Recurrent Optic Nerve Pilocytic Astrocytoma: A Rare Case
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 5
Abstract
Pilocytic astrocytoma is a low grade glioma that affects mostly children and young adults and can occur anywhere in the central nervous system. Pilocytic astrocytoma of the optic nerve is an equally indolent subtype that is often associated with Neurofibromatosis Type I (NFI). A 40-year-old male presented with left sided axial proptosis and exposure keratopathy. MRI revealed a mass in left proximal orbit, extending posteriorly abutting the chiasma and the right optic nerve on MRI. Enucleation of the left eye along with near total excision of intracranial part of the mass was performed. Histopathology report was suggestive of pilocytic astrocytoma (WHO Grade I). Interestingly, his records showed evidence of surgery for removal of the optic nerve pilocytic astrocytoma twice (27 years and six years ago). We hereby, present an unusual case of recurrent pilocytic astrocytoma of the optic nerve in absence of NFI.
Authors and Affiliations
SUDHA GIRISH MENON, VUPPALAPATI NISHANT JANARDHANA RAJU, SULATHA V BHANDARY, KRISHNA RAO ADDOOR4
Keywords
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- EP ID EP342443
- DOI 10.7860/JCDR/2017/26991.9824
- Views 62
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