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Anaplastic oligodendroglioma presenting with drop metastases in the cauda equina.
Clin Neurol Neurosurg. 2005 Aug; 107(5):417-20.CN

Abstract

Metastatic involvement of the cerebro-spinal fluid (CSF) pathway in oligodendrogliomas is not uncommon; however, symptomatic involvement of the spinal cord is very rare: less of 10 cases have been published. To our knowledge, an intracranial oligodendroglioma presenting with symptoms of drop metastases in the cauda equina has never been reported. We report a case of 67-year-old woman who after 1 month of severe low back and legs pain developed symptoms of raised intracranial pressure. A spinal cord MRI showed multiple intradural nodular lesions at the level of the cauda equina, a MRI of the brain showed an intraventricular brain tumor. The histopathological diagnosis of both surgically treated lesions was anaplastic oligodendroglioma. The choices adopted in planning diagnostic and therapeutical procedures are discussed. The importance of the clinical and neuroradiological data in the diagnosis is stressed. Pathophysiology of the seeding of intracranial tumours via the cerebrospinal fluid is reviewed.

Authors+Show Affiliations

Department of Neurosurgery, Second University of Naples, c/o Ospedale CTO, Viale dei Colli Aminei 21, 80100, Naples, Italy.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16023538

Citation

Natale, Massimo, et al. "Anaplastic Oligodendroglioma Presenting With Drop Metastases in the Cauda Equina." Clinical Neurology and Neurosurgery, vol. 107, no. 5, 2005, pp. 417-20.
Natale M, Spennato P, Savarese L, et al. Anaplastic oligodendroglioma presenting with drop metastases in the cauda equina. Clin Neurol Neurosurg. 2005;107(5):417-20.
Natale, M., Spennato, P., Savarese, L., Bocchetti, A., Esposito, S., & Barbato, R. (2005). Anaplastic oligodendroglioma presenting with drop metastases in the cauda equina. Clinical Neurology and Neurosurgery, 107(5), 417-20.
Natale M, et al. Anaplastic Oligodendroglioma Presenting With Drop Metastases in the Cauda Equina. Clin Neurol Neurosurg. 2005;107(5):417-20. PubMed PMID: 16023538.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anaplastic oligodendroglioma presenting with drop metastases in the cauda equina. AU - Natale,Massimo, AU - Spennato,Pietro, AU - Savarese,Luciano, AU - Bocchetti,Antonio, AU - Esposito,Salvatore, AU - Barbato,Rosario, PY - 2004/06/27/received PY - 2004/09/03/revised PY - 2004/09/07/accepted PY - 2005/7/19/pubmed PY - 2005/10/12/medline PY - 2005/7/19/entrez SP - 417 EP - 20 JF - Clinical neurology and neurosurgery JO - Clin Neurol Neurosurg VL - 107 IS - 5 N2 - Metastatic involvement of the cerebro-spinal fluid (CSF) pathway in oligodendrogliomas is not uncommon; however, symptomatic involvement of the spinal cord is very rare: less of 10 cases have been published. To our knowledge, an intracranial oligodendroglioma presenting with symptoms of drop metastases in the cauda equina has never been reported. We report a case of 67-year-old woman who after 1 month of severe low back and legs pain developed symptoms of raised intracranial pressure. A spinal cord MRI showed multiple intradural nodular lesions at the level of the cauda equina, a MRI of the brain showed an intraventricular brain tumor. The histopathological diagnosis of both surgically treated lesions was anaplastic oligodendroglioma. The choices adopted in planning diagnostic and therapeutical procedures are discussed. The importance of the clinical and neuroradiological data in the diagnosis is stressed. Pathophysiology of the seeding of intracranial tumours via the cerebrospinal fluid is reviewed. SN - 0303-8467 UR - https://www.unboundmedicine.com/medline/citation/16023538/Anaplastic_oligodendroglioma_presenting_with_drop_metastases_in_the_cauda_equina_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0303-8467(04)00138-6 DB - PRIME DP - Unbound Medicine ER -