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Revista Colombiana de Cancerología

Print version ISSN 0123-9015

Abstract

GANAN-VESGA, Jesús Guillermo  and  ORDONEZ-RUIZ, Andrés. Meningeal syndrome as first manifestation of astrocytoma with gemistocytic differentiation: A case report. rev.colomb.cancerol. [online]. 2018, vol.22, n.4, pp.157-161. ISSN 0123-9015.  http://dx.doi.org/10.1016/j.rccan.2017.11.002.

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.

Keywords : Astrocytomas gemistocytic; Meningeal irritation; Clinical presentation.

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