The authors present the clinical and pathological features of a malignant t
riton tumour (MTT) in the lateral ventricle with neurofibromatosis type 1.
A 57 year-old man presented with disorientation and memory disturbance. A C
omputed tomographic scan and magnetic resonance imaging studies revealed an
enhancing lesion in the left lateral ventricle. A parieto-occipital transc
allosal approach was taken and resection of the lesion was performed. The o
perative findings suggested that the tumour arose from the perivascular ner
ves. The final pathological diagnosis was a MTT. This is the first case of
an intraventricular MTT. Aggressive treatment including radical surgery com
bined with radiochemotherapy is recommended for a MTT of the central nervou
s system.