Diagnosis and management challenge of a granular cell astrocytoma of the pineal region: case report.

Granular cell astrocytoma (GCA) is a rare type of infiltrative brain tumor with most reported cases occurring in the suprasellar region. A pineal localization is extremely rare, with only 4 previously reported cases in the literature. The authors describe the case of a 16-year-old boy who developed signs of increased intracranial pressure and Parinaud syndrome. Cranial CT and MRI revealed a well-demarcated and enhanced mass in the pineal region accompanied by obstructive hydrocephalus. Subtotal resection was performed via a subtemporal approach. A histological diagnosis of GCA was made. Three years after surgery, the patient was alive and well without adjuvant therapy, and serial MRI showed no signs of progression of a small residual tumor. After a thorough review of the different epidemiological, clinical, and imaging features; treatments; and prognoses of GCAs in other intracranial localizations, the authors analyzed features of this tumor in the pineal region.

Référence1757
Année2015
TypeArticle
Lien document
Disciplines associéesLaboratoire
AuteurEl Asri AC
Auteurs associésBaallal H, Zoubeir Y, Sinaa M, Albouzidi A, Gazzaz M, Akhaddar A, Boucetta M, El Mostarchid B
DisciplineNeurochirurgie
RevueJ Neurosurg Pediatr
Référence Revue15(5):506-9