Clinical Case: We report on a 7-year-old female with spinal pilocytic astrocytoma complicated by pseudoprogression 1 month after completion of radiation therapy. Although she was initially treated with high-dose steroids, her clinical symptoms did not completely resolve, and magnetic resonance imaging (MRI) revealed extension of the lesions into the medulla oblongata. Treatment with bevacizumab was commenced, followed by rapid resolution of the clinical symptoms and improvements in the MRI findings.
Conclusion: This case highlights the efficacy and tolerability of bevacizumab for the treatment of pseudoprogression in children with spinal low-grade gliomas.
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http://dx.doi.org/10.1007/s00381-018-3841-7 | DOI Listing |
Neurooncol Adv
October 2024
Institute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Background: Ependymomas of the spinal cord are rare among children and adolescents, and the individual risk of disease progression is difficult to predict. This study aims to evaluate the prognostic impact of molecular typing on pediatric spinal cord ependymomas.
Methods: Eighty-three patients with spinal ependymomas ≤22 years registered in the HIT-MED database (German brain tumor registry for children, adolescents, and adults with medulloblastoma, ependymoma, pineoblastoma, and CNS-primitive neuroectodermal tumors) between 1992 and 2022 were included.
Childs Nerv Syst
December 2024
Department of Neurosurgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Purpose: This report aims to present a case of a child with holocord pilocytic astrocytoma and review the existing literature to provide insights into current management strategies.
Case Presentation: An 11-month-old patient presented with progressive quadriplegia and was initially diagnosed with a spinal abscess. MRI revealed a heterogeneously enhancing cystic intramedullary lesion extending from the cervicomedullary region to the conus medullaris.
J Neurosurg Case Lessons
October 2024
Georgia Neurosurgical Institute, Macon, Georgia.
Cureus
September 2024
Neurosurgery, Cliniques Universitaires Saint-Luc (UCLouvain Saint-Luc), Brussels, BEL.
Spinal cord pilocytic astrocytoma (PA) is a rare, low-grade tumor in adults, typically presenting with a cystic component. Correct diagnosis is crucial, as gross total resection may improve survival rates. We report the case of a 44-year-old patient with chronic neck and arm pain, along with hypoesthesia on the left side, initially suspected of having myelitis based on MRI findings.
View Article and Find Full Text PDFJ Belg Soc Radiol
September 2024
Department of Radiology, Daping Hospital, Army Medical University, Chongqing, 400042, China.
Spinal pilocytic astrocytoma (PA) is a rare disorder with atypical, clinical and imaging characteristics, and generally limited to case reports. We analysed the clinical manifestations, imaging findings, treatment and prognostic follow-up of 12 patients with spinal PA admitted from January 2010 to July 2021, and reviewed the relevant literature. Radiological assessment, especially magnetic resonance imaging, can help to provide effective diagnostic information.
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