Pilocytic astrocytoma with spontaneous intracranial hemorrhages in an elderly adult

Clinical Neurology and Neurosurgery
Mark K Lyons

Abstract

Pilocytic astrocytomas are relatively uncommon tumors found predominantly in the pediatric population. Reports of these tumors are extremely rare in the elderly. This is a report of a 75-year-old man presenting with two spontaneous intracranial hemorrhages and subsequent resection of a pilocytic astrocytoma. The history, evaluation, radiographic features, histopathology, rationale for surgery and potential mechanism of hemorrhage are discussed. A review of the literature summarizes the current field of knowledge of adult pilocytic astrocytomas in the setting of intracranial hemorrhage.

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