Cerebellar Astrocytomas in Elderly Patients with Very Long Preoperative Histories: Report of Three Cases
作者:
John Kepes,
Keith Whittaker,
Kenneth Watson,
Robert Morantz,
Ruth Millett,
Charles Clough,
Dwight Oxley,
期刊:
Neurosurgery
(OVID Available online 1989)
卷期:
Volume 25,
issue 2
页码: 258-264
ISSN:0148-396X
年代: 1989
出版商: OVID
关键词: Cerebellum;Astrocytoma;Elderly
数据来源: OVID
摘要:
&NA;Three patients, ages 69, 67, and 74 years, respectively, underwent surgical removal of cystic cerebellar astrocytomas. All three had past histories pointing to the existence of a cerebellar lesion for many decades prior to surgery: Patient 1 had had nystagmus on lateral gaze on the side of the tumor since early childhood; Patient 2 had had sensorineural hearing loss on the side of her neoplasm for 38 years preceding the operation; and Patient 3 was diagnosed as having a brain tumor 51 years before the operation. (He has been blind because of pressure hydrocephalus for half a century, but otherwise managed to live a productive farming and family life until he sustained a head injury in a car accident, which forced him to undergo removal of his cerebellar tumor.) The neoplasms in all three instances were found by histological examination to be low‐grade astrocytomas. These cases indicate that low‐grade cerebellar astrocytomas, which are well known for their characteristically long postoperative courses, may at times manifest a slow growth potential with an exceptionally long preoperative course. (Neurosurgery25:258‐264, 1989)
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