Anaplastic astrocytoma syncronus multifocal presented as lobar hemorrhage

Abstract

Multifocal cerebral gliomas are rare tumors. The reported incidence is about 2-5% of total high-graded gliomas. The majority of affected patients are in the third to fourth decade of life. Glioblastoma is the most common histologic variant, followed by anaplastic astrocytoma. There is no defined clinical feature and are often misdiagnosed as metastases with unknown primary focus. Management remains controversial. We present the case of a 55 years old male patient, with clinical presentation of intracerebral hemorrhage. Imaging studies showed corticosubcortical multiple lesions and in the basal ganglia. Stereotactic biopsy was reported multifocal anaplastic astrocytoma.