Chávez-López JA, García-Cisneros R, Zarate-Méndez A, García S

Language: Spanish
References: 19
Page: 145
PDF size: 678.98 Kb.

ABSTRACT

Introduction: Multifocal cerebral gliomas are rare tumors; its incidence is about 2-5% of total high-graded gliomas. They occur during the third to fourth decade of life. Glioblastoma is the most frequently histologic variant, followed by anaplastic astrocytoma. There is no defined clinical feature thereby often misdiagnosed as metastases with unknown primary focus. Management remains controversial. Clinical case presentation: A 55 years old male is presented; his manifestations mimicked stroke. Imaging studies showed cortico-subcortical multiple lesions in basal nucleus. Stereotactic biopsy was realized, and multifocal anaplastic astrocytoma was reported. Conclusions: In this case, both manifestations of clinical and imaging features and histopathology results are no common.

REFERENCES

1. Langleben D, Segall G. Pet in differentiation of recurrent brain tumor from radiation injury. J Nuclear Medicine 2000; 41:1861-1867.

2. Zbigniew K Dariusz L, Tomasz K, Dariusz P. Multifocal malignant glioma. Preliminary report. Neurosurgery 2009; 23:245-149.

3. Lafitte F, Morel-Precetti S, Martin D, et al. Multiple glioblastomas: CT and RM features. Eur Radiol 2001; 11:131-136.

4. Silva M, Trujillo O, Ibarra T, Ceballos A. Gliomas multiples. Arch Neuroscien 2006;11(1):55-60

5. Waldemar D, Iwasa Y, Komarova N. On the emergence of multifocal canceres. Carcinogenesis 2004;13:1-13.

6. Zbigniew K, Wielislaw P. Cerebral and cerebellar glial tumors in the same individual. Case report. Neurosurgery 1992; 30:439-40.

7. Xiangyi Kong, Yu Wang, Shuai Liu, Zhaohui Lu, Huanwen Wu, Xinxin Mao, Xin Cheng, Jun Gao, MD, Jian Guan, Yi Yang, Yongning Li, Bing Xing Wenbin, Renzhi Wang, .ysphasia and phantosmia as first presentation multifocal cerebral anaplastic astrocytomas: case report and review of literatures. Medicine 2015;94(20):1-10.

8. Aure K, Laigle-Donadey F, Kaloshi G, Yu X. Multiple Gliomas: clinical studies and pathophysiological hypothesis. Rev Neurol.2006; 162: 845-851.

9. Cohen AL, Colman H. Glioma biology and molecular markers. Cancer Treat Res.2015; 163:15-30.

10. Kyritsis AP1, Levin VA, Yung WK, Leeds NE. Imaging patterns of multifocal gliomas. Eur J Radiol.1993;16:163-170.

11. Krystis A, Rao J, Puduvally V. Prognostic Factors in multifocal gliomas: in regard to Showalter et al. Int J Radiat Oncol Biol Phys. 2007;69: 820-824.

12. Salvati M, Caroli E, Orlando ER, Frati A, Artizzu S, Ferrante L. Multicentric glioma: our experience in 25 patients and review of the literature. Neurosurg Rev. 2003; 26:275-279.

13. Mishra B, Steers A, Miller J, Gordon A. Multicentric glioma presenting with hemorrhage. Surg Neurol. 1979; 221:187-97.

14. Djalilian H, Shah M, Hall W. Radiographic incidence of multicentric malignant gliomas. Surg Neurol. 1999;51: 554-557.

15. Bordignon K, Coelho M, Ramina R, Sousa M, Zazula A, Morato L. Patterns of neuroaxis dissemination of gliomas: suggestion classification based on magnetic resonance imaging findings. Surgical Neurology. 2006; 65:472-477.

16. Arcos A1, Romero L, Serramito R, Santín JM, Prieto A, Gelabert M, Arráez MÁ. Multicentric glioblastoma multiforme. Report of 3 cases, clinical and pathological study and literature review. Neurocirugia (Astur). 201;23:211-21 5.

17. Zamponi N1, Rychlicki F, Ducati A, Regnicolo L, Salvolini U, Ricciuti RA. Multicentric glioma with unusual clinical presentation.Childs Nerv Syst. 2001;17(1-2):101-5.

18. Kyritsis AP, Yung WK, Leeds NE, Bruner J, Gleason MJ, Levin VA. Multifocal cerebral gliomas associated with secondary malignancies. Lancet. 1992;339:1229-1230.

19. Jalon P, Ajler P, Dobarro JC, Yampolsky C. Glioblastoma multiforme multicéntrico. Reporte de un caso. Rev Argent Neuroc.2005;19:126-7.