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Spontaneous hemorrhages in pediatric supratentorial pilocytic astrocytomas. Malignant presentation of a benign entity

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Abstract

Background

Hemorrhage as a presenting feature in pilocytic astrocytoma is an extremely rare phenomenon. When seen in children, most of such tumors exist in the cerebellum. Rarely, a supratentorial pilocytic astrocytoma can present with bleeding.

Results

We present similar two cases and discuss the pathophysiology of such hemorrhage and histopathological changes in thinned hyalinised vessels of this tumor.

Conclusion

The presence of calcifications in the peri-hemorrhagic areas and the presence of mass effect disproportionate to the size of the bleeding are harbingers of the presence of a benign neoplasm that may have bled.

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Conflict of interest

The authors declare that they have no competing interests.

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Informed consent was obtained from all individual participants included in the study.

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Authors and Affiliations

  1. Department of Neurosurgery, PGIMER Chandigarh, Flat no. E-33 GHS – 94 sector 20, Panchkula, Haryana, 134116, India

    Ankur Kapoor & M. K. Tewari

  2. Department of Neurosurgery, NIMHANS Bangalore, Bengaluru, India

    Amey Savardekar

  3. Department of Histopathology, PGIMER, Chandigarh, India

    Debjyoti Chatterjee & B. D. Radotra

Authors
  1. Ankur Kapoor
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  2. Amey Savardekar
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  3. M. K. Tewari
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  4. Debjyoti Chatterjee
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  5. B. D. Radotra
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Correspondence to Ankur Kapoor.

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Kapoor, A., Savardekar, A., Tewari, M.K. et al. Spontaneous hemorrhages in pediatric supratentorial pilocytic astrocytomas. Malignant presentation of a benign entity. Childs Nerv Syst 31, 1617–1620 (2015). https://doi.org/10.1007/s00381-015-2749-8

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  • DOI: https://doi.org/10.1007/s00381-015-2749-8

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