title: A case of an elderly adult presenting with obstructive hydrocephalus secondary to a rare hemorrhagic suprasellar pilocytic astrocytoma.
abstract: In this report, we present a 65-year-old man who presented with signs and symptoms consistent with impending brain herniation. Emergent imaging revealed a hyperdense mass in the suprasellar region. Urgent surgery was performed and final pathology eventuated a pilocytic astrocytoma. Although rare cases of suprasellar pilocytic astrocytoma in children and adults have been reported, we report an interesting case of a hemorrhagic suprasellar pilocytic astrocytoma in an elderly adult (without prior anticoagulant use) causing impending brain herniation secondary to obstructive hydrocephalus.
authors.affiliation: Department of Neurosurgery, Allegheny General Hospital, Drexel University College of Medicine, 420 East North Ave. Suite 302, Pittsburgh, PA 15212, USA. raymondsekula@yahoo.com
authors.forename: R F
authors.initials: RF
authors.lastname: Sekula
authors.forename: E M
authors.initials: EM
authors.lastname: Marchan
authors.forename: M R
authors.initials: MR
authors.lastname: Quigley
authors.forename: A M
authors.initials: AM
authors.lastname: Frederickson
authors.forename: C
authors.initials: C
authors.lastname: Pu
mesh_terms: D000368:Aged; D001254:Astrocytoma / Q000473:pathology* / Q000601:surgery; D001932:Brain Neoplasms / Q000473:pathology* / Q000601:surgery; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery; D008297:Male