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Child's Nervous System
Published in: Child's Nervous System 1/2009

01-01-2009 | Case Report

Cerebellar pilocytic astrocytoma presenting with intratumor bleeding, subarachnoid hemorrhage, and subdural hematoma

Authors: Chang Sub Lee, Ji Soon Huh, Ki-Bum Sim, Youn Woo Kim

Published in: Child's Nervous System | Issue 1/2009

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Abstract

Introduction

Massive intracranial hemorrhage is a very rare initial presentation of cerebellar pilocytic astrocytomas. There are no reports in the medical literature on a cerebellar pilocytic astrocytoma presenting with intratumor bleeding (ITB), subarachnoid hemorrhage (SAH), and subdural hematoma (SDH).

Case report

A 15-month-old boy presented with lethargy and nausea to our hospital. Magnetic resonance imaging showed a mass with ITB at the left cerebellar hemisphere in addition to SDH in the posterior fossa and SAH at the interpeduncular cistern. The patient underwent emergency surgery. On incising the dura, we found SDH, the tumor was visible at the cerebellar cortex, and near total removal followed. Microscopic examination of tissue sections revealed a pilocytic astrocytoma.

Discussion

The authors’ case is the first report with a presentation including ITB, SAH, and SDH. The presumed mechanism of the SAH and SDH was leaking of the ITB into subarachnoid and subdural spaces.
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Metadata
Title
Cerebellar pilocytic astrocytoma presenting with intratumor bleeding, subarachnoid hemorrhage, and subdural hematoma
Authors
Chang Sub Lee
Ji Soon Huh
Ki-Bum Sim
Youn Woo Kim
Publication date
01-01-2009
Publisher
Springer-Verlag
Published in
Child's Nervous System / Issue 1/2009
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-008-0678-5

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