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Journal of Korean Neurosurgical Society 2010;47(1): 68-70.
doi: https://doi.org/10.3340/jkns.2010.47.1.68
Intracranial Dissemination from Spinal Cord Anaplastic Astrocytoma.
Seong Man Jeong, Yong Gu Chung, Jang Bo Lee, Il Young Shin
Department of Neurosurgery, College of Medicine, Korea University, Seoul, Republic of Korea. kosaken@lycos.co.kr
We report a case of intracranial dissemination developing approximately 4 months after partial removal of a spinal cord anplastic astrocytoma in a 22-year-old male. He presented with paraplegia on initial admission at a local hospital. Spinal magnetic resonance (MR) images disclosed multiple intramedullary lesions at the T3-11. The tumor was partially removed. The final histologic diagnosis was anaplastic astrocytoma. Four months after the operation, he was admitted with the symptoms of headache and deterioration of consciousness. MR images showed enhanced lesions in the anterior horn of the left lateral ventricle, and septum pellucidum. He underwent computed tomography-guided stereotactic biopsy and histological appearance was consistent with anaplastic astrocytoma. The clinical course indicates that the tumor originated in the spinal cord and extended into the subarachnoid space, first the spinal canal and later intracranial.
Key Words: Anaplastic astrocytoma; Spinal cord; Intracranial dissemination
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