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DOI: 10.1055/s-2006-955066
© Georg Thieme Verlag KG · Stuttgart · New York
Spinal Cord Gliomas and Hydrocephalus: Utility of Neuroendoscopy
Publikationsverlauf
Publikationsdatum:
23. Februar 2007 (online)
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Abstract
Objective: The aim of this study is to report on the role of neuroendoscopy during the management of hydrocephalus that led to the diagnosis of intracranial tumoral dissemination and the subsequent finding of a spinal cord glioma. Methods and Results: We present two children each with an intramedullary astrocytoma that presented initially with hydrocephalus without spinal cord symptoms. In both cases leptomeningeal gliomatous dissemination was asserted during routine endoscopy for the management of hydrocephalus. The diagnosis of a cervical and a lower thoracic intramedullary tumor was made soon after on magnetic resonance imaging. Conclusions: Spinal cord MRI with contrast should be considered initially in selected cases of hydrocephalus without evident diagnosis. The intraoperative diagnosis of gliomatous dissemination and secondary hydrocephalus due to unrecognized spinal cord gliomas was possible, in our experience, with the routine use of the neuroendoscope.
Key words
Spinal cord glioma - tumoral dissemination - neuroendoscopy - hydrocephalus - cerebrospinal fluid
References
- 1 Cinalli G, Sainte-Rose C, Lellouch-Tubiana A, Sebag G, Renier D, Pierre-Kahn A. Hydrocephalus associated with intramedullary low-grade glioma. Illustrative cases and review of the literature. J Neurosurg. 1995; 83 480-485
- 2 Rifkinson-Mann S, Wisoff JH, Epstein F. The association of hydrocephalus with intramedullary spinal cord tumors: a series of 25 patients. Neurosurgery. 1990; 27 749-754
- 3 Prasad VS, Basha A, Prasad BC, Reddy DR. Intraspinal tumor presenting as hydrocephalus in childhood. Childs Nerv Syst. 1994; 10 156-157
- 4 Schijman E, Zuccaro G, Monges JA. Spinal tumors and hydrocephalus. Childs Brain. 1981; 8 401-405
- 5 Gelabert M, Bollar A, Paseiro MJ, Allut AG. Hydrocephalus and intraspinal tumor in childhood. Childs Nerv Syst. 1990; 6 110-112
- 6 Oi S, Raimondi AJ. Hydrocephalus associated with intraspinal neoplasms in childhood. Am J Dis Child. 1981; 135 1122-1124
- 7 Caviness JA, Tucker MH, Pia SK, Tam DA. Hydrocephalus as a possible early symptom in a child with a spinal cord tumor. Pediatr Neurol. 1998; 18 169-171
- 8 Houten JK, Weiner HL. Pediatric intramedullary spinal cord tumors: special considerations. J Neurooncol. 2000; 47 225-230
- 9 Jooma R, Hayward RD. Upward spinal coning: impaction of occult spinal tumors following relief of hydrocephalus. J Neurol Neurosurg Psychiatry. 1984; 47 386-390
- 10 Kudo H, Tamaki N, Kim S, Shirataki K, Matsumoto S. Intraspinal tumors associated with hydrocephalus. Neurosurgery. 1987; 21 726-731
- 11 Miller G, Towfighi J, Page RB. Spinal cord ganglioglioma presenting as hydrocephalus. J Neurooncol. 1990; 9 147-152
- 12 Neau JP, Roualdes G, Bataille B, Boissonnot L, Muckensturm B, Salles M, Bontoux D, Gil R, Lefevre JP. [Intracranial hypertension and hydrocephalus caused by spinal cord tumors. Apropos of 3 cases]. Neurochirurgie. 1987; 33 216-219
- 13 Purohit AK, Dinakar I, Sundaram C, Ratnakar KS. Anaplastic astrocytoma of the spinal cord presenting with features of raised intracranial pressure. Childs Nerv Syst. 1990; 6 113-115
- 14 Bamford CR, Labadie EL. Reversal of dementia in normotensive hydrocephalus after removal of a cauda equina tumor. Case report. J Neurosurg. 1976; 45 104-107
- 15 Maurice-Williams RS, Lucey JJ. Raised intracranial pressure due to spinal tumors: 3 rare cases with a probable common mechanism. Br J Surg. 1975; 62 92-95
- 16 Zavala LM, Adler JR, Greene CS, Winston KR. Hydrocephalus and intraspinal tumor. Neurosurgery. 1988; 22 751-754
- 17 Bakshi A, Patir R, Bakshi A, Banerji AK. A multifunctional, modified rigid neuroendoscopic system: clinical experience with 83 procedures. Technical note. J Neurosurg. 2003; 99 421-425
- 18 Macarthur DC, Buxton N, Punt J, Vloeberghs M, Robertson IJ. The role of neuroendoscopy in the management of brain tumors. Br J Neurosurg. 2002; 16 465-470
- 19 Sainte-Rose C, Cinalli G, Roux FE, Maixner R, Chumas PD, Mansour M, Carpentier A, Bourgeois M, Zerah M, Pierre-Kahn A, Renier D. Management of hydrocephalus in pediatric patients with posterior fossa tumors: the role of endoscopic third ventriculostomy. J Neurosurg. 2001; 95 791-797
- 20 Gangemi M, Maiuri F, Colella G, Sardo L. Endoscopic surgery for large posterior fossa arachnoid cysts. Minim Invas Neurosurg. 2001; 44 21-24
- 21 Matula C, Reinprecht A, Roessler K, Tschabitscher M, Koos WT. Endoscopic exploration of the IVth ventricle. Minim Invas Neurosurg. 1996; 39 86-92
- 22 Feng H, Huang G, Liao X, Fu K, Tan H, Pu H, Cheng Y, Liu W, Zhao D. Endoscopic third ventriculostomy in the management of obstructive hydrocephalus: an outcome analysis. J Neurosurg. 2004; 100 626-633
- 23 Schroeder HW, Oertel J, Gaab MR. Endoscope-assisted microsurgical resection of epidermoid tumors of the cerebellopontine angle. J Neurosurg. 2004; 101 227-232
Correspondence
Marcelo GalarzaM.D.
Division of Neurosurgery·Villa Maria Cecilia Hospital
48010 Cotignola RA
Italy
Telefon: +39/0545/21 71 11
Fax: +39/0545/21 72 01
eMail: galarza.marcelo@gmail.com