Case Report| Volume 20, ISSUE 11, P1612-1614, November 2013

Download started.


Anaplastic astrocytoma masquerading as hemorrhagic stroke


      Although primary and metastatic brain tumors can cause intracranial hemorrhage, thalamic hemorrhage as the first presentation of an anaplastic astrocytoma has not been reported. We report a 47-year-old man who first presented with hypertensive hemorrhagic stroke. He improved with aggressive blood pressure control and recovered with minimal residual deficit within 10 days. This led to the initial misdiagnosis of uncontrolled hypertension as the cause of the stroke. He deteriorated rapidly 4 months later. A biopsy revealed an anaplastic astrocytoma. Misdiagnosis of tumor as stroke can occur in patients with vascular risk factors who do not have a previous history of neoplasia. Our case report is to heighten the awareness of the incidence of tumor apoplexy masquerading as stroke.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Clinical Neuroscience
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Schuetz H.
        • Dommer T.
        • Boedeker R.H.
        • et al.
        Changing pattern of brain hemorrhage during 12 years of computed axial tomography.
        Stroke. 1992; 23: 653-656
        • Sacco R.L.
        • Wolf P.A.
        • Bharucha N.E.
        • et al.
        Subarachnoid and intracerebral hemorrhage: natural history, prognosis, and precursive factors in the Framingham study.
        Neurology. 1984; 34: 847-854
        • Heiskanen O.
        Treatment of spontaneous intracerebral and intracerebellar hemorrhages.
        Stroke. 1993; 24 ([discussion I107–108]): I94-95
        • Arboix A.
        • Rodriguez-Aguilar R.
        • Oliveres M.
        • et al.
        Thalamic haemorrhage vs internal capsule-basal ganglia haemorrhage: clinical profile and predictors of in-hospital mortality.
        BMC Neurol. 2007; 7: 32
        • Morgenstern L.B.
        • Frankowski R.F.
        Brain tumor masquerading as stroke.
        J Neurooncol. 1999; 44: 47-52
        • Little J.R.
        • Dial B.
        • Belanger G.
        • et al.
        Brain hemorrhage from intracranial tumor.
        Stroke. 1979; 10: 283-288