Leptomeningeal dissemination of spinal pilocytic astrocytoma: a rare entity

Eilidh Bell, Avinash Kumar Kanodia (Lead / Corresponding author), Buddhi Gunaratne, Angela Edgar

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    5 Citations (Scopus)
    128 Downloads (Pure)


    A currently 12-year-old boy presented at the age of 8 months with sleepiness, irritability and a tense fontanelle with upgaze palsy on a background of a 2-month history of vomiting, difficulty feeding and weight loss. Acute communicating hydrocephalus was diagnosed using ultrasonography and CT and treated with Ventriculo-Peritoneal shunt insertion. Further investigation with MRI (2006) found a thoracic intramedullary mass with further intracranial and spinal leptomeningeal dissemination (LD) (figures 1 and 2). A biopsy of the thoracic intramedullary mass showed pilocytic astrocytoma (PA) (figure 3).
    Original languageEnglish
    Article number226955
    Pages (from-to)1-3
    Number of pages3
    JournalBMJ Case Reports
    Publication statusPublished - 28 Sep 2018


    • hydrocephalus
    • neuroimaging
    • paediatric oncology


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