Lau B H, Lin M I, Sung T C, Wei C P, Peng H L, Lee C C
Department of Pediatrics Shin Kong Wu Ho Su Memorial Hospital, Taipei, Taiwan, R.O.C.
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1998 Jan-Feb;39(1):48-50.
Intramedullary spinal cord astrocytoma in infants is relatively uncommon. Its occurrence is usually confined to the cervical and cervicothoracic regions. In this paper, we report on the case of a 4-month old male infant with low grade holocord intramedullary spinal cord astrocytoma. He had developed progressive weakness of the lower extremities over a month period. Neurological examination revealed flaccid paraplegia as well as complete loss of all modalities of sensation below the T10 level. MRI revealed a large intramedullary mass which was found to be an intramedullary astrocytoma at surgery. This case report presents the clinical features, radiographic findings, and treatment and outcome for this patient together with a review of relevant literature.
婴儿脊髓内星形细胞瘤相对少见。其发病通常局限于颈段和颈胸段。在本文中,我们报告了一例4个月大的男性婴儿,患有低度全脊髓脊髓内星形细胞瘤。他在一个月内出现了下肢进行性无力。神经系统检查显示弛缓性截瘫以及T10水平以下所有感觉完全丧失。MRI显示一个大的脊髓内肿块,手术中发现为脊髓内星形细胞瘤。本病例报告介绍了该患者的临床特征、影像学表现、治疗及结果,并对相关文献进行了综述。