Pleomorphic Xanthoastrocytoma (PXA)

PXA is a rare form of supratentorial astrocytoma which occurs in the young individuals and involves the leptomeninges. Microscopically the tumour shows pleomorphism without any evidence of necrosis and vascular endothelial proliferation. Tumour cells contain intracytoplasmic fat. The present case is a 20 years old male who presented with history of Grand Mal seizures and the CT scan showed a tumour in the supratentorial region. Histopathologically tumour turned out to be a PXA.