title: Gliosarcoma metastatic to the cervical spinal cord: case report and review of the literature.
abstract: BACKGROUND
  We describe a case of an intramedullary metastasis to the cervical spinal cord from a temporal gliosarcoma.
  
  
  METHODS
  A 48-year-old man with known temporal lobe gliosarcoma presented with a new onset of ipsilateral hemiparesis. A MRI scan revealed the presence of an intramedullary lesion in the spinal cord behind the body of C2. Despite repeated craniotomy, radiation, and chemotherapy, the patient succumbed to a rapidly progressive disease.
  
  
  CONCLUSIONS
  The case illustrates the ability of gliosarcoma to metastasize to other locations in the neuroaxis. We believe this to be the first case report of an intramedullary spinal cord metastasis from a gliosarcoma. The pathological features and available literature are reviewed.
authors.affiliation: Department of Neurological Surgery, University of Wisconsin Medical School, Madison, Wisconsin 53792, USA.
authors.forename: B P
authors.initials: BP
authors.lastname: Witwer
authors.forename: M S
authors.initials: MS
authors.lastname: Salamat
authors.forename: D K
authors.initials: DK
authors.lastname: Resnick
mesh_terms: D001932:Brain Neoplasms / Q000150:complications / Q000473:pathology*; D002574:Cervical Vertebrae; D003937:Diagnosis, Differential; D018450:Disease Progression; D017809:Fatal Outcome; D018316:Gliosarcoma / Q000150:complications / Q000556:secondary*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000209:etiology; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000556:secondary*; D013702:Temporal Lobe