Cerebral astroblastoma-a rare and elusive case
Abstract
Background: Astroblastoma is rare neuroglial intracranial tumor most commonly occurring in the first three decades of life.
Case report: A 5 year old female child presented with intermittent headache, diplopia and recurrent seizures over a period of approximately 4 months. Her neurological examination revealed 6th nerve palsy and papilledema. Both CT and MRI revealed a well defined enhancing solid-cystic mass in the left fronto-parietal cerebral cortex with mass effect suggestive of primitive neuroectodermal tumor. She underwent gross total resection of the lesion through craniotomy. Histopathology along with immunohistochemistry was surprisingly suggestive of astroblastoma.
Conclusion: Astroblastomas are very rare and often misdiagnosed.
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References
Brat DJ, Hirose Y, Cohen KJ, Feuerstein BG, Burger PC. Astroblastoma: clinicopathologic features and chromosomal abnormalities defined by comparative genomic hybridization. Brain Pathol. 2000 Jul;10(3):342-52.
Karsy M, Guan J, Jensen R, Huang LE, Colman H. The Impact of Hypoxia and Mesenchymal Transition on Glioblastoma Pathogenesis and Cancer Stem Cells Regulation. World Neurosurg. 2016 Apr;88:222-36. doi: https://doi.org/10.1016/j.wneu.2015.12.032. Epub 2015 Dec 25.
Bell JW, Osborn AG, Salzman KL, Blaser SI, Jones BV, Chin SS. Neuroradiologic characteristics of astroblastoma. Neuroradiology. 2007 Mar;49(3):203-9. Epub 2007 Jan 10.
Barakat MI, Ammar MG, Salama HM, Abuhashem S. Astroblastoma: Case Report and Review of Literature. Turk Neurosurg. 2016;26(5):790-4. doi: https://doi.org/10.5137/1019-5149.JTN.9408-13.2.
Janz C, Buhl R. Astroblastoma: report of two cases with unexpected clinical behavior and review of the literature. Clin Neurol Neurosurg. 2014 Oct;125:114-24. doi: https://doi.org/10.1016/j.clineuro.2014.07.013. Epub 2014 Jul 21.
Arcipreste AA, Felipe Padilla Vazquez, Ricardo Ramirez Aguilar, Castruita UO, Rafael Mendizabal Guerra. High-grade astroblastoma in a child: Report of one case and review of literature. Surg Neurol Int. 24-Jul-2014; 5: 111.
Pizer BL, Moss T, Oakhill A, Webb D, Coakham HB. Congenital astroblastoma: An immunohistochemical study. Case report. J Neurosurg. 1995; 83:550–5.
Salvati M, DElia A, Brogna C,Antonelli M, Giangaspero F, et al. Cerebral astroblastoma: analysis of six cases and critical review of treatment options. J Neurooncol. 2009:93(3):369-378.