[Intramedullary spread of a cerebral oligodendroglioma. Two case reports].
We report two cases of leptomeningeal metastatic dissemination to the spinal cord of a grade B oligodendroglioma. Diagnosis was suspected on MRI but imaging findings were nonspecific. The pathways by which the intramedullary part of the spinal is reached by metastatic cells remains controversial. In the reported cases, both frontal and cystic primary intracerebral lesions were observed. Chemotherapy after radiotherapy appears to improve outcome. Nevertheless, prognosis remains very poor.
Godard
J
J
Service de Neurochirurgie, .
Viennet
G
G
Raul
J S
JS
Plouvier
E
E
Miny
J
J
Jacquet
G
G
Czorny
A
A
D020434:Abducens Nerve Diseases / Q000209:etiology; D018906:Antineoplastic Agents, Alkylating / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001932:Brain Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D016190:Carboplatin / Q000008:administration & dosage; D002330:Carmustine / Q000627:therapeutic use; D017024:Chemotherapy, Adjuvant; D002648:Child; D003131:Combined Modality Therapy; D005047:Etoposide / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D005625:Frontal Lobe; D006801:Humans; D019586:Intracranial Hypertension / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009837:Oligodendroglioma / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery; D010243:Paralysis / Q000209:etiology; D011379:Prognosis; D011859:Radiography; D018714:Radiotherapy, Adjuvant; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000532:radiotherapy / Q000556:secondary* / Q000601:surgery
D018906:Antineoplastic Agents, Alkylating; D005047:Etoposide; D016190:Carboplatin; D002330:Carmustine