Spinal low-grade neoplasm with leptomeningeal dissemination mimicking tuberculous meningitis in a child

DEMIR H. A., VARAN A., AKYÜZ C., SOYLEMEZOGLU F., CILA A., Buyukpamukcu M.

CHILDS NERVOUS SYSTEM, vol.27, no.1, pp.187-192, 2011 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 27 Issue: 1
  • Publication Date: 2011
  • Doi Number: 10.1007/s00381-010-1218-7
  • Journal Name: CHILDS NERVOUS SYSTEM
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.187-192
  • Hacettepe University Affiliated: Yes

Abstract

Spinal seeding of primary malignant intracranial tumors via CSF is common. However, this is rare in low-grade glial tumors. Cranial leptomeningeal metastasis of primary spinal cord low-grade gliomas at diagnosis or relapse is extremely rare. Leptomeningeal metastasis of spinal cord low-grade tumors may mimic tuberculous meningitis in children. A patient with primary spinal cord low-grade neoplasm mimicked tuberculous meningitis is presented. The patient successfully treated with chemoradiotherapy. At the end of 19-month follow-up, diffuse leptomeningeal infiltration and a dural mass compatible with relapse developed. Chemoradiotherapy was started.