J Korean Neurosurg Soc.  2007 Nov;42(5):410-412. 10.3340/jkns.2007.42.5.410.

Pleomorphic Xanthoastrocytoma with an Intracystic Hemorrhage: A Case Report and Literature Review

• Lee DK
• Cho KT
• Im SH
• Hong SK

• KMID: 1956220
• DOI: http://doi.org/10.3340/jkns.2007.42.5.410

Abstract

Pleomorphic xanthoastrocytoma (PXA) has been considered as a low grade tumor of adolescents and young adults. Although this tumor often shows cystic component, the hemorrhage within the cyst is extremely rare. The authors report a rare case of cystic PXA with a hemorrhage within the cyst and the mural nodule in the left frontal lobe. A 64-year-old male presented with a week history of the right side hemiparesis. After gross total resection of the tumor, the patient was fully recovered from neurological deficit. It is suggested that this typically benign tumor could be presented with hemorrhage, causing a rapid neurological deterioration. Prompt surgical intervention, especially total removal of the tumor can provide an excellent functional recovery.

Keyword

Pleomorphic xanthoastrocytoma (PXA); Cyst; Hemorrhage; Mural nodule

MeSH Terms

Adolescent
Frontal Lobe
Hemorrhage*
Humans
Male
Middle Aged
Paresis
Young Adult