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

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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.

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Authors and Affiliations

  1. Department of Pediatric Oncology, Institute of Oncology, Hacettepe University, 06100, Ankara, Turkey

    Hacı Ahmet Demir, Ali Varan, Canan Akyüz & Münevver Büyükpamukçu

  2. Department of Pathology, Faculty of Medicine, Hacettepe University, 06100, Ankara, Turkey

    Figen Söylemezoğlu

  3. Department of Radiology, Faculty of Medicine, Hacettepe University, 06100, Ankara, Turkey

    Ayşenur Cila

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  1. Hacı Ahmet Demir
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  2. Ali Varan
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  3. Canan Akyüz
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  4. Figen Söylemezoğlu
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  5. Ayşenur Cila
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  6. Münevver Büyükpamukçu
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Correspondence to Hacı Ahmet Demir.

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Demir, H.A., Varan, A., Akyüz, C. et al. Spinal low-grade neoplasm with leptomeningeal dissemination mimicking tuberculous meningitis in a child. Childs Nerv Syst 27, 187–192 (2011). https://doi.org/10.1007/s00381-010-1218-7

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  • DOI: https://doi.org/10.1007/s00381-010-1218-7

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