Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Pleomorphic Xanthoastrocytoma with an Intracystic Hemorrhage : A Case Report and Literature Review

  • Lee, Dae-Kyu (Department of Neurosurgery Dongguk University International Hospital) ;
  • Cho, Keun-Tae (Department of Neurosurgery Dongguk University International Hospital) ;
  • Im, So-Hyang (Department of Neurosurgery Dongguk University International Hospital) ;
  • Hong, Seung-Koan (Department of Neurosurgery Dongguk University International Hospital)
  • Published : 2007.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Pleomorphic xanthoastrocytoma (PXA) has been considered as a low grade tumor of adolescents and young adults. Although this tumor often shows cystic component, the hemorrhage within the cyst is extremely rare. The authors report a rare case of cystic PXA with a hemorrhage within the cyst and the mural nodule in the left frontal lobe. A 64-year-old male presented with a week history of the right side hemiparesis. After gross total resection of the tumor, the patient was fully recovered from neurological deficit. It is suggested that this typically benign tumor could be presented with hemorrhage, causing a rapid neurological deterioration. Prompt surgical intervention, especially total removal of the tumor can provide an excellent functional recovery.

Keywords

References

  1. Arita K, Kurisu K, Tominaga A, Sugiyama K, Sumida M, Hirose T : Intrasellar pleomorphic xanthoastrocytoma : case report. Neurosurgery 51 : 1079-1082, 2002 https://doi.org/10.1097/00006123-200210000-00042
  2. Giannini C, Scheithauer BW, Burger PC, Brat DJ, Wollan PC, Lach B, et al : Pleomorphic xanthoastrocytoma : what do we really know about it? Cancer 85: 2033-2045, 1999
  3. Hagiwara A, Inoue Y, Shutoh T, Kinoshita H, Wakasa K: Haemorrhagic hepatic cyst: a differential diagnosis of cystic tumour. Br J Radiol 74 : 270-272, 2001 https://doi.org/10.1259/bjr.74.879.740270
  4. Herpers MJ, Freling G, Beuls EA : Pleomorphic xanthoastrocytoma in the spinal cord. Case report. J Neurosurg 80 : 564-569, 1994 https://doi.org/10.3171/jns.1994.80.3.0564
  5. Jo JY, Yang SM, Min BK, Kwon JT, Suk JS : Pleomorphic Xanthoastrocytoma: Report of 3 Cases. J Korean Neurosurg Soc 31 : 166-169, 2002
  6. Kepes JJ : Pleomorphic xanthoastrocytorna : rhe birth of a diagnosis and a concept. Brain Parhol J : 269-274, 1993
  7. Kepes JJ, Rubinsrein LJ, Eng LF : Pleomorphic xanthoastrocytoma: a disrinctive meningocerebral glioma of young subjects with relatively favorable prognosis. A study of 12 cases. Cancer 44 : 1839-1852, 1979 https://doi.org/10.1002/1097-0142(197911)44:5<1839::AID-CNCR2820440543>3.0.CO;2-0
  8. Levy RA, Allen R, McKeever P : Pleomorphic xanthoastrocytoma presenting with massive intracranial hemorrhage. AJNR 17 : 154-156, 1996
  9. Lindboe CF, Cappelen J, Kepes JJ : Pleomorphic xanthoastrocytoma as a component of a cerebellar ganglioglioma : case report. Neurosurgery 31: 353-355, 1992 https://doi.org/10.1227/00006123-199208000-00023
  10. Lipper MH, Eberhard DA, Phillips CD, Vezina LG, Cali WS : Pleomorphic xanthoastrocytoma, a distinctive astroglial tumor: neuroradiologic and pathologic features. AJNR 14 : 1397-1404, 1993
  11. Yoshida D, Kogiku M, Noha M, Takahashi H, Teramoto A: A case of pleomorphic xanthoastrocytoma presenting with massive tumoral hemorrhage. J Neurooncol 71 : 169-171, 2005 https://doi.org/10.1007/s11060-004-0915-z