Angiocentric glioma (AG) is a rare form of brain tumor characterized by cortical epileptogenic lesions that show angiocentric patterns upon histopathological examination. Cystoid degeneration is a rare radiological manifestation of this condition. We report a case involving the left eloquent cortical areas and review the clinical features of angiocentric glioma. A 10-year-old girl presented with a history of refractory drug-resistant epilepsy. Imaging revealed a cystic-solid neoplasm within the left frontal lobe. Surgical procedures were performed, and it was observed that the pathological manifestations were consistent with those of AG. Angiocentric glioma should be considered for diagnosis when the supratentorial cortical neoplasm contains a cystic component. The diagnosis of AG can be confirmed by histopathological examination. Gross total resection is the recommended strategy for controlling seizures elicited by this condition.

血管中心性神经胶质瘤 (AG) 是一种罕见的脑肿瘤，其特征是皮质致痫性病变，在组织病理学检查中显示血管中心性模式。囊样变性是这种情况的一种罕见的放射学表现。我们报告了一个涉及左侧雄辩皮质区的病例，并回顾了血管中心性胶质瘤的临床特征。一名 10 岁女孩因难治性耐药性癫痫病史就诊。影像学显示左额叶内有囊性实性肿瘤。进行了手术，观察到病理表现与AG一致。当幕上皮层肿瘤含有囊性成分时，应考虑血管中心性胶质瘤进行诊断。AG的诊断可通过组织病理学检查确诊。