Bilateral thalamic high‐grade astrocytomas in an early‐adolescent child: A case report

Abstract

SummaryAn early‐adolescent girl presented with incoordination, headache, vomiting and dysphonia. MRI brain demonstrated diffuse increased T2 and FLAIR signal in bilateral thalami, consistent with anaplastic astrocytomas. A stereotactic burr‐hole biopsy provided frozen tissues sections demonstrating an IDH‐1 wildtype astrocytoma (anaplastic grade III according to prior WHO classification 2016‐21). Chemoradiotherapy was commenced. Bilateral thalamic high‐grade astrocytomas are very rare in the paediatric population and require timely diagnosis and interdisciplinary management. CT and MR imaging help point towards this diagnosis in the correct clinical context.