Haemorrhagic presentation of low-grade glioma in adults.
Intracranial bleeding is rare in patients with low-grade gliomas, above all in adult population. We reviewed the literature of such cases and reported another case of a haemorrhagic low-grade glioma in a 54-year-old woman presenting with a left hemiparesis. Computer tomography (CT) images showed a right basal ganglia haemorrhage with no mass effect. Vascular malformations were ruled out by angiography. Eighteen fluoro-fluoro deossiglucosio (18F-FDG) positron emission tomography (PET/CT) showed a large hypometabolic area corresponding to the lesion. We waited for patient's improvement. Late magnetic resonance images revealed a low-grade glioma at the bleeding site. Tumour was removed and histopathologic examination revealed a WHO grade II mixed glioma. The authors emphasize that this evidence has to be kept in mind since it has important therapeutic implications.
Della Puppa
A
A
Department of Neurosurgery, Padua Hospital, Padua, Italy. alessandro.dellapuppa@sanita.padova.it
Zustovich
F
F
Gardiman
M
M
Manara
R
R
Cecchin
D
D
Scienza
R
R
D001254:Astrocytoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D001480:Basal Ganglia Diseases / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D020145:Basal Ganglia Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001932:Brain Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D003399:Craniotomy; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D038361:Neuronavigation; D049268:Positron-Emission Tomography; D020146:Putaminal Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed