CASE REPORT

Child's Nervous System

, Volume 14, Issue 12, pp 751-755

First online:

Oligodendroglioma of the “widespread” type in the spinal cord

  • T. UshidaAffiliated withDepartment of Orthopedic Surgery, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Kochi, 783 Japan e-mail: ushidat-koc@umin.ac.jp Tel.: +81-888-80-2387 Fax: +81-888-80-2388
  • , Hiroshi SonobeAffiliated withDepartment of Pathology, Kochi Medical School, Nankoku, Kochi, Japan
  • , Hiroo MizobuchiAffiliated withDepartment of Orthopedic Surgery, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Kochi, 783 Japan e-mail: ushidat-koc@umin.ac.jp Tel.: +81-888-80-2387 Fax: +81-888-80-2388
  • , Michio TodaAffiliated withDepartment of Orthopedic Surgery, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Kochi, 783 Japan e-mail: ushidat-koc@umin.ac.jp Tel.: +81-888-80-2387 Fax: +81-888-80-2388
  • , Toshikazu TaniAffiliated withDepartment of Orthopedic Surgery, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Kochi, 783 Japan e-mail: ushidat-koc@umin.ac.jp Tel.: +81-888-80-2387 Fax: +81-888-80-2388
  • , Hiroshi YamamotoAffiliated withDepartment of Orthopedic Surgery, Kochi Medical School, Kohasu, Okoh-cho, Nankoku, Kochi, 783 Japan e-mail: ushidat-koc@umin.ac.jp Tel.: +81-888-80-2387 Fax: +81-888-80-2388

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Abstract

The authors present clinical, radiological, and pathological features of the “widespread” type of primary spinal oligodendroglioma arising in a 12-year-old boy. The initial symptoms were gait disturbance, hypesthesia of the lower trunk, and scoliosis. Gadolinium-enhanced magnetic resonance imaging revealed an intramedullary tumor with syringomyelia. The tumor spread rapidly in a “widespread” pattern within the spinal cord between C7 and T12. One year after surgery the patient had made a poor neurological recovery despite the two-stage tumor resection. Only five cases of widespread tumors, including our case, have been described with discussion of their clinical manifestations.

Key words Scoliosis Intramedullary tumor Syringomyelia