[Muscle atrophy of hand as an initial sign in a patient with protoplasmic astrocytoma: a case report and literature review].
We reported a rare case of protoplasmic astrocytoma presenting small muscle atrophy of the right hand as an initial sign. A 39-year-old male was admitted to hospital complaining of chronic muscle atrophy and subtle headache. Electromyography (EMG) showed brief small denervation and no signs of sensory-motor conduction impairment. CT and MRI revealed multiply expansive intracranial lesion in left hemisphere, which was highly suspected of cerebral echinococcus or Balo disease. The patient underwent surgical excision and pathological report was protoplasmic astrocytoma, with glial fibrillary acidic protein (GFAP, +++) of immunohistochemical method. We reviewed clinical features, radiological manifestations and pathology of protoplasmic astrocytoma with medical literature documents.
Guo
Xiao Lei
XL
Department of Neurology, Beijing Jishuitan Hospital, Peking University Fourth Hospital, Beijing, China.
Zhong
Yan Feng
YF
Sun
Yu Heng
YH
Liu
Hong Hong
HH
Jin
Bo
B
Liang
Wei
W
Li
Xiao Song
XS
D000328:Adult; D001254:Astrocytoma / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D001932:Brain Neoplasms / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D009133:Muscular Atrophy / Q000150:complications*; D010296:Parietal Lobe / Q000473:pathology