Adult Intramedullary Anaplastic Astrocytoma in the Spinal Cord: A casereport

Authors

Liang-Cheng Chen
Kao-Chung Tsai
Fu-Kong Lieu

Translated Title

成人脊髓內惡性星狀細胞瘤：病例報告

Abstract

Adult anaplastic astrocytomas comprise a small subset of intramedullary spinal cord tumors and carry a dismal prognosis. Characteristically, a short prodrome occurs only several weeks before diagnosis, followed by progressive neurological deterioration and death. This article describes a 48-year-old male patient suffering from lower back pain with radiculagia and progressive weakness of both lower limbs for 5 months. The patient was initially diagnosed as having a lower lumbarintervertebral disc herniation and underwent laminectomy with spinal rods instrumentation two months following the diagnosis. The symptoms gradually worsened and cauda equina syndrome developed thereafter. Two months later, a second subtotal cytoreductive surgery was performed and anaplastic intramedullary astrocytoma was proved by pathology results. Based on this casereport, careful history taking and detailed examination should be emphasized in patients inflicted with lower back pain and progressive sensory and motor deficits.

Language

Traditional Chinese

First Page

79

Last Page

84

Recommended Citation

Chen, Liang-Cheng; Tsai, Kao-Chung; and Lieu, Fu-Kong (1999) "Adult Intramedullary Anaplastic Astrocytoma in the Spinal Cord: A casereport," Rehabilitation Practice and Science: Vol. 27: Iss. 2, Article 6.
DOI: https://doi.org/10.6315/3005-3846.2070
Available at: https://rps.researchcommons.org/journal/vol27/iss2/6