomiting, and vertigo that had worsened over three months. Except for these symptoms, her neurological examination was normal. Brain MRI revealed a large cystic tumor in the right parietal lobe, with enhancing nodules and surrounding edema that caused midline shift. The patient underwent surgical excision of the tumor that later came out to be ependymoma on histopathology. This case report aims to contribute to the medical literature by highlighting the rare occurrence of an ependymoma solely within the brain parenchyma. By sharing this unusual case, we hope to enhance understanding of this rare pathology and provide valuable insights regarding its occurrence in rare locations.