Haemorrhagic presentation of low-grade glioma in adults.
case_report · Level V
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Abstract
Intracranial bleeding is rare in patients with low-grade gliomas, above all in adult population. We reviewed the literature of such cases and reported another case of a haemorrhagic low-grade glioma in a 54-year-old woman presenting with a left hemiparesis. Computer tomography (CT) images showed a right basal ganglia haemorrhage with no mass effect. Vascular malformations were ruled out by angiography. Eighteen fluoro-fluoro deossiglucosio (18F-FDG) positron emission tomography (PET/CT) showed a large hypometabolic area corresponding to the lesion. We waited for patient's improvement. Late magnetic resonance images revealed a low-grade glioma at the bleeding site. Tumour was removed and histopathologic examination revealed a WHO grade II mixed glioma. The authors emphasize that this evidence has to be kept in mind since it has important therapeutic implications.
Medical subject headings
- Astrocytoma
- Basal Ganglia Diseases
- Basal Ganglia Hemorrhage
- Brain Neoplasms
- Magnetic Resonance Imaging
- Positron-Emission Tomography
- Putaminal Hemorrhage
- Tomography, X-Ray Computed