Glioma mimicking a hypertensive intracerebral hemorrhage

Research output: Contribution to journalArticle

7 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)125-127
Number of pages3
JournalJournal of Korean Neurosurgical Society
Volume54
Issue number2
DOIs
Publication statusPublished - 2013 Nov 4

Fingerprint

Hypertensive Intracranial Hemorrhage
Glioma
Astrocytoma
Hemorrhage
Basal Ganglia Hemorrhage
Tomography
Magnetic Resonance Imaging
Hypertension
Ventriculoperitoneal Shunt
Dysarthria
Cerebral Hemorrhage
Gadolinium
Paresis
Hydrocephalus
Basal Ganglia
Neoplasms
Angiography
Biopsy
Brain

Keywords

  • Anaplastic astrocytoma
  • Basal ganglia
  • Brain tumor
  • Hypertension
  • Intracerebral hemorrhage
  • Tumor bleeding

ASJC Scopus subject areas

  • Surgery
  • Neuroscience(all)
  • Clinical Neurology

Cite this

Glioma mimicking a hypertensive intracerebral hemorrhage. / Choi, Go; Park, Dong-Hyuk; Kang, Shin-Hyuk; Chung, Yong Gu.

In: Journal of Korean Neurosurgical Society, Vol. 54, No. 2, 04.11.2013, p. 125-127.

Research output: Contribution to journalArticle

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