Tedeschi G, Spaziante R, Corriero G, Gambardella A, Pettinato G
Neurochirurgia (Stuttg). 1982 Jan;25(1):27-30. doi: 10.1055/s-2008-1053952.
The authors report a case of a Grade 2 astrocytoma with pan-medullary extension, from C1 to L2, in a little girl aged 12. It was successfully operated on. The clinical picture showed an initial acute paraplegia which suddenly turned into tetraplegia with respiratory insufficiency and second degree coma. Besides the rarity of the case, some atypical aspects are pointed out, such as the patient's youth and the partially aggressive character of the neoplasm. The surgical implications of such pan-medullary tumours are discussed, the authors emphasize the aspects that in their opinion indicate exploratory surgery and, when possible, total removal of the tumours.
作者报告了一例12岁小女孩的二级星形细胞瘤，肿瘤从C1延伸至L2，累及整个脊髓。该病例成功接受了手术治疗。临床表现起初为急性截瘫，随后突然转变为四肢瘫，并伴有呼吸功能不全和二度昏迷。除了该病例的罕见性外，还指出了一些非典型特征，如患者的年轻以及肿瘤部分具有侵袭性的特点。文中讨论了此类累及整个脊髓肿瘤的手术意义，作者强调了他们认为表明应进行探查性手术并在可能情况下完全切除肿瘤的相关方面。
