{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T04:18:56Z","timestamp":1770351536053,"version":"3.49.0"},"reference-count":90,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"16","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,16]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Rosette-forming glioneuronal tumors (RGNTs) are rare tumors composed of mixed glial and neurocytic components. Most lesions are confined to the posterior fossa, especially in the region of the fourth ventricle, in young adults. In few instances, diffuse involvement of the supratentorial region is identified, thereby creating significant challenges in diagnosis, surgical intervention, and prognostication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>\n                      The authors present a 23-year-old female with chronic headaches, papilledema, and hydrocephalus who underwent radiographic evaluation revealing obstructive hydrocephalus and diffuse supratentorial enhancing and nonenhancing cystic and nodular lesions. The patient underwent a right frontal craniotomy and septostomy. An exophytic nonenhancing right frontal horn lesion was resected, and an enhancing third-ventricular lesion was biopsied. Final pathology of both of the lesions sampled was consistent with RGNT. Next-generation sequencing demonstrated tumor alterations in the\n                      <jats:italic>FGFR-1<\/jats:italic>\n                      and\n                      <jats:italic>PIK3CA<\/jats:italic>\n                      genes. Targeted therapy with the FGFR inhibitor erdafitinib demonstrated a partial remission.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>Diffuse supratentorial spread of RGNT is an extremely rare presentation of an already uncommon pathology. In some cases, gross-total resection may not be feasible. Goals of surgery include acquiring tissue for diagnosis, maximizing safe resection, and treating any associated hydrocephalus. FGFR inhibitors may be of benefit in cases of disease progression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case23435","type":"journal-article","created":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T20:02:17Z","timestamp":1697486537000},"source":"Crossref","is-referenced-by-count":3,"title":["Diffusely invasive supratentorial rosette-forming glioneuronal tumor: illustrative case"],"prefix":"10.3171","volume":"6","author":[{"given":"Brittany","family":"Owusu-Adjei","sequence":"first","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester, Massachusetts"},{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constance J","family":"Mietus","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester, Massachusetts"},{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeewoo Chelsea","family":"Lim","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester, Massachusetts"},{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Lambert","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester, Massachusetts"},{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rrita","family":"Daci","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester, Massachusetts"},{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Cachia","sequence":"additional","affiliation":[{"name":"Neuro-Oncology, and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas W","family":"Smith","sequence":"additional","affiliation":[{"name":"Neuropathology, University of Massachusetts UMass Memorial Health Center, Worcester, Massachusetts"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter S","family":"Amenta","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School, Worcester, Massachusetts"},{"name":"Departments of Neurological Surgery,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"5","key":"b1","series-title":"Am J Surg Pathol","first-page":"582","article-title":"A rosette-forming glioneuronal tumor of the fourth ventricle: infratentorial form of dysembryoplastic neuroepithelial tumor?","volume":"26","author":"Komori T","year":"2002","unstructured":"Komori T, Scheithauer BW, Hirose T. 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