Leptomeningeal metastases of an astrocytoma of the conus medullaris: a case report.
We describe a case of spinal leptomeningeal metastases of an astrocytoma of the conus medullaris that presented with quadriplegia. The patient was a 50-year-old woman with a previously treated astrocytoma of the conus medullaris and a spinal cord metastasis at the Th2-L level. Four years after the initial treatment, the patient developed weakness of the upper extremities with a decreased muscular tonus. Magnetic resonance imaging of the cervical spine showed an intradural extramedullary metastatic tumor deposit at the C3-C6 level. Spinal leptomeningeal metastases need to be suspected in patients with a history of intramedullary astrocytoma.
Titlic
Marina
M
Department of Neurology, Split University Hospital, Split, Croatia. marina.titlic@gmail.com
Tonkic
Ante
A
Jukic
Ivana
I
Buca
Ante
A
Punda
Ante
A
D001254:Astrocytoma / Q000473:pathology / Q000556:secondary*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000473:pathology / Q000556:secondary*; D008875:Middle Aged; D009123:Muscle Hypotonia / Q000209:etiology; D011782:Quadriplegia / Q000209:etiology; D013120:Spinal Cord Neoplasms / Q000473:pathology*