Spinal leptomeningeal metastasis from cerebral glioblastoma multiforme presenting with radicular pain: case report and literature review.
Surg Neurol
; 56(1): 33-7; discussion 37-8, 2001 Jul.
Article
em En
| MEDLINE
| ID: mdl-11546569
ABSTRACT
BACKGROUND:
We present a case of spinal leptomeningeal metastasis from an intracranial glioblastoma multiforme that presented with radicular pain. CASE DESCRIPTION A 55-year-old man with a previously treated supratentorial glioblastoma multiforme presented with a 12-month history of thoracic radicular pain. MRI of the thoracic spine demonstrated an intradural extramedullary metastatic tumor deposit at the levels of T8-T10. External beam radiotherapy to the thoracic spine provided a minimal decrease in the intensity of the radicular pain. The lack of appreciation of the metastatic potential of the primary intracranial tumor resulted in delayed diagnosis and treatment.CONCLUSION:
Spinal leptomeningeal metastasis needs to be suspected in patients with a past history of intracranial glioblastoma multiforme, who present with the clinical features of radiculopathy or myelopathy. Awareness of this condition will facilitate appropriate intervention.
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Base de dados:
MEDLINE
Assunto principal:
Radiculopatia
/
Neoplasias da Medula Espinal
/
Neoplasias Supratentoriais
/
Glioblastoma
/
Neoplasias Meníngeas
Idioma:
En
Ano de publicação:
2001
Tipo de documento:
Article