Glioma Mimicking a Hypertensive Intracerebral Hemorrhage.
10.3340/jkns.2013.54.2.125
- Author:
Go CHOI
1
;
Dong Hyuk PARK
;
Shin Hyuk KANG
;
Yong Gu CHUNG
Author Information
1. Department of Neurosurgery, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea. doctorns@korea.com
- Publication Type:Case Report
- Keywords:
Basal ganglia;
Intracerebral hemorrhage;
Tumor bleeding;
Brain tumor;
Hypertension;
Anaplastic astrocytoma
- MeSH:
Aged;
Astrocytoma;
Basal Ganglia;
Basal Ganglia Hemorrhage;
Biopsy;
Brain;
Brain Neoplasms;
Cerebral Hemorrhage;
Dysarthria;
Female;
Gadolinium;
Glioma;
Hemorrhage;
Humans;
Hydrocephalus;
Hypertension;
Intracranial Hemorrhage, Hypertensive;
Magnetic Resonance Imaging;
Paresis;
Ventriculoperitoneal Shunt
- From:Journal of Korean Neurosurgical Society
2013;54(2):125-127
- CountryRepublic of Korea
- Language:English
-
Abstract:
Here, we report a rare case of an anaplastic astrocytoma masquerading as a hypertensive basal ganglia hemorrhage. A 69-year-old woman who had been under medical management for hypertension during the past 3 years suddenly developed right hemiparesis with dysarthria. Brain computed tomography (CT) scans with contrast and CT angiograms revealed an intracerebral hemorrhage (ICH) in the left basal ganglia, without an underlying lesion. She was treated conservatively, but underwent a ventriculoperitoneal shunt operation 3 months after the initial attack due to deteriorated mental status and chronic hydrocephalus. Three months later, her mental status deteriorated further. Magnetic resonance imaging (MRI) with gadolinium demonstrated an irregular enhanced mass in which the previous hemorrhage occurred. The final histological diagnosis which made by stereotactic biopsy was an anaplastic astrocytoma. In the present case, the diagnosis of a high grade glioma was delayed due to tumor bleeding mimicking hypertensive ICH. Thus, a careful review of neuroradiological images including MRI with a suspicion of tumor bleeding is needed even in the patients with past medical history of hypertension.
