Cortical Ependymoma Presenting as Subclinical Seizures in a Very Young Child

Supratentorial cortical ependymoma is an extremely rare malignancy in the pediatric population, especially in very young age groups. Most of the reported cases present with dramatic neurological symptoms like seizures and sudden onset hemiplegia. We hereby report a case of anaplastic supra-cortical ependymoma in a 13-month-old male child, with subtle seizures for four weeks. The child, who was brought for non-neurological complaints to the outpatient clinic, was found to have abnormal staring episodes. An electroencephalogram showed focal epilepsy and an MRI brain showed a large intra-axial lesion in the left frontal area. The child underwent gross total resection of the lesion and histopathology revealed WHO grade 3 cortical ependymoma.