Meningeal syndrome as first manifestation of astrocytoma with gemistocytic differentiation: A case report
Keywords:
Astrocytomas gemistocytic, Meningeal irritation, Clinical presentationAbstract
An astrocytoma with gemistocytic differentiation is a histological variant of diffuse astrocytomas, characterised by a tendency towards a rapid progression to malignancy. Despite being classified as a grade II glioma according to the World Health Organisation, it has poor short-term prognosis. The most common clinical presentation of these types of tumours are, convulsive syndrome, focal deficits secondary to the location of the tumour, and / or intracranial hypertension syndrome. It is uncommon to find meningeal irritation as a first manifestation, and even more, in the absence of infection of the central nervous system. The case is presented on a patient, who was admitted to the Emergency Department with signs of meningeal irritation. A diagnosis of intraventricular gemistocytic astrocytoma was finally made.
Author Biographies
Jesús Guillermo Ganan-Vesga, E.S.E Hospital San Rafael de Tunja
Grupo de Investigación Salud San Rafael, E.S.E Hospital San Rafael de Tunja, Tunja, Colombia
Andrés Ordoñez Ruiz, Universidad del Cauca
Facultad de Medicina, Universidad del Cauca, Popayán, Colombia
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