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KMID : 0359819750040010093
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Journal of Korean Neurosurgical Society
1975 Volume.4 No. 1 p.93 ~ p.96
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Huge cystic cerebellar astrocytoma of adult
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Abstract
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A 48-year-old male patient is presented in whom huge cystic cerebellar astrocytoma simulated cerebellcpcntine anile tumor.
Surprisingly enough, the symptoms started only 20 days prior. to admission and expired before opening the dura. The neurological manifestations were of throbbing subecciipital headache, right hemiparesis, slurred speech and ataxia associated with acute increased intracranial pressure. The vertebral angiogram revealed downwardly displaced inferior posterior cerebellar artery without tumor blush. There was no evidence of increased uptake of radioactive; isotope in brain scar. Suboccipital craniectomy and total laminectomy cf the first and second cetvical spine was performed but intradural manipulation was postponed because of tensely bulged dura, excessive bleeding and unstable vital -Signs to tolerate general anesthesia.
The patient died of respiratory arrest 5 hours after the operation. The huge size of cystic astrocytoma. on the right cerebellar hemisphere and tremendous cerebellomedullary herniation were found at the time of postmortem examination.
Various pathophysiclogical mechanism which caused this unusual regrettable clinical outcome are briefly considered.
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