Pilocytic astrocytoma: A rare case report

Pilocytic astrocytoma (PA) is a rare, low-grade glioma predominantly affecting children and young adults, with a favorable prognosis and a high survival rate. Despite its’ slow growth, PA often presents with significant symptoms at diagnosis due to its tendency to reach a large size, especially in p...

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Main Authors: Harry Galuh Nugraha, PhD, Elsa Yoasta, MD, Mirna Sobana, MD, Hermin Aminah Usman, MD
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043325000251
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author Harry Galuh Nugraha, PhD
Elsa Yoasta, MD
Mirna Sobana, MD
Hermin Aminah Usman, MD
author_facet Harry Galuh Nugraha, PhD
Elsa Yoasta, MD
Mirna Sobana, MD
Hermin Aminah Usman, MD
author_sort Harry Galuh Nugraha, PhD
collection DOAJ
description Pilocytic astrocytoma (PA) is a rare, low-grade glioma predominantly affecting children and young adults, with a favorable prognosis and a high survival rate. Despite its’ slow growth, PA often presents with significant symptoms at diagnosis due to its tendency to reach a large size, especially in pediatric patients, where compensatory mechanisms can delay detection. This case report describes a 7-year-old girl with progressive vision loss, headache, and balance disturbance. The imaging result revealed a right cerebellar mass that was in accordance with pilocytic astrocytoma and obstructive hydrocephalus. Histopathologic analysis confirmed the diagnosis with the typical features of PA such as Rosenthal fibers and eosinophilic granular bodies. This case report highlights the critical role of radiologic and histopathologic evaluations for PA diagnosis and management; also the unique presentation and challenges in managing PA, emphasizing the importance of timely intervention to optimize neurological outcomes.
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institution Kabale University
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publishDate 2025-04-01
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series Radiology Case Reports
spelling doaj-art-c238b243ef65463eaf6df53fd56e68672025-02-02T05:27:01ZengElsevierRadiology Case Reports1930-04332025-04-0120421752179Pilocytic astrocytoma: A rare case reportHarry Galuh Nugraha, PhD0Elsa Yoasta, MD1Mirna Sobana, MD2Hermin Aminah Usman, MD3Department of Radiology, Faculty of Medicine Padjadjaran University, Dr. Hasan Sadikin Hospital Bandung, Pasteur Num. 38, Pasteur, Sukajadi, Bandung, West Java 40161, IndonesiaDepartment of Radiology, Faculty of Medicine Padjadjaran University, Dr. Hasan Sadikin Hospital Bandung, Pasteur Num. 38, Pasteur, Sukajadi, Bandung, West Java 40161, Indonesia; Corresponding author.Department of Neurosurgery, Faculty of Medicine Padjadjaran University, Dr. Hasan Sadikin Hospital Bandung, Pasteur Num. 38, Pasteur, Sukajadi, Bandung, West Java 40161, IndonesiaDepartment of Pathology Anatomy, Faculty of Medicine Padjadjaran University, Dr. Hasan Sadikin Hospital Bandung, Pasteur Num. 38, Pasteur, Sukajadi, Bandung, West Java 40161, IndonesiaPilocytic astrocytoma (PA) is a rare, low-grade glioma predominantly affecting children and young adults, with a favorable prognosis and a high survival rate. Despite its’ slow growth, PA often presents with significant symptoms at diagnosis due to its tendency to reach a large size, especially in pediatric patients, where compensatory mechanisms can delay detection. This case report describes a 7-year-old girl with progressive vision loss, headache, and balance disturbance. The imaging result revealed a right cerebellar mass that was in accordance with pilocytic astrocytoma and obstructive hydrocephalus. Histopathologic analysis confirmed the diagnosis with the typical features of PA such as Rosenthal fibers and eosinophilic granular bodies. This case report highlights the critical role of radiologic and histopathologic evaluations for PA diagnosis and management; also the unique presentation and challenges in managing PA, emphasizing the importance of timely intervention to optimize neurological outcomes.http://www.sciencedirect.com/science/article/pii/S1930043325000251Pilocytic astrocytomaPediatric neuroradiologyHead CT scan
spellingShingle Harry Galuh Nugraha, PhD
Elsa Yoasta, MD
Mirna Sobana, MD
Hermin Aminah Usman, MD
Pilocytic astrocytoma: A rare case report
Radiology Case Reports
Pilocytic astrocytoma
Pediatric neuroradiology
Head CT scan
title Pilocytic astrocytoma: A rare case report
title_full Pilocytic astrocytoma: A rare case report
title_fullStr Pilocytic astrocytoma: A rare case report
title_full_unstemmed Pilocytic astrocytoma: A rare case report
title_short Pilocytic astrocytoma: A rare case report
title_sort pilocytic astrocytoma a rare case report
topic Pilocytic astrocytoma
Pediatric neuroradiology
Head CT scan
url http://www.sciencedirect.com/science/article/pii/S1930043325000251
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AT elsayoastamd pilocyticastrocytomaararecasereport
AT mirnasobanamd pilocyticastrocytomaararecasereport
AT herminaminahusmanmd pilocyticastrocytomaararecasereport