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Cerebellar glioblastomas: pathophysiology, clinical presentation and management

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Summary

Glioblastoma multiforme usually affects the cerebral hemispheres with the peak age of onset in the sixth or seventh decade, while cerebellar glioblastoma multiforme is a rare tumour especially in younger patients. Most result from de-differentiation from low grade astrocytoma (secondary glioblastoma) or can develop de novo (primary glioblastoma). Primary glioblastomas develop in older patients while secondary glioblastomas develop in younger patients and contain TP53 mutations as the earliest detectable change. We report a 28 year old patient with primary multi-focal cerebellar glioblastoma multiforme and review the pathophisiology, clinical presentation, diagnosis and treatment of cerebellar glioblastomas.

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References

  1. Alonso ME, Bello MJ, Lomas J, Gonzalez-Gomez P, Arjona D, De Campos JM, Gutierrez M, Isla A, Vaquero J, Rey JA (2001) Absence of mutation of the p73 gene in astrocytic neoplasms. Int J Oncol 19:609–612

    PubMed  CAS  Google Scholar 

  2. Auff E, Vass K (1981) Cerebellar glioblastoma presenting clinically as Wallenberg's syndrome. Arch Psychiatr Nervenkr 230(4):361–364

    PubMed  CAS  Google Scholar 

  3. Benjamin R, Capparella J, Brown A (2003) Classification of glioblastoma multiforme in adults by molecular genetics. Cancer J 9:82–90. doi:10.1097/00130404-200303000-00003

    Article  PubMed  CAS  Google Scholar 

  4. DeAngelis LM (2001) Brain tumours. N Engl J Med 344:114–123. doi:10.1056/NEJM200101113440207

    Article  PubMed  CAS  Google Scholar 

  5. Demir MK, Hakan T, Akinci O, Berkman Z (2005) Primary cerebellar glioblastoma multiforme. Diagn Interv Radiol 11(2):83–86

    PubMed  Google Scholar 

  6. Dohrman GJ, Dunsmore RH (1975) Glioblastoma multiforme of the cerebellum. Surg Neurol 3:219–223

    Google Scholar 

  7. Harsh GR 4th, Levin VA, Gutin PH, Seager M, Silver P, Wilson CB (1987) Re-operation for recurrent glioblastoma and anaplastic astrocytoma. Neurosurgery 21(5):615–621

    Article  PubMed  Google Scholar 

  8. Hentschel SJ, Sawaya R (2003) Optimising outcomes with maximal surgical resection of malignant gliomas. Cancer Control 10(2):109–114

    PubMed  Google Scholar 

  9. Kleihues P, Ohgaki H (1999) Primary and secondary glioblastomas: from concept to clinical diagnosis. Neuro-oncol 1:44–51. doi:10.1215/15228517-1-1-44

    Article  PubMed  CAS  Google Scholar 

  10. Kuroiwa T, Numaguchi Y, Rothman MI, Zoarski GH, Morikawa M, Zagardo MT, Kristt DA (1995) Posterior fossa glioblastoma multiforme: MR findings. AJNR Am J Neuroradiol 16:583–589

    PubMed  CAS  Google Scholar 

  11. Lamborn KR, Chang SM, Prados MD (2004) Prognostic factors for survival of patients with glioblastoma: recursive partitioning analysis. Neuro-oncol 6:227–235. doi:10.1215/S1152851703000620

    Article  PubMed  Google Scholar 

  12. Mattos JP, Marenco HA, Campos JM, Faria AV, Queiroz LS, Borges G, Oliveira E (2006) Cerebellar glioblastoma multiforme in an adult. Arq Neuropsiquiatr 64:132–135. doi:10.1590/S0004-282X2006000100028

    PubMed  Google Scholar 

  13. Nelson SJ, Cha S (2003) Imaging glioblastoma multiforme. Cancer J 9:134–145. doi:10.1097/00130404-200303000-00009

    Article  PubMed  CAS  Google Scholar 

  14. Ohgaki H, Kleihues P (2007) Genetic pathways to primary and secondary glioblastoma. Am J Pathol 170:1445–1453. doi:10.2353/ajpath.2007.070011

    Article  PubMed  CAS  Google Scholar 

  15. Parekh HC, Sharma RR, Prabhu SS, Keogh AJ, Lynch PJ (1993) Multifocal giant cell glioblastoma: case report. Surg Neurol 40(2):151–154

    Article  PubMed  CAS  Google Scholar 

  16. Sawaya R, Hammoud M, Schoppa D, Hess KR, Wu SZ, Shi WM, Wildrick DM (1998) Neurosurgical outcomes in a modern series of 400 craniotomies for treatment of parenchymal tumours. Neurosurgery 42(5):1044–1055

    Article  PubMed  CAS  Google Scholar 

  17. Stark AM, Nabavi A, Mehdorn HM, Blomer U (2005) Glioblastoma multiforme-report of 267 cases treated at a single institution. Surg Neurol 63:162–169. doi:10.1016/j.surneu.2004.01.028

    Article  PubMed  Google Scholar 

  18. Stupp R, Mason WP, van den Bent MJ et al (2005)) Radiotherapy plus concomitant and adjuvant Temozolomide for glioblastoma. N Engl J Med 352(10):987–996

    Article  CAS  Google Scholar 

  19. Wisoff HS, Llena JF (1989) Glioblastoma multiforme of the cerebellum five decades after irradiation of a cerebellar tumour. J Neurooncol 7:339–344. doi:10.1007/BF02147091

    Article  PubMed  CAS  Google Scholar 

  20. Yung WK, Prados MD, Yaya-Tur R et al (1999)) Multicenter phase II trial of Temozolomide in patients with anaplastic astrocytoma or anaplastic oligoastrocytoma at first relapse. Temodal Brain Tumour Group. J Clin Oncol 17(9):2762–2771

    CAS  Google Scholar 

  21. Zito JL, Siva A, Smith TW, Leeds M, Davidson R (1983) Glioblastoma of the cerebellum. Computed tomographic and pathologic considerations. Surg Neurol 19:373–378. doi:10.1016/0090-3019(83)90248-3

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Gordan Grahovac.

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Authors’ contributions

Study concept and design: Grahovac and Habek. Acquisition of data: Grahovac, Tomac, Lambasa and Zoric. Analysis and interpretation of data: Grahovac, Tomac, Lambasa and Zoric. Drafting of the manuscript: Grahovac and Habek. Critical revision of the manuscript for important intellectual content: Grahovac, Tomac, Lambasa, Zoric and Habek. Administrative, technical, and material support: Grahovac and Habek.

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Grahovac, G., Tomac, D., Lambasa, S. et al. Cerebellar glioblastomas: pathophysiology, clinical presentation and management. Acta Neurochir 151, 653–657 (2009). https://doi.org/10.1007/s00701-009-0286-5

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  • DOI: https://doi.org/10.1007/s00701-009-0286-5

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