Pontine malignant astrocytoma with hemorrhagic onset--case report.
A 7-year-old boy presented with acute onset of left hemiparesis and headache, followed by disturbance of consciousness. Neuroimaging studies showed pontine hemorrhage. Surgery was performed to remove a massive hematoma. Histological examination of the wall revealed anaplastic astrocytoma. Postoperative radiation therapy and several types of chemotherapy were administered. However, the tumor recurred and he died 9 months after onset. Hemorrhagic onset of pontine glioma is rare and carries an extremely poor prognosis.
Nishimuta
Yosuke
Y
Department of Neurosurgery, Faculty of Medicine, University of Kagoshima, Kagoshima, Japan. yosuke-ns@po.minc.ne.jp
Niiro
Masaki
M
Kamezawa
Takashi
T
Ishimaru
Koichi
K
Yokoyama
Shunichi
S
Kuratsu
Jun-ichi
J
D001254:Astrocytoma / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D020295:Brain Stem Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D006801:Humans; D020300:Intracranial Hemorrhages / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D008297:Male