Symptomatic spinal cord metastasis from cerebral oligodendroglioma
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Symptomatic spinal cord metastasis from cerebral oligodendroglioma (138 visite)

Elefante A, Peca C, Del Basso DCM, Russo C, Formicola F, Mariniello G, Brunetti A, Maiuri F

Neurol Sci (ISSN: 1590-1874, 1590-3478), 2012 Jun; 33(3): 609-613.



Tipo di articolo: Journal Article,

Impact factor: 1.412, Impact factor a 5 anni: 1.422

Url: http://www.scopus.com/inward/record.url?eid=2-s2.0-84863990476&partnerID=40&md5=a9ab212af108465fd8a992bebeb89637

Parole chiave: Brain Glioma, Cerebrospinal Fluid Spread, Oligodendroglioma, Spinal Metastasis, Corticosteroid, Adult, Article, Cancer Infiltration, Cancer Radiotherapy, Cancer Recurrence, Case Report, Cause Of Death, Cerebral Oligodendroglioma, Craniectomy, Dysphasia, Exophytic Tumor, Histopathology, Human, Human Cell, Human Tissue, Ischialgia, Knee Jerk Reflex, Laminectomy, Leg Disease, Leg Pain, Nuclear Magnetic Resonance Imaging, Paresis, Radiation Dose, Seizure, Spinal Cord Metastasis, Symptomatology, Treatment Response, Tumor Bleeding, Weakness, Brain Neoplasms, Cerebral Cortex, Spinal Cord Neoplasms,

Affiliazioni:

*** IBB - CNR ***
Neuroradiology, Department of Diagnostic Imaging, University Federico II, Via Pansini 5, 80131 Naples, Italy
Neurosurgical Clinic, Department of Neurological Science, University Federico II, Via Pansini 5, 80131 Naples, Italy
Department of Biomorphological and Functional Sciences, Section of Pathology, University Federico II, Via Pansini 5, 80131 Naples, Italy


Riferimenti:

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Spinal subarachnoid spread is not uncommon in brain oligodendrogliomas; on the other hand, symptomatic involvement of the spinal cord and cauda is very rare, with only 16 reported cases. We report the case of a 41-year-old man who underwent resection of a low-grade frontal oligodendroglioma 4 years previously. He was again observed because of bilateral sciatic pain followed by left leg paresis. A spine MRI showed an intramedullary T12-L1 tumor with root enhancement. At operation, an intramedullary anaplastic oligodendroglioma with left exophytic component was found and partially resected. Two weeks later, a large left frontoparietal anaplastic oligodendroglioma was diagnosed and completely resected. The patient was neurologically stable for 8 months and died 1 year after the spinal surgery because of diffuse brain and spinal leptomeningeal spread. The review of the reported cases shows that spinal symptomatic metastases can occur in both low-grade and anaplastic oligodendrogliomas, even many years after surgery of the primary tumor; however, they exceptionally occur as first clinical manifestation or as anaplastic progression. The spinal seeding represents a negative event leading to a short survival. © 2011 Springer-Verlag.
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45 Records (42 escludendo Abstract e Conferenze).
Impact factor totale: 131.151 (126.146 escludendo Abstract e Conferenze).
Impact factor a 5 anni totale: 136.233 (130.22 escludendo Abstract e Conferenze).







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