According to CT appearance and surgical observations, cerebellar astrocytomas can be separated into three types. On CT scan, cystic astrocytomas have a typical mural nodule; with contrast injection only the nodule becomes hyperdense; the wall of the cyst is not modified. In these cases, only the mural nodule is removed since the wall does not contain tumor cells. In contrast, false cystic astrocytomas present an irregular wall, diffusely enhanced and thick. Then the wall is invaded by tumor cells, it must be totally removed. Solid astrocytomas may invade the peduncle, the IV ventricle, and the subarachnoid spaces. Removal is sometimes questionably total. As recurrences are not frequently observed in these cases, radiotherapy is not always recommended. Rather, radiotherapy is only used in cases of undoubted partial removal or after partial removal of a recurrence. Of 63 cases, early postoperative mortality was 4.7% and late recurrence 6.3%.
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Aver RN, Rice GPA, Hinton GG, Amacher AL, Gilbert JJ (1981) Cerebella astrocytoma with benign histology and malignant clinical course. Case report. Neurosurgery 54:128–133
Barrer SJ, Schut L, Sutton L, Bruce DA (1984) Re-operation for recurrent brain tumors in children. Child's Brain 11:375–386
Bucy PC, Thieman PW (1968) Astrocytomas of the cerebellum: a study of a series of patients operated upon over 28 years old. Arch Neurol 18:14–19
Butler AR, Horii SC, Kricheff II, Shannon MB, Cleb N, Budzilovich (1978) Computed tomography in astrocytomas: a statistical analysis of the parameters of malignancy and the positive contraste enhanced CT scan. Radiology 129:433–440
Carteri A, Zampieri P, Giordano R (1977) Astrocytomas of the cerebellum in children. A report of 24 cases of long term survival. Acta Neurochir 38:139
Cushing H (1931) Experience with the cerebellar astrocytomas. A critical review of 76 cases. Surg Gynecol Obstet 52:129–204
Davis CH, Joglekar VM (1981) Cerebellar astrocytomas in children and young adults. J Neurol Neurosurg Psychiatry 44:820–828
Edwards MS, Levin VA, Wilson CB (1980) Chemotherapy of pediatric posterior fossa tumours. Child's Brain 7:252–260
Geissinger JD, Bucy PC (1971) Astrocytomas of the cerebellum in children long term study. Arch Neurol 24:125–135
Gjerris F, Klinken L (1978) Clinical aspects and long term prognosis in children with benign cerebellar astrocytomas. J Neurosurg 49:179–184
Kingsley DPE, Kindall BE (1979) The CT scanner in posterior fossa tumours of childhood. Br J Radiol 52:76–778
Kleinman GM, Schdene NC, Walse TM, Richardson EP (1978) Malignant transformation of benign cerebellar astrocytoma. J Neurosurg 49:111–118
Koos WTh, Miller MH (1971) Intracranial tumors of infants and children. Thieme, Stuttgart
Martins LF, Umbach W, Cervos-Navarro J (1974) Prognosis of benign posterior fossa tumours in children. Neurochirurgia 17:208–213
Naidich IP, Lin JP, Leeds NE, Pudlowski RM, Naidich JB (1977) Primary tumours and other masses of the cerebellum and fourth ventricle: differential diagnosis by computed tomography. Neuroradiology 14:153–174
Salazar OM (1981) Primary malignant cerebellar astrocytomas in children: a signal for postoperative craniospinal irradiation. Int J Radiat Oncol Biol Phys 7:1661–1665
Shapiro K, Katz M (1983) The recurrent cerebellar astrocytoma. Child's Brain 10:168–176
Stein MB, Tenner MS (1972) Hydrocephalus following removal of cerebellar astrocytomas in children. J Neurosurg 36:763–768
Szenasy J, Slowik F (1983) Prognosis of benign cerebellar astrocytomas in children. Child's Brain 10:33–47
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Lapras, C., Patet, J.D., Lapras, C. et al. Cerebellar astrocytomas in childhood. Child's Nerv Syst 2, 55–59 (1986). https://doi.org/10.1007/BF00286219