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Published in: Acta Neurochirurgica 6/2009

01-06-2009 | Short Illustrated Review

Cerebellar glioblastomas: pathophysiology, clinical presentation and management

Authors: Gordan Grahovac, Damir Tomac, Smiljka Lambasa, Arijana Zoric, Mario Habek

Published in: Acta Neurochirurgica | Issue 6/2009

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Summary

Glioblastoma multiforme usually affects the cerebral hemispheres with the peak age of onset in the sixth or seventh decade, while cerebellar glioblastoma multiforme is a rare tumour especially in younger patients. Most result from de-differentiation from low grade astrocytoma (secondary glioblastoma) or can develop de novo (primary glioblastoma). Primary glioblastomas develop in older patients while secondary glioblastomas develop in younger patients and contain TP53 mutations as the earliest detectable change. We report a 28 year old patient with primary multi-focal cerebellar glioblastoma multiforme and review the pathophisiology, clinical presentation, diagnosis and treatment of cerebellar glioblastomas.
Literature
1.
go back to reference Alonso ME, Bello MJ, Lomas J, Gonzalez-Gomez P, Arjona D, De Campos JM, Gutierrez M, Isla A, Vaquero J, Rey JA (2001) Absence of mutation of the p73 gene in astrocytic neoplasms. Int J Oncol 19:609–612PubMed Alonso ME, Bello MJ, Lomas J, Gonzalez-Gomez P, Arjona D, De Campos JM, Gutierrez M, Isla A, Vaquero J, Rey JA (2001) Absence of mutation of the p73 gene in astrocytic neoplasms. Int J Oncol 19:609–612PubMed
2.
go back to reference Auff E, Vass K (1981) Cerebellar glioblastoma presenting clinically as Wallenberg's syndrome. Arch Psychiatr Nervenkr 230(4):361–364PubMed Auff E, Vass K (1981) Cerebellar glioblastoma presenting clinically as Wallenberg's syndrome. Arch Psychiatr Nervenkr 230(4):361–364PubMed
5.
go back to reference Demir MK, Hakan T, Akinci O, Berkman Z (2005) Primary cerebellar glioblastoma multiforme. Diagn Interv Radiol 11(2):83–86PubMed Demir MK, Hakan T, Akinci O, Berkman Z (2005) Primary cerebellar glioblastoma multiforme. Diagn Interv Radiol 11(2):83–86PubMed
6.
go back to reference Dohrman GJ, Dunsmore RH (1975) Glioblastoma multiforme of the cerebellum. Surg Neurol 3:219–223 Dohrman GJ, Dunsmore RH (1975) Glioblastoma multiforme of the cerebellum. Surg Neurol 3:219–223
7.
go back to reference Harsh GR 4th, Levin VA, Gutin PH, Seager M, Silver P, Wilson CB (1987) Re-operation for recurrent glioblastoma and anaplastic astrocytoma. Neurosurgery 21(5):615–621PubMedCrossRef Harsh GR 4th, Levin VA, Gutin PH, Seager M, Silver P, Wilson CB (1987) Re-operation for recurrent glioblastoma and anaplastic astrocytoma. Neurosurgery 21(5):615–621PubMedCrossRef
8.
go back to reference Hentschel SJ, Sawaya R (2003) Optimising outcomes with maximal surgical resection of malignant gliomas. Cancer Control 10(2):109–114PubMed Hentschel SJ, Sawaya R (2003) Optimising outcomes with maximal surgical resection of malignant gliomas. Cancer Control 10(2):109–114PubMed
10.
go back to reference Kuroiwa T, Numaguchi Y, Rothman MI, Zoarski GH, Morikawa M, Zagardo MT, Kristt DA (1995) Posterior fossa glioblastoma multiforme: MR findings. AJNR Am J Neuroradiol 16:583–589PubMed Kuroiwa T, Numaguchi Y, Rothman MI, Zoarski GH, Morikawa M, Zagardo MT, Kristt DA (1995) Posterior fossa glioblastoma multiforme: MR findings. AJNR Am J Neuroradiol 16:583–589PubMed
15.
go back to reference Parekh HC, Sharma RR, Prabhu SS, Keogh AJ, Lynch PJ (1993) Multifocal giant cell glioblastoma: case report. Surg Neurol 40(2):151–154PubMedCrossRef Parekh HC, Sharma RR, Prabhu SS, Keogh AJ, Lynch PJ (1993) Multifocal giant cell glioblastoma: case report. Surg Neurol 40(2):151–154PubMedCrossRef
16.
go back to reference Sawaya R, Hammoud M, Schoppa D, Hess KR, Wu SZ, Shi WM, Wildrick DM (1998) Neurosurgical outcomes in a modern series of 400 craniotomies for treatment of parenchymal tumours. Neurosurgery 42(5):1044–1055PubMedCrossRef Sawaya R, Hammoud M, Schoppa D, Hess KR, Wu SZ, Shi WM, Wildrick DM (1998) Neurosurgical outcomes in a modern series of 400 craniotomies for treatment of parenchymal tumours. Neurosurgery 42(5):1044–1055PubMedCrossRef
18.
go back to reference Stupp R, Mason WP, van den Bent MJ et al (2005)) Radiotherapy plus concomitant and adjuvant Temozolomide for glioblastoma. N Engl J Med 352(10):987–996CrossRef Stupp R, Mason WP, van den Bent MJ et al (2005)) Radiotherapy plus concomitant and adjuvant Temozolomide for glioblastoma. N Engl J Med 352(10):987–996CrossRef
20.
go back to reference Yung WK, Prados MD, Yaya-Tur R et al (1999)) Multicenter phase II trial of Temozolomide in patients with anaplastic astrocytoma or anaplastic oligoastrocytoma at first relapse. Temodal Brain Tumour Group. J Clin Oncol 17(9):2762–2771 Yung WK, Prados MD, Yaya-Tur R et al (1999)) Multicenter phase II trial of Temozolomide in patients with anaplastic astrocytoma or anaplastic oligoastrocytoma at first relapse. Temodal Brain Tumour Group. J Clin Oncol 17(9):2762–2771
Metadata
Title
Cerebellar glioblastomas: pathophysiology, clinical presentation and management
Authors
Gordan Grahovac
Damir Tomac
Smiljka Lambasa
Arijana Zoric
Mario Habek
Publication date
01-06-2009
Publisher
Springer Vienna
Published in
Acta Neurochirurgica / Issue 6/2009
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI
https://doi.org/10.1007/s00701-009-0286-5

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