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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2020; 41(01): 82-85
DOI: 10.4103/ijmpo.ijmpo_64_18
Practitioner Section

Intracranial Metastases of Intramedullary Spinal Cord Low-Grade Astrocytoma

Sharareh Sanei-Sistani
Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran
,
Ghasem Miri-Aliabad
Children and Adolescent Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
,
Hamid Dahmardeh
Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran
,
Mahdieh Montazeran
Department of Radiology, Zahedan University of Medical Sciences, Zahedan, Iran
Department of Radiology B, University Hospital of Strasbourg–Hôpital Civil 1, Place de l’Hôpital, 67091 Strasbourg Cedex, France
,
Mehdi Jahantigh
Department of Pathology, Zahedan University of Medical Sciences, Zahedan, Iran
,
Mohsen Zare
ERCOS Group (pole), Laboratory of ELLIAD-EA4661, UTBM-University of Bourgogne Franche-Comté, Belfort, France
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

This paper reports a case of intramedullary spinal cord low-grade (LG) astrocytoma that developed brain metastases after 21 months. A 6-year-old child presented with lower spine pain and falls during daily activity. A spinal cord mass was detected using spinal magnetic resonance imaging (MRI), and brain MRI was normal. The spinal lesion was partially resected, and pathological findings revealed LG astrocytoma (WHO Grade II). The patient underwent thoracolumbar radiotherapy. He returned 21 months following initial admission with symptoms of nausea, vomiting, headaches, and seizure. Brain MRI revealed multiple intracranial masses at the posterior fossa, left lateral ventricle, cerebellopontine angles, and left Meckel cave. A recurrent lesion was detected in the thoracic and lumbar regions of the spinal cord and in the cauda equina. The patient underwent chemotherapy. This rare case warns practitioners to monitor closely the cases of spinal cord astrocytoma that are diagnosed as LG tumors based on histology.

Keywords

Intracranial metastases - low-grade astrocytoma - pediatric - spinal cord tumor


Publication History

Received: 23 March 2018

Accepted: 21 June 2018

Article published online:
23 May 2021

© 2020. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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