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Fibrillary Astrocytoma

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Encyclopedia of Clinical Neuropsychology

Synonyms

Diffuse astrocytoma; Grade II astrocytoma; Low-grade astrocytoma (LGA); Low-grade glioma

Definition

Fibrillary astrocytoma is the most common histological subtype of diffuse or low-grade astrocytoma (WHO Grade II). These low-grade gliomas may occur anywhere within the CNS but are typically supratentorial, most commonly found in the frontal and temporal lobes. Peak incidence is seen in adults between the ages of 3040 years, with a slight predominance for males (1.18:1 male to female ratio). Mean survival time following diagnosis of fibrillary astrocytoma is 6–8 years (Walker & Kaye, 2003).

Fibrillary astrocytomas are characterized by slow growth, diffuse infiltration of surrounding brain structures, and frequent malignant progression to higher grade tumors (Kleihues, Davis, Ohgaki, Burger, Westphal, & Cavenee, 2000). The most commonly present symptom is focal or generalized seizure (approximately 80% of patients), followed by focal neurological deficit (30%) (Wessels, Weber,...

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References and Readings

  • Anderson, S. W., Damasion, H., & Tranel, D. (1990). Neuropsychological impairments associated with lesions caused by tumor or stroke. Archives of Neurology, 47, 397–405.

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  • Kleihues, P., Davis, R. L., Ohgaki, H., Burger, P. C., Westphal, M. M., & Cavenee, W. K. (2000). Diffuse astrocytoma. In P. Kleihues & W. K. Cavenee (Eds.), World Health Organization classification of tumours. Pathology & genetics. Tumours of the nervous system (pp. 22–26). Lyons, France: IARC Press.

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  • Walker, D. G., & Kaye, A. H. (2003). Low grade glial neoplasms. Journal of Clinical Neuroscience, 10(1), 1–13.

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  • Wessels, P. H., Weber, W., Raven, G., Ramaekers, F., Hopman, A., & Twijnstra, A. (2003). Supratentorial grade II astrocytoma: biological features and clinical course. The Lance: Neurology, 2, 395–403.

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Tinker, J. (2011). Fibrillary Astrocytoma. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_109

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  • DOI: https://doi.org/10.1007/978-0-387-79948-3_109

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-79947-6

  • Online ISBN: 978-0-387-79948-3

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