Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report.

Autor: Leclair NK; School of Medicine, University of Connecticut, Farmington, Connecticut, United States., Buehler A; Research Assistant, University of Connecticut, Storrs, Connecticut, United States., Wu Q; Department of Pathology and Laboratory Medicine, UConn Health, Farmington, Connecticut, United States., Becker K; Department of Surgery, Division of Neurosurgery, UConn Health, Farmington, Connecticut, United States., Moss IL; Department of Orthopedic Surgery, UConn Health, Farmington, Connecticut, United States., Bulsara KR; Department of Surgery, Division of Neurosurgery, UConn Health, Farmington, Connecticut, United States., Onyiuke H; Department of Surgery, Division of Neurosurgery, UConn Health, Farmington, Connecticut, United States.
Jazyk: angličtina
Zdroj: Asian journal of neurosurgery [Asian J Neurosurg] 2022 Oct 12; Vol. 17 (3), pp. 521-526. Date of Electronic Publication: 2022 Oct 12 (Print Publication: 2022).
DOI: 10.1055/s-0042-1756635
Abstrakt: Low-grade, sporadic, pilocytic astrocytomas (PAs) are rare spinal cord tumors diagnosed in adult patients. Their localization to the conus medullaris is exceedingly rare, having only been described in a limited number of case reports. Here, we describe a case of a 22-year-old female presenting with back pain, lower extremity weakness, hypoesthesia, and urinary incontinence. Imaging studies demonstrated a cystic lesion of the conus medullaris that was treated with subtotal resection and cyst-subarachnoid shunt placement. Final pathology report confirmed PA from the histology of surgical specimens. We discuss the current literature of conus medullaris lesions and their differential diagnosis.
Competing Interests: Conflicts of Interest None declared.
(Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje