[Secondary intraspinal localizations of glioblastoma. Apropos of a case].
Metastasis of intracranial glioblastomas have been described for the first time more than fifty years ago. They are exceptional and seem to develop clinically in less than 2% of cases. In fact, microscopic metastasis (necropsic series) of such glioblastomas are much more frequent: from 6% for supratentorial glioblastomas to 60% in infratentorial ones; but patients usually die before clinical symptoms appear. The authors report on an intraspinal metastasis which appeared clinically four years after the removal of a frontal glioblastoma. The metastasis was subdural, T3. Preoperative radiological data (CT-scan, MRI) evoked a meningioma, while surgical findings favoured the diagnosis of neurinoma. The diagnosis of glioblastoma metastasis was suggested by intra-operative pathological findings, and confirmed a few days later on smears and stains studies.
Aghakhani
N
N
Service de Neurochirurgie, Hôpital Sainte-Anne, Paris.
Roux
F X
FX
Fallet-Bianco
C
C
Devaux
B
B
D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D005625:Frontal Lobe; D005909:Glioblastoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D013120:Spinal Cord Neoplasms / Q000175:diagnosis / Q000556:secondary* / Q000628:therapy; D014057:Tomography, X-Ray Computed
Localisations secondaires intra-rachidiennes des glioblastomes. A propos d'un cas.