PLEOMORPHIC XANTHOASTROCYTOMA PRESENTING WITH MASSIVE INTRACRANIAL HEMORRHAGE

A 46-year-old woman presented with massive left temporal lobe intrapar enchymal and diffuse subarachnoid hemorrhage on CT. Lack of enhancemen t excluded intermediate and high-grade primary tumor or metastasis as likely causes, At surgery, a fibrovascular left temporal lobe mass adh erent to the dura proved to be a pleomorphic xanthoastrocytoma, The un usual hemorrhagic presentation of this typically benign entity is thou ght to be related to the meningeal involvement, which itself is charac teristic of this neoplasm.