Jackson Kasey, Lapsia Sameer, Strunc Michael, Tye Gary
Children's Hospital of the King's Daughters, 600 Childrens Ln, Norfolk, VA 23507, USA.
Medical College of Virginia, Richmond, VA 23219, USA.
Radiol Case Rep. 2017 Oct 18;13(1):284-288. doi: 10.1016/j.radcr.2017.05.002. eCollection 2018 Feb.
A previously healthy male presented at age 5 years with recurrent abdominal pain that occurred diffusely. The pain was severe enough to cause episodic screaming, especially at night with spontaneous resolution. The patient was initially treated for constipation but when motor symptoms began to develop, imaging revealed the cause of his pain to be a spinal cord mass. The tumor was treated with steroids, and biopsy confirmed a grade II spinal cord astrocytoma. We describe this unusual presentation of a pediatric spinal cord astrocytoma and review the literature.
一名既往健康的男性在5岁时出现反复弥漫性腹痛。疼痛严重到足以引起发作性尖叫，尤其是在夜间，可自行缓解。患者最初因便秘接受治疗，但当运动症状开始出现时，影像学检查显示其疼痛原因是脊髓肿块。该肿瘤接受了类固醇治疗，活检证实为II级脊髓星形细胞瘤。我们描述了这种小儿脊髓星形细胞瘤的不寻常表现，并对文献进行了综述。
