title: Metachronous spinal metastases from supratentorial anaplastic astrocytoma.
abstract: Leptomeningeal spinal metastases from supratentorial high-grade glioma are relatively rare. Authors report an unusual case of metachronous, symptomatic, dual spinal drop metastases in a 20-year-old male patient who was operated for right insular anaplastic astrocytoma 20 months earlier. Surgical decompression of the symptomatic D11-L2 drop metastasis was carried out. Histo-pathological examination revealed features suggestive of glioblastoma multiforme. Patient was advised postoperative radiotherapy. The pertinent literature is reviewed regarding this uncommon entity.
authors.affiliation: Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Amol
authors.initials: A
authors.lastname: Raheja
authors.affiliation: Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Sachin Anil
authors.initials: SA
authors.lastname: Borkar
authors.affiliation: Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Rajinder
authors.initials: R
authors.lastname: Kumar
authors.affiliation: Department of Neuropathology, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Vaishali
authors.initials: V
authors.lastname: Suri
authors.affiliation: Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi, India.
authors.forename: Bhawani Shankar
authors.initials: BS
authors.lastname: Sharma
keywords: Anaplastic astrocytoma; glioblastoma multiforme; leptomeningeal metastases; spine