Metastatic malignant glioma with resultant extradural compression of a sacral nerve root.
A patient with a malignant cerebral mixed oligodendroglioma-astrocytoma presented with a severe, painful S-1 radiculopathy. Neuroradiological examinations revealed an extradural soft-tissue mass compressing the first sacral nerve root. Spinal fluid examination and myelography gave no evidence of intradural disease. Surgery confirmed the presence of metastatic glioma compressing the S-1 nerve root. The tumor was entirely epidural in location. Mechanisms of dissemination are discussed.
D000328:Adult; D001254:Astrocytoma / Q000150:complications / Q000556:secondary*; D004824:Epidural Space; D005625:Frontal Lobe; D006801:Humans; D008160:Lumbosacral Plexus; D008297:Male; D009364:Neoplasm Recurrence, Local; D009408:Nerve Compression Syndromes / Q000209:etiology*; D009837:Oligodendroglioma / Q000150:complications / Q000556:secondary*; D013125:Spinal Neoplasms / Q000150:complications / Q000556:secondary*