Leptomeningeal dissemination of spinal pilocytic astrocytoma: a rare entity

TY - JOUR

T1 - Leptomeningeal dissemination of spinal pilocytic astrocytoma

T2 - a rare entity

AU - Bell, Eilidh

AU - Kanodia, Avinash Kumar

AU - Gunaratne, Buddhi

AU - Edgar, Angela

N1 - The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

PY - 2018/9/28

Y1 - 2018/9/28

N2 - 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).

AB - 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).

KW - hydrocephalus

KW - neuroimaging

KW - paediatric oncology

U2 - 10.1136/bcr-2018-226955

DO - 10.1136/bcr-2018-226955

M3 - Article

C2 - 30269096

SN - 1757-790X

VL - 2018

SP - 1

EP - 3

JO - BMJ Case Reports

JF - BMJ Case Reports

M1 - 226955

ER -