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Cerebellar Anaplastic Astrocytoma with Metastasis to the Cauda Equina
Sung Wun Jung, M.D., Kwan Ho Park, M.D., Jae O Kim, M.D. and Jeong Chul Kim, M.D.
Department of Neurosurgery, Seoul Veterans Hospital, Seoul, Korea
Cerebellar Anaplastic Astrocytoma with Metastasis to the Cauda Equina
Sung Wun Jung, M.D., Kwan Ho Park, M.D., Jae O Kim, M.D. and Jeong Chul Kim, M.D.
Department of Neurosurgery, Seoul Veterans Hospital, Seoul, Korea
Abstract
We report the case of a 74-year-old man with spinal metastasis from a cerebellar anaplastic astrocytoma. The patient received radiation therapy and experienced no recurrence of the brain tumor. However, he developed spinal metastasis 4 months after radiation therapy of the cerebellar tumor. He presented with back pain, a radiating pain to both legs, and a walking difficulty. Magnetic resonance(MR) images of the spine revealed a round mass intradurally at L2-3. A laminectomy was performed and the intradural tumor was subtotally resected. A microscopic examination revealed spinal metastasis of the anaplastic astrocytoma. He received radiation to the lumbar spine. We report a case of spinal seeding of an anaplastic astrocytoma of the cerebellum.
Keywords: Anaplastic astrocytomaㆍCerebellumㆍSpinal metastasisㆍRadiation therapy


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