Neurologia medico-chirurgica
Online ISSN : 1349-8029
Print ISSN : 0470-8105
ISSN-L : 0470-8105
Pilocytic Astrocytoma of the Velum Interpositum —Case Report—
Makoto IDEGUCHITakafumi NISHIZAKIKatsumi HARADATaisyoku KWAKTomoyuki MURAKAMIHaruhide ITO
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1998 Volume 38 Issue 5 Pages 283-286

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Abstract

A 72-year-old male presented with a pilocytic astrocytoma in the velum interpositum manifesting as a 5-day history of dizziness attacks and unstable gait. Computed tomography and T1-weighted magnetic resonance imaging with gadolinium enhancement demonstrated a small, homogeneously enhanced mass in the velum interpositum. The tumor was removed subtotally, and the structure of the splenium was intact. The histological diagnosis was pilocytic astrocytoma. The MIB-1 growth fraction was 5%. The tumor may have originated from the splenium or the thalamus. The aggressive histology indicates the need for close neuroimaging follow-up.

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