Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Hong Kong Med J. 2012 Jun;18(3):253-5.
We report a case of a non-infantile primary intramedullary spinal cord desmoplastic astrocytoma in an 18-year-old girl who presented with spastic paraparesis. The patient had been unable to run for 1 year. Magnetic resonance imaging of her spine showed an intramedullary solid and cystic heterogeneously enhancing lesion located at T7-T8 level. Partial excision was performed. Histology revealed a desmoplastic astrocytoma. To the best of our knowledge, there is no report on primary desmoplastic astrocytoma of the spinal cord in literature. Nor has such a symptomatic tumour manifesting at the age of 18 years been documented.
我们报告了一例 18 岁女孩的非婴儿型原发性脊髓髓内硬纤维瘤样星形细胞瘤,该患者表现为痉挛性截瘫。患者 1 年来无法跑步。脊柱磁共振成像显示 T7-T8 水平的髓内实性和囊性不均匀强化病变。进行了部分切除。组织学显示为硬纤维瘤样星形细胞瘤。据我们所知,文献中尚无脊髓原发性硬纤维瘤样星形细胞瘤的报道。也没有记录到这种症状性肿瘤在 18 岁时出现。