CNS tumor
Neuronal and mixed neuronal - glial tumors
Central neurocytoma

Topic Completed: 1 January 2006

Revised: 2 January 2019, last major update January 2006

Copyright: (c) 2002-2017,, Inc.

PubMed Search: "Central neurocytoma" CNS

Nat Pernick, M.D.
Page views in 2018: 4,730
Page views in 2019 to date: 3,193
Cite this page: Pernick N. Central neurocytoma. website. Accessed July 24th, 2019.
Definition / general
  • First described in 1982 (Acta Neuropathol 1982;56:151)
  • Grows from foramen of Monro or septum pellucidum into lateral or third ventricle; often calcified
  • Most common neoplasm of septum pellucidum in young adults but still < 1% of all CNS tumors
  • Often presents with increased intracranial pressure due to obstructive hydrocephalus
  • Similar tumors within CNS parenchyma are called extraventricular neurocytoma
  • Rare before age 10 years
Case reports
Gross description
  • Well demarcated from surrounding tissue
  • Gray, friable, may be gritty due to microcalcifications
Gross images

Images hosted on other servers:

Ventricular mass

Microscopic (histologic) description
  • Well developed neuronal features - monotonous bland cells with modest cytoplasm, often empty appearing "halo" resembling oligodendroglioma, salt and pepper chromatin, embedded in eosinophilic fibrillar matrix with rare Homer Wright rosettes and ganglion cells
  • Usually no infiltrating margin, no / rare necrosis, no endothelial proliferation and no / rare mitotic figures
Microscopic (histologic) images

Images hosted on PathOut server:

Case of the week #119:

Various images

Images hosted on other servers:

Sheets of nonpleomorphic cells with modest cytoplasm and neurophil

Contributed by Dr. Eman Abdelzaher: central neurocytoma with ganglionic differentiation (ganglioneurocytoma)

Various images

Cytology description
  • Cellular; monotonous round cells with ill defined cytoplasm, oval nuclei, finely granular chromatin and micronucleoli
  • Background fibrillar matrix; variable histiocytic giant cells with hemosiderin (Acta Cytol 2004;48:194)
Negative stains
  • GFAP (reactive astrocytes are GFAP+), Ki67 ( < 2%)
Electron microscopy description
  • Microtubules, 100 - 200 nm dense core vesicles, clear vesicles and neuritic type processes
  • Usually no intermediate filaments
Differential diagnosis
  • Clear cell ependymoma: negative for neuronal markers, strongly positive for GFAP, vimentin and EMA
  • Glioma: no / few halo cells, no / focal neuronal features and strongly GFAP+
  • Oligodendroglioma: no prominent neuronal features, negative or focal for neuronal markers
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