Astroblastomas are regarded as uncommon
neuroepithelial tumors with an uncertain origin. These
tumors primarily affect young adults and children, mainly
in the cerebral hemisphere.2.8%. Because of their rarity in clinical practice
and their resemblance to other glial neoplasms in terms of
radiological and histopathologic appearance,
astroblastomas can be prone to misdiagnosis.
Case presentation: We report a 38-year-old female patient
who presented with vomiting and left-sided weakness.
Following a brain MRI, we observed a moderate-sized
area of T2 heterogeneous hyperintensity and T1
isointensity acute intraparenchymal bleed with mild
surrounding edema in the right high fronto-parietal
region. The dimensions of the bleed measured
approximately 4.1x3.9x3.4 cm. The MRI also revealed
some areas of mild diffusion restriction and faint
inhomogeneous areas of enhancement upon post-contrast
imaging. Furthermore, there was evidence of mild mass
effect on the right Posterior cingulate gyrus and a thin
streak of flair hyperintense subarachnoid bleed. To
address this condition, the patient underwent near-total
resection of the lesion and evacuation of the clot through
right fronto-parietal craniotomy. The diagnosis of low-
grade astroblastoma was confirmed through
histopathological examination combined with
immunohistochemical study.
Conclusion: Astroblastoma is an extremely rare primary
brain tumor. Its diagnosis often poses challenges due to the
astroblastic aspects found in astrocytic tumors,
ependymomas, and non-neuroepithelial tumors. The
histogenesis and classification of this tumor are
surrounded by considerable confusion. Conducting studies
to investigate tumor characteristics is difficult due to its
low incidence rate.