Pilomyxoid astrocytomas (PMAs) are generally seen in young children and tend to occur
in the hypothalamic–chiasmatic region. Their presence in other parts of the brain
in the nonpediatric age group is uncommon. In addition, hemorrhage in such low-grade
tumors is an occasional event. We describe a case of PMA that presented with spontaneous
bleed in an atypical location (temporoparietal region) in an adult. A concise literature
of the cases of PMA which were associated with bleed is also presented. Occasionally,
low-grade tumors such as PMA may present with bleed. These benign looking neoplasms
behave differently from the commonly occurring pilocytic astrocytomas (PAs) and should
be considered as a differential. It is important to differentiate these from PA, as
the management and prognosis differs.
Key-words:
Astrocytoma - hemorrhage - intratumoral - pilocytic - pilomyxoid - tumor
