{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,11]],"date-time":"2024-07-11T16:27:13Z","timestamp":1720715233262},"reference-count":20,"publisher":"Scientific Scholar","issue":"S 01","license":[{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"vor","delay-in-days":1028,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Brainstem glioma usually carries a poor prognosis and prolonged survival is very infrequent. In a detailed Pubmed, Medline search for prolonged survival, authors could got a longest survival only up to seventeen years, reported by Umehara et al, who was subjected to gamma knife therapy and got symptomatic, MRI brain reveled large tumor growth during pregnancy necessitating emergency surgery and histopathological diagnosis was pilocytic astrocytoma. Authors report an interesting case of midbrain glioma diagnosed 21 years back, who underwent gross resection in the year 1993, histopathology was pilocytic astrocytoma, WHO grade I, and received gamma knife surgery for residual subsequently and he presented with sudden onset left sided hemiplegia on the current admission. The cranial MRI imaging revealed an infarct involving right hemi midbrain, contrast MRI brain revealed no residual glioma. To the best knowledge of authors such prolonged survival is not reported with a case of brainstem glioma survived twenty- one years with non residual tumor on the last imaging study represents first case of its kind in the western literature and probably developed hemiplegia due to bleed, highlighting bleed as delayed complication following gamma knife therapy for cranial tumors<\/jats:p>","DOI":"10.4103\/0976-3147.196452","type":"journal-article","created":{"date-parts":[[2016,12,26]],"date-time":"2016-12-26T09:15:19Z","timestamp":1482743719000},"page":"S088-S090","source":"Crossref","is-referenced-by-count":1,"special_numbering":"S","title":["Pilocytic Midbrain Astrocytoma Presenting with Fresh Bleed after Twenty-one-years Survival Following First Surgery: A Unique Case of Longest Brainstem Glioma Survival"],"prefix":"10.25259","volume":"07","author":[{"given":"Guru Dutta","family":"Satyarthee","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. D.","family":"Sudhan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V. S.","family":"Mehta","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Paras Hospital, Gurgaon, Haryana, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,25]]},"reference":[{"key":"key-10.4103\/0976-3147.196452-1","first-page":"721","volume-title":"Brainstem glioma: Comparative study of clinico-radiological presentation, pathology and outcome in children and adults","author":"Selvapandian","year":"1999","journal-title":"Acta Neurochir (Wien)"},{"key":"key-10.4103\/0976-3147.196452-2","first-page":"220","volume-title":"Brainstem gliomas:Surgical indications and technical considerations in a series of 58 cases","author":"Sinha","year":"2014","journal-title":"Br J Neurosurg"},{"key":"key-10.4103\/0976-3147.196452-3","first-page":"97","volume-title":"The 2007 WHO classification of tumours of the central nervous system","author":"Louis","year":"2007","journal-title":"Acta Neuropathol"},{"key":"key-10.4103\/0976-3147.196452-4","unstructured":"Choux M, Lena G, Do L. Brainstem tumors. In: Choux M, Di Rocco C, Hockley A, editors. Pediatric Neurosurgery. New York: Churchill Livingstone; 2000. p. 471-91."},{"key":"key-10.4103\/0976-3147.196452-5","first-page":"833","volume-title":"The efficacy of a biopsy of intrinsic brainstem lesions for decision making of the treatments","author":"Ogiwara","year":"2013","journal-title":"Childs Nerv Syst"},{"key":"key-10.4103\/0976-3147.196452-6","first-page":"346","volume-title":"Brainstem glioma: A review","author":"Grimm","year":"2013","journal-title":"Curr Neurol Neurosci Rep"},{"key":"key-10.4103\/0976-3147.196452-7","first-page":"164","volume-title":"Gliomas in the region of the brain stem","author":"Pool","year":"1968","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.196452-8","first-page":"311","volume-title":"Clinical outcomes and natural history of pediatric brainstem tumors: With 33 cases follow-ups","author":"Sun","year":"2013","journal-title":"Neurosurg Rev"},{"key":"key-10.4103\/0976-3147.196452-9","first-page":"845","volume-title":"Surgical management of brain-stem tumors in children: Results and statistical analysis of 75 cases","author":"Pierre-Kahn","year":"1993","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.196452-10","first-page":"1","volume-title":"Juvenile pilocytic astrocytoma of the brainstem in children","author":"Kestle","year":"2004","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.196452-11","first-page":"205","volume-title":"Diffuse intrinsic pontine glioma: Poised for progress","author":"Warren","year":"2012","journal-title":"Front Oncol"},{"key":"key-10.4103\/0976-3147.196452-12","first-page":"8","volume-title":"Gamma knife surgery for focal brainstem gliomas","author":"Yen","year":"2007","journal-title":"J Neurosurg"},{"key":"key-10.4103\/0976-3147.196452-13","first-page":"145","volume-title":"Phase I trial of imatinib in children with newly diagnosed brainstem and recurrent malignant gliomas: A pediatric brain tumor consortium report","author":"Pollack","year":"2007","journal-title":"Neuro Oncol"},{"key":"key-10.4103\/0976-3147.196452-14","first-page":"539","volume-title":"Correlation among magnetic resonance imaging findings, prognostic factors for survival, and histological diagnosis of intrinsic brainstem lesions in children","author":"Dellaretti","year":"2011","journal-title":"J Neurosurg Pediatr"},{"key":"key-10.4103\/0976-3147.196452-15","first-page":"566","volume-title":"Young age may predict a better outcome for children with diffuse pontine glioma","author":"Broniscer","year":"2008","journal-title":"Cancer"},{"key":"key-10.4103\/0976-3147.196452-16","first-page":"567","volume-title":"A case of pilocytic astrocytoma requiring tumor resection during pregnancy","author":"Umehara","year":"2016","journal-title":"Mol Clin Oncol"},{"key":"key-10.4103\/0976-3147.196452-17","first-page":"83","volume-title":"Radiological response and histological changes in malignant astrocytic tumors after stereotactic radiosurgery","author":"Shinoda","year":"2002","journal-title":"Brain Tumor Pathol"},{"key":"key-10.4103\/0976-3147.196452-18","first-page":"157","volume-title":"The radiobiology of radiosurgery","author":"Kondziolka","year":"1999","journal-title":"Neurosurg Clin N Am"},{"key":"key-10.4103\/0976-3147.196452-19","first-page":"1287","volume-title":"Can radiation induce pituitary tumors.Giant prolactinoma after radiation exposure?","author":"Kurwale","year":"2008","journal-title":"J Clin Neurosci"},{"key":"key-10.4103\/0976-3147.196452-20","first-page":"92","volume-title":"Isolated brain metastasis from malignant melanoma of choroid seven years following enucleation","author":"Borkar","year":"2009","journal-title":"Neurol India","ISSN":"http:\/\/id.crossref.org\/issn\/0028-3886","issn-type":"print"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/0976-3147.196452.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:19:15Z","timestamp":1691209155000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/pilocytic-midbrain-astrocytoma-presenting-with-fresh-bleed-after-twenty-one-years-survival-following-first-surgery-a-unique-case-of-longest-brainstem-glioma-survival\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,12]]},"references-count":20,"journal-issue":{"issue":"S 01","published-online":{"date-parts":[[2019,9,25]]},"published-print":{"date-parts":[[2016,12]]}},"URL":"https:\/\/doi.org\/10.4103\/0976-3147.196452","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,12]]}}}