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Primary pineal glioblastoma: a case report.
Onur Ozgural1, Gokmen Kahilogullari, Melih Bozkurt
1Ankara University, Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey.
Turkish Neurosurgery
|October 9, 2013
Summary
Glioblastoma in the pineal region is rare. This report details a glioblastoma case with a rare long-term survival, highlighting successful treatment outcomes for this challenging brain tumor.
Area of Science:
- Neuro-oncology
- Neurosurgery
- Radiology
Background:
- Primary glioblastoma in the pineal region is exceptionally rare.
- This case represents the 18th documented instance globally.
- Long-term survival data for this tumor type is limited.
Observation:
- A 60-year-old male presented with headache and ataxia.
- Imaging revealed triventricular hydrocephalus and a pineal region mass.
- Neurological examination showed ataxia, with no motor or sensory deficits.
Findings:
- Magnetic resonance imaging demonstrated a heterogeneous, contrast-enhancing pineal tumor.
- A ventriculoperitoneal shunt alleviated hydrocephalus, improving ataxia.
- Histopathological analysis confirmed glioblastoma following stereotactic biopsy.
Implications:
- This case highlights a rare glioblastoma in the pineal region with a favorable long-term prognosis.
- Successful management involved hydrocephalus treatment and adjuvant therapy.
- The patient achieved a two-year survival without neurological deficit, offering hope for similar rare cases.
