Case Report
Published: Oct 11, 2024 | DOI: 10.24911/ejmcr.173-1722766430
Intraventricular pilocytic astrocytoma: A case report
Authors: Almohannad S Algarni , Saud S Alasmari , Abdulaziz S Alqahtani , Turki D Alshammari , Abdu M Alkhairi
Article Info
Authors
Almohannad S Algarni
Aceer Central Hospital, Abha, Saudi Arabia.
Saud S Alasmari
King Khalid University, Riyadh, Saudi Arabia.
Abdulaziz S Alqahtani
King Khalid University, Riyadh, Saudi Arabia.
Turki D Alshammari
King Fahad specialist hospital, Riyadh Saudi Arabia.
Abdu M Alkhairi
Aseer Central Hospital, Abha, Saudi Arabia.
Publication History
Received: August 06, 2024
Accepted: September 20, 2024
Published: October 11, 2024
Abstract
Background: Pilocytic astrocytomas (PA) are low-grade, benign gliomas classified as WHO grade I, representing 6% of all gliomas and commonly found in children. Intraventricular pilocytic astrocytomas (IVPA) are rare, accounting for only 4% of PA cases.
Case Presentation: We report a 42-year-old Saudi woman with recurrent positional headaches but no neurological deficits. MRI showed a 1.2-cm non-enhancing lesion near the foramen of Monro, initially thought to be a colloid cyst. The lesion was excised via an interhemispheric transcallosal approach. Histopathology confirmed PA with biphasic tissue, glomeruloid vessels, and strong GFAP positivity, classified as WHO grade I. No further chemotherapy or radiotherapy was required.
Postoperative Outcome: Post-surgery, the patient had transient short-term memory issues, partially resolving within six months, and her headaches ceased. Initial imaging showed pneumocephalus, which resolved after one month.
Discussion: IVPA typically remain asymptomatic until they cause hydrocephalus by obstructing cerebrospinal fluid pathways. Radiologically, they appear as well-defined lesions with mixed cystic and solid components. Complete surgical resection is crucial to minimize recurrence.
Conclusion: IVPA, though rare in adults, should be considered in the differential diagnosis of intraventricular lesions. This case highlights the significance of accurate diagnosis and surgical management for this uncommon tumor.
Keywords: Pilocytic astrocytoma, intraventricular tumor, neurosurgery, case report, Adult glioma.
Pubmed Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi. Intraventricular pilocytic astrocytoma: A case report. EJMCR. 2024; 11 (October 2024): -. doi:10.24911/ejmcr.173-1722766430
Web Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi. Intraventricular pilocytic astrocytoma: A case report. https://ejmcr.com/articles/1339 [Access: December 11, 2024]. doi:10.24911/ejmcr.173-1722766430
AMA (American Medical Association) Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi. Intraventricular pilocytic astrocytoma: A case report. EJMCR. 2024; 11 (October 2024): -. doi:10.24911/ejmcr.173-1722766430
Vancouver/ICMJE Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi. Intraventricular pilocytic astrocytoma: A case report. EJMCR. (2024), [cited December 11, 2024]; 11 (October 2024): -. doi:10.24911/ejmcr.173-1722766430
Harvard Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi (2024) Intraventricular pilocytic astrocytoma: A case report. EJMCR, 11 (October 2024): -. doi:10.24911/ejmcr.173-1722766430
Chicago Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi. "Intraventricular pilocytic astrocytoma: A case report." 11 (2024), -. doi:10.24911/ejmcr.173-1722766430
MLA (The Modern Language Association) Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi. "Intraventricular pilocytic astrocytoma: A case report." 11.October 2024 (2024), -. Print. doi:10.24911/ejmcr.173-1722766430
APA (American Psychological Association) Style
Almohannad S Algarni, Saud S Alasmari, Abdulaziz S Alqahtani, Turki D Alshammari, Abdu M Alkhairi (2024) Intraventricular pilocytic astrocytoma: A case report. , 11 (October 2024), -. doi:10.24911/ejmcr.173-1722766430