A rare clinical presentation: a pleomorphic xanthoastrocytoma presenting with intracerebral haemorrhage and metastasizing vigorously—case report and review of the literature

Metastasis of an intracranial tumour is not a common situation in our daily neurosurgical practice. Pleomorphic xanthoastrocytoma is also a rare glial tumour with relatively a favourable prognosis among other CNS pathologies. Here, we present an anaplastic pleomorphic xanthoastrocytoma case which sh...

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Bibliographic Details
Published in:Child's nervous system 2019-02, Vol.35 (2), p.355-362
Main Authors: Demirci Otluoğlu, Gülden, Özek, M. Memet
Format: Article
Language:English
Subjects:
Adolescent
Astrocytoma - complications
Astrocytoma - pathology
Brain Neoplasms - complications
Brain Neoplasms - pathology
Case Report
Cerebral Hemorrhage - etiology
Humans
Male
Medicine
Medicine & Public Health
Neoplasm Metastasis - pathology
Neoplasm Recurrence, Local - pathology
Neurosciences
Neurosurgery
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Summary:Metastasis of an intracranial tumour is not a common situation in our daily neurosurgical practice. Pleomorphic xanthoastrocytoma is also a rare glial tumour with relatively a favourable prognosis among other CNS pathologies. Here, we present an anaplastic pleomorphic xanthoastrocytoma case which shows both haematogenous and lymphatic metastasis which is described first time in the up-to-date literature. Our case is a 17-year-old male operated for a right occipital intra-axial lesion with a diagnosis of anaplastic pleomorphic xanthoastrocytoma which recurs 5 years later and metastasize vigorously through haematogenous and lymphatic routes. A rare-presenting symptom for this pathology is also intracerebral haemorrhage. This is the ninth case report in the literature which presents initially with this entity.
ISSN:0256-7040
1433-0350
DOI:10.1007/s00381-018-3960-1