The duration of this case of tumor of the brain, in which no surgical intervention was attempted, covered approximately forty-five years, to our knowledge the longest survival period on record. Despite the protracted course of the disease, the patient, even at a very late date, presented few neurologic signs and for the most part was comfortable, alert and able to attend to business duties. The first symptoms appeared between the ages of 6 and 8 years; the patient died at the age of 53. Postmortem examination revealed an astrocytoma of the cerebellum.
In view of the importance which attaches to the record, it is presented in detail. Fortunately, at the age of 16, thirty-seven years before the fatal termination of the illness, the patient consulted Dr. Allen Starr, who with his usual clinical acumen made a diagnosis of tumor of the brain and published a report of the case in