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2- Ege University Faculty of Medicine Department of Neurosurgery
Introduction
Low-grade gliomas(LGGs) in the infratentorial region are rare in adults.
Case presentation
A 31-year-old male presented with a 2-year history of neck pain and progressive numbness in the left face and arm. Neurological examination upon admission revealed no cranial nerve involvement, motor or sensory deficits, or signs of cerebellar dysfunction. The patient's medical history was unremarkable. Cranial magnetic resonance imaging (MRI) revealed a 2 cm T2 hyperintense lesion with focal cystic components in the right cerebellar tonsil, suggestive of a low-grade glioma. The lesion was removed surgically without any complications. Post-operative MRI showed total removal of the tumor. Histopathological analysis confirmed the lesion to be a pilocytic astrocytoma. No adjuvant therapy was given, and the patient is recurrence-free at 1-year follow-up.
Conclusion
This case underlines the possibility of such rare diagnoses in adult patients and the effectiveness of the surgical treatment.
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