Temporal Ependymoma: A Case Study Emphasising Diagnostic Dilemmas and Therapeutic Challenges

Temporal ependymomas are exceedingly rare intracranial neoplasms originating from ependymal cells within the temporal lobe. The rare nature of these tumours makes diagnosis and treatment extremely difficult in the field of neuro-oncology. These tumours frequently encounter misdiagnosis as meningiomas or other extra-axial lesions due to their atypical location and the absence of distinctive features. Consequently, histopathological examination becomes essential for accurate evaluation and a precise diagnosis. This article presented a unique case of a 25-year-old male patient’s supratentorial ependymoma at the temporal region. The report described the patient’s clinical presentation, including progressive headaches, abnormal behaviour and vomiting, leading to timely diagnostic investigations. After a surgical resection, the diagnosis of ependymoma was confirmed by histopathological analysis. Following surgery, the patient defaulted follow-up and presented six months later with worsening symptoms. Radiological imaging proved the tumour’s significant growth. The second resection worsened his neurological deficits. Unfortunately, adjuvant radiotherapy would not be beneficial to him at this point. He received palliative care. The case study emphasises the difficulty in diagnosing and treating temporal ependymomas, underscoring the importance of multidisciplinary collaboration and evidence-based approaches for optimal patient outcomes.