Abstract
The purpose of the study was to heighten awareness of anaplastic astrocytoma and the incidence of tumor apoplexy. A 47-year-old man with spontaneous thalamic hemorrhage as the first presentation of anaplastic astrocytoma was studied. Examination of the biopsy specimen revealed an anaplastic astrocytoma (WHO grade 3). Anaplastic astrocytoma rarely occurs as the first presentation in the thalamus with spontaneous intracranial hemorrhage. Misdiagnosis of tumor as stroke more commonly occurs in patients with a vascular risk factor, but with no history of neoplasia.
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