Journal of Pediatric Neurosciences
CASE REPORT
Year
: 2016  |  Volume : 11  |  Issue : 3  |  Page : 249--251

A rare case of infantile cerebellar pilocytic astrocytoma and thrombocytopenia presenting with intratumoral hemorrhage


Shashank R Ramdurg, Jaybrata Maitra 
 Department of Neurosurgery, MR Medical College, Gulbarga, Karnataka, India

Correspondence Address:
Shashank R Ramdurg
Department of Neurosurgery, MR Medical College, Gulbarga - 585 105, Karnataka
India

Incidence of gliomas presenting with hemorrhage is around 3.7–7.2%. Low-grade gliomas account for <1% tumor with hemorrhage. Infants presenting with cerebellar pilocytic astrocytomas (PAs) and hemorrhage with thrombocytopenia have not been reported. We report an interesting case of a 9-month-old infant who presented to the emergency department in a drowsy state with recurrent vomiting. Laboratory investigations showed anemia, thrombocytopenia, and coagulopathy. Radiological evaluation showed a large PA with bleed. The patient was treated with retromastoid suboccipital craniotomy and tumor excision and improved postoperatively. Cerebellar PA with bleed and coagulopathy in infants has not been reported in literature till date. Their presentation seems to be acute in nature, and high index of suspicion is required for the diagnosis of these posterior fossa tumors, which can deteriorate rapidly in infants.


How to cite this article:
Ramdurg SR, Maitra J. A rare case of infantile cerebellar pilocytic astrocytoma and thrombocytopenia presenting with intratumoral hemorrhage.J Pediatr Neurosci 2016;11:249-251


How to cite this URL:
Ramdurg SR, Maitra J. A rare case of infantile cerebellar pilocytic astrocytoma and thrombocytopenia presenting with intratumoral hemorrhage. J Pediatr Neurosci [serial online] 2016 [cited 2021 May 13 ];11:249-251
Available from: https://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2016;volume=11;issue=3;spage=249;epage=251;aulast=Ramdurg;type=0