Resection of cerebellar fibrillary astrocytoma with endoscopic support. Case report

Abstract

A seven years old female patient was evaluated at the Hospital Pediátrico Docente “Pedro Agustín Pérez”, in Guantánamo, with a history of an apparent health situation. The patient´s mother referred a week with headache and vomiting. Patient underwent an analgesics and antiemetics treatment without resolution of symptoms. A magnetic resonance imaging study of the brain showed in T1 scan, in the axial section, a space-occupying, hypointense, and appearance of posterior fossa cystic lesion, in the right cerebellar hemisphere, which was compressing the IV ventricle, causing obstructive hydrocephalus secondary. Ventriculostomy routing ventriculoperitoneal shunt and macroscopic resection of lesion with endoscopic support included was performed. Cerebellar fibrillary astrocytoma was the diagnosis confirmed by histopathological study.

Keywords

• astrocitoma fibrilar cerebeloso
• resonancia magnética nuclear de cráneo
• neuroendoscopia