Akbulut B B, Bölük M S, Yurtsevewn T, Biçeroğlu H. Rare Presentation of Pilocytic Astrocytoma in the
Cerebellar Tonsils of an Adult: A Case Report. Iran J Neurosurg 2024; 10 : 26
URL:
http://irjns.org/article-1-440-en.html
1- Department of Neurosurgery, Faculty of Medicine, Ege University, Izmir, Turkey. , b.bahadirakbulut@gmail.com
2- Department of Neurosurgery, Faculty of Medicine, Ege University, Izmir, Turkey.
Abstract: (788 Views)
Background and Aim: Low-grade gliomas (LGGs) in the infratentorial region are rare in adults.
Case Presentation: A 31-year-old man presented with a 2-year history of neck pain and progressive numbness in the face and left arm. Neurological examination upon admission revealed no cranial nerve involvement, motor or sensory deficits, or signs of cerebellar dysfunction. The patient’s medical history was unremarkable. Cranial magnetic resonance imaging (MRI) revealed a 2-cm T2 hyperintense lesion with focal cystic components in the right cerebellar tonsil, suggestive of a LGG.
The lesion was surgically removed without any complications. Post-operative MRI showed total removal of the tumor. Histopathological analysis confirmed the lesion to be a pilocytic astrocytoma. No adjuvant therapy was given, and the patient is recurrence-free at 1-year follow-up.
Conclusion: This case underlines the possibility of such rare diagnoses in adult patients and the effectiveness of the surgical treatment.
Article number: 26
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• Pilocytic astrocytoma in the cerebellar tonsils of an adult is an infrequent occurrence.
• The tumor was completely removed surgically without complications, and its benign nature was histopathology confirmed.
• The patient remained recurrence-free at 1-year follow-up without needing adjuvant therapy, emphasizing the effectiveness of surgical treatment.
Type of Study:
Case report |
Subject:
Brain Tumors