Advertisement

Child's Nervous System

, Volume 5, Issue 2, pp 118–120 | Cite as

Spinal metastasis of pilocytic astrocytoma of the chiasma opticum

  • W. Kocks
  • R. Kalff
  • V. Reinhardt
  • W. Grote
  • J. Hilke
Case Reports

Abstract

We report a case of spinal seeding of a pilocytic astrocytoma of the chiasma opticum. Microscopic examination of the optic nerve tumor and the spinal tumor showed the same pathological patterns, without any signs of anaplastic transformation. The clinical course demonstrates the low growth rate of this kind of tumor, but spinal metastasis has not yet been described. We discuss different pathophysiological explanations of this atypical biological behavior with reference to the literature.

Key words

Pilocytic astrocytoma Optic spongioblastoma Spinal metastasis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Abbott KH, Love JG (1943) Metastasizing intracranial tumors. Ann Surg 118:343–352Google Scholar
  2. 2.
    Auer RN, Rice GPA, Hinton GG, Amacker AL, Gilbert JJ (1981) Cerebellar astrocytoma with benign histology and malignant clinical course. J Neurosurg 54:128–132Google Scholar
  3. 3.
    Bailey P, Cushing H (1926) A classification of the tumors of the glioma group on a histogenetic basis with a correlation study of prognosis. Lippincott, PhiladelphiaGoogle Scholar
  4. 4.
    Bernell WR, Kepes JJ, Seits EP (1972) Late malignant recurrence of childhood cerebellar astrocytoma. Report of two cases. J Neurosurg 37:470–474Google Scholar
  5. 5.
    Buchmann E, Zülch KJ (1959) Zur Frage der postoperativen Überlebensdauer und der Fernmetastasierung beim Medulloblastom des Kleinhirns. Acta Neurochir (Wien) 7:263–273Google Scholar
  6. 6.
    Budka H (1975) Partially resected and irradiated cerebellar astrocytoma of childhood; malignant evolution after 28 years. Acta Neurochir (Wien) 32:129–146Google Scholar
  7. 7.
    Debmann IW, Staple TW (1973) Osseous metastases from cerebellar medullo-blastomas. Radiology 107:363–365Google Scholar
  8. 8.
    Enestron S (1966) Meningeal relations of primary brain tumors. Cancer 19:1117–1123Google Scholar
  9. 9.
    Geissinger JD, Bucy PC (1971) Astrocytoma of the cerebellum in children. Arch Neurol 24:125–135Google Scholar
  10. 10.
    Gjernis F, Klinken L (1978) Long-term prognosis in children with benign cerebellar astrocytoma. J Neurosurg 49:179–184Google Scholar
  11. 11.
    Gyepes MT, D'Angio GJ (1966) Extracranial metastases from central nervous system tumours in children and adolescents. Radiology 87:55–63Google Scholar
  12. 12.
    Kepes JJ, Levis RC, Vegara GG (1980) Cerebellar astrocytoma invading the musculature and soft tissues of the neck. J Neurosurg 52:414–418Google Scholar
  13. 13.
    Kleinmann GM, Schoene WC, Walske TM, Richardson EPJ (1978) Malignant transformation in benign cerebellar astrocytoma. J Neurosurg 49:111–118Google Scholar
  14. 14.
    Miltz H, Thal HU (1978) Catamnestic examinations of patients with cerebellar tumors. Acta Neurochir (Wien) 5:266–268Google Scholar
  15. 15.
    Russel DS, Rubinstein LJ (1971) Pathology of tumours of the nervous system, 3rd edn. Arnold, London, pp 252–259Google Scholar
  16. 16.
    Schisano G, Tovi D, Nordenstam H (1963) Spongioblastoma polare of the cerebral hemisphere. J Neurosurg 20:241–251Google Scholar
  17. 17.
    Scott M, Ballantine MTJ (1973) Cerebellar astrocytoma: malignant recurrence after prolonged postoperative survival. J Neurosurg 39:777–779Google Scholar
  18. 18.
    Shapiro K, Shulman K (1976) Spinal cord seeding from cerebellar astrocytomas. Child's Brain 2:177–186Google Scholar
  19. 19.
    Wolf A, Cowen D, Stewart WE (1954) Glioblastoma with extraneural metastases by way of a ventriculopleural anastomosis. Trans Am Neurol Assoc 79:140–142Google Scholar
  20. 20.
    Zülch KJ (1986) Brain tumors. Springer, Berlin Heidelberg New York, pp 231Google Scholar

Copyright information

© Springer-Verlag 1989

Authors and Affiliations

  • W. Kocks
    • 1
  • R. Kalff
    • 1
  • V. Reinhardt
    • 1
    • 2
  • W. Grote
    • 1
  • J. Hilke
    • 1
  1. 1.Department of NeurosurgeryUniversity of EssenEssen 1Federal Republic of Germany
  2. 2.Department of NeuropathologyUniversity of EssenEssen 1Federal Republic of Germany

Personalised recommendations