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Glioblastoma multiforme of the cerebellum in an elderly man
Tomonori Tamaki1, Tsuneyoshi Eguchi, Masaki Sakamoto
1Department of Neurosurgery, Kameda General Hospital, Kamogawa, Chiba, Japan. tamakito@nms.ac.jp
Abstract:
A 74-year-old man was diagnosed with cerebellar glioblastoma multiforme (GBM). He initially presented with headache, nausea, vomiting, and truncal ataxia. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a round mass with ring enhancement in the vermis of the cerebellum. Subtotal removal of tumour was performed, and the pathological diagnosis was cerebellar glioblastoma multiforme. Subsequently, radiochemotherapy was performed. GBM of the cerebellum is rare and only accounts for a small fraction of all GBM. To our knowledge, there have only been 7 cases of senile cerebellar GBM reported. Our patient is one of the oldest cases recorded in the Asian literature.
Insights
This study reports a rare case of cerebellar glioblastoma multiforme (GBM) in a 74-year-old man. This finding highlights the uncommon occurrence of cerebellar GBM, particularly in elderly Asian patients.
Area of Science:
- Neuro-oncology
- Geriatric Medicine
- Radiology
Background:
- Cerebellar glioblastoma multiforme (GBM) is an exceptionally rare primary brain tumor.
- GBM typically affects the cerebral hemispheres, making cerebellar involvement infrequent.
Observation:
- A 74-year-old male presented with symptoms including headache, nausea, vomiting, and truncal ataxia.
- Imaging studies (CT and MRI) identified a ring-enhancing mass in the cerebellar vermis.
Findings:
- Pathological diagnosis confirmed cerebellar glioblastoma multiforme after subtotal tumor removal.
- The patient underwent subsequent radiochemotherapy for the rare cerebellar GBM.
Implications:
- This case represents one of the oldest reported instances of senile cerebellar GBM in Asian literature.
- Highlights the importance of considering rare tumor locations in the elderly with neurological deficits.
