Cerebral pilocytic astrocytoma with spontaneous intratumoral haemorrhage in the elderly - a rare entity A case report and review of the literature

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Amit Narang
Varun Aggarwal
Divya Kavita
Chandni Maheshwari
Prajjwal Bansal

Abstract

Pilocytic astrocytomas (PA) are histologically are low-grade tumours, commonly found in the paediatric and young adult population. Although cases of adult and elderly pilocytic astrocytomas are described in the literature, they are quite uncommon. The rate of PAs with spontaneous bleeding is very less, with a high occurrence in children than in adults, moreover, that is in cerebellar PAs. Cerebral PAs with intratumoral haemorrhage in the older age group is extremely rare. We present a case of a 60-year female presenting with acute neurological compromise resulting from an acutely haemorrhagic Left temporal pilocytic astrocytoma. She was managed surgically with evacuation of tumoral haemorrhages, as well as resection of the tumour. Postoperatively the patient made a remarkable recovery.

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How to Cite
Narang, A., Aggarwal, V., Kavita, D., Maheshwari, C., & Bansal, P. (2019). Cerebral pilocytic astrocytoma with spontaneous intratumoral haemorrhage in the elderly - a rare entity. Romanian Neurosurgery, 33(2), 156-159. https://doi.org/10.33962/roneuro-2019-029
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Author Biographies

Amit Narang

MCh Neurosurgery. Baba Farid University of Health Sciences. Faridkot. Punjab, INDIA

Varun Aggarwal

MCh Neurosurgery. Fellowship in cerebrovascular surgery. Baba Farid University of Health Sciences. Faridkot. Punjab, INDIA

Divya Kavita

MD Anaesthesia. Fellowship in Critical care. Baba Farid University of Health Sciences. Faridkot. Punjab, INDIA

Chandni Maheshwari

MD Anaesthesia. PDCC in Neuroanaesthesia. Baba Farid University of Health Sciences. Faridkot. Punjab, INDIA

Prajjwal Bansal

MBBS (studying). Baba Farid University of Health Sciences. Faridkot. Punjab, INDIA