Transtentorial spread of glioblastoma multiforme to cerebellopontine angle - A rare case report.

Autor: Caramanti RL; Department of Neurosurgery, Faculdade de Medicina de Sao Jose do Rio Preto, São Jose do Rio Preto, São Pauloao Paulo, Brazil., Aprígio RM; Department of Neurosurgery, Faculdade de Medicina de Sao Jose do Rio Preto, São Jose do Rio Preto, São Pauloao Paulo, Brazil., Tognola WA; Department of Neurosurgery, Faculdade de Medicina de Sao Jose do Rio Preto, São Jose do Rio Preto, São Pauloao Paulo, Brazil., Laurenti MR; Department of Neurosurgery, Faculdade de Medicina de Sao Jose do Rio Preto, São Jose do Rio Preto, São Pauloao Paulo, Brazil., Rocha CE; Department of Neurosurgery, Faculdade de Medicina de Sao Jose do Rio Preto, São Jose do Rio Preto, São Pauloao Paulo, Brazil., Góes MJ; Department of Neurosurgery, Faculdade de Medicina de Sao Jose do Rio Preto, São Jose do Rio Preto, São Pauloao Paulo, Brazil.
Jazyk: angličtina
Zdroj: Surgical neurology international [Surg Neurol Int] 2022 Jan 05; Vol. 13, pp. 5. Date of Electronic Publication: 2022 Jan 05 (Print Publication: 2022).
DOI: 10.25259/SNI_948_2021
Abstrakt: Background: Glioblastoma multiforme (GBM) is the most common central nervous system malignant tumor in adults with 48.3% of cases. Despite it, the presence of transtentorial spread is uncommon, with few patients reported in the literature. In this study, the authors report a case of GBM transtentorial spread to cerebellopontine angle after resection and adjuvant treatment.
Case Description: A 55-year-old male patient with GBM, previously submitted to surgical resection and adjuvant treatment with radiotherapy and quemotherapy. Fourteen months after the first surgery, he developed headaches associated with dysphagia and dysphonia. Magnetic resonance imaging showed a recurrence of the left parietal lesion and a new mass in the right cerebellopontine angle. The patient underwent successful surgical resection of both lesions. Chemotherapy was maintained after the surgery.
Conclusion: To the best of our knowledge, there are few cases of GBM metastasis to the cerebellopontine angle reported in the literature. Surgical management should be considered in cases of intracranial hypertension and patients with good performance status.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2022 Surgical Neurology International.)
Databáze: MEDLINE