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Supratentorial astrocytoma associated with arteriovenous malformation. Case report
H Kroh1, J Bidziński, A Majchrowski
1Department of Neurosurgery, School of Medicine, Warszawa.
Abstract:
A case of the 18-year-old boy suffering from epilepsy since 8 years and suspected of microangioma is presented. The craniotomy revealed left parietal parasagittal superficially located neoplasm and arteriovenous malformation beneath. Unexpected fibrillary astrocytoma associated with vascular tumor was the diagnostic problem, solved histologically after the operation. The problem of coexistence of various neoplasms with arteriovenous malformations is discussed.
Insights
An 18-year-old presented with epilepsy and a suspected microangioma. Surgery revealed a parietal neoplasm and arteriovenous malformation, diagnosed as fibrillary astrocytoma with a vascular tumor.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Epilepsy in adolescents can be caused by various underlying pathologies.
- Arteriovenous malformations are congenital vascular anomalies that can present with neurological symptoms.
Observation:
- An 18-year-old male with an 8-year history of epilepsy was suspected of having a microangioma.
- Surgical exploration revealed a superficial left parietal parasagittal neoplasm with an underlying arteriovenous malformation.
Findings:
- Histological examination confirmed the unexpected diagnosis of fibrillary astrocytoma coexisting with the vascular tumor.
- This case highlights a rare instance of dual neoplastic and vascular pathology.
Implications:
- Understanding the coexistence of neoplasms and arteriovenous malformations is crucial for accurate diagnosis and treatment planning.
- This case contributes to the literature on complex intracranial pathologies presenting in young adults.
