Intraspinal seeding from intracranial tumors in children

Stanley, Philip M.; Senac, M O; Segall, H D

doi:10.2214/ajr.144.1.157

Cited by 34 publications

(19 citation statements)

References 4 publications

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“…Detection of spinal metastases is important in determining the patient's therapy. MM has been recommended in the immediate postoperative period to detect spinal metastases [1,7,8,10,12,18]. Children who have metastases are in a 'high-risk' group that should recieve additional irradiation to the deposits [6,8] and aggressive chemotherapy [1][2][3]12].…”

Section: Discussionmentioning

confidence: 99%

“…All of our patients with positive studies were found to have deposits in the dorsal thorac ic region. The high incidence of dorsal thoracic metastases has been previously noted and is attributed to the natural circulatory flow of CSF over the dorsal surface of the spinal cord [4,18]. Supine views of the thoracic region during MM have been recommended for this reason.…”

Section: Discussionmentioning

confidence: 99%

“…Detection of these métastasés is important for staging the disease and guiding therapy. Many centers use conventional metrizamide myelography (MM) in the postoperative period to detect spinal métastasés [1,7,8,10,12,18]. CT metrizamide myelography (CTMM) is an alternative method with several advantages over MM.…”

Section: Introductionmentioning

confidence: 99%

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Spinal Metastasis in Primitive Neuroectodermal Tumors (Medulloblastoma) of the Posterior Fossa: Evaluation with CT Myelography and Correlation with Patient Age and Tumor Differentiation

George¹,

Laurent²,

McCluggage

et al. 1985

Pediatr Neurosurg

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Twelve consecutive children with primitive neuroectodermal tumors of the posterior fossa (PNET-PF) were evaluated for spinal metastases with CT metrizamide myelography (CTMM) in the early postoperative period. Metastases were identified in 5 children (42%) and all were noted to have deposits in the thoracic region. All children with metastases were less than 3 years old and had differentiated PNET-PF.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spinal Metastasis in Primitive Neuroectodermal Tumors (Medulloblastoma) of the Posterior Fossa: Evaluation with CT Myelography and Correlation with Patient Age and Tumor Differentiation

George¹,

Laurent²,

McCluggage

et al. 1985

Pediatr Neurosurg

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“…The most common sites in spine are the lower thoracic, upper lumbar and lumbosacral regions. Intramedullary metastases are rare (3)(4)(5). The mechanism of spread is leptomeningeal invasion of basement membrane structures, with subependymal growth and invasion of the choroid plexus, eventually leading to metastatic spread along CSF (6).…”

Section: Discussionmentioning

confidence: 99%

A Glioblastoma Multiforme Case Spread to Lomber Spine

Öztürk¹,

Tufan²,

Benekli³

et al. 2011

Acta Oncol Tur.

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ÖZETGlioblastoma multiformenin (GBM) serebrospinal sıvı aracılığı ile omurgaya metastazı sık görülen bir durum değildir. Biz burada cerrahi ve kemoradyoterapi ile lokal tedavisinden sonra omurgaya metastaz yapan bir intrakranial GBM olgusunu sunduk. Hasta kranial GBM ile ilk gelişinden bir yıl sonra bel ağrısı ve alt ekstremitelerde güçsüzlükle başvurdu. Lomber magnetik rezonans görüntüleme incelemesinde L1'de intradural kitle izlendi. Yapılan eksizyonel biyopside GBM gösterildi. Anahtar Kelimeler: Glioblastoma multiforme; Metastaz; Omurga ABSTRACTThe metastasis of glioblastoma multiforme (GBM) to spine via cerebrospinal fluid is not a common case. We presented an intracranial GBM case metastasized to spine after local treatment of cranial lesion with surgery and chemoradiotherapy. Patient admitted with low back pain and lower limb weakness one year after the diagnosis of cranial GBM. Lumbar magnetic resonance imaging demonstrated intradural mass at the level of L1. Pathology of the excisional biopsy showed GBM.

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“…This standardized approach to the staging and surveil lance of children with brain tumors (BTs) divides major tumor types into relatively homogeneous subgroupings based on the likelihood of tumor relapse, time from diag nosis to progression and pattern of disease spread at diag nosis and at relapse [5][6][7][8][9]. The three subsets (table 1) are not meant to be comprehensive, but to include the major pediatric CNS tumor types.…”

Section: Subdivisionmentioning

confidence: 99%

Staging and Surveillance of Children with Central Nervous System Neoplasms: Recommendations of the Neurology and Tumor Imaging Committees of the Children’s Cancer Group

et al. 1994

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Standardization of the baseline and surveillance evaluation of children with central nervous system (CNS) tumors could contribute to understanding tumor behavior, establishing prognoses, directing treatment, and interpreting multi-institutional cooperative study data. A tumor categorization schedule, based on recognized patterns of CNS tumor behavior involving ‘aggressiveness’ as assessed by the likelihood for neuraxis dissemination, relative time to progression and pattern of disease recurrence is presented. Included are the most common histologic subtypes of pediatric CNS neoplasms. No attempt has been made to include all histologic subtypes of pediatric CNS neoplasms. Using this categorization as a framework, recommendations are suggested for baseline evaluations at diagnosis and in surveillance.

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Intraspinal seeding from intracranial tumors in children

Cited by 34 publications

References 4 publications

Spinal Metastasis in Primitive Neuroectodermal Tumors (Medulloblastoma) of the Posterior Fossa: Evaluation with CT Myelography and Correlation with Patient Age and Tumor Differentiation

Spinal Metastasis in Primitive Neuroectodermal Tumors (Medulloblastoma) of the Posterior Fossa: Evaluation with CT Myelography and Correlation with Patient Age and Tumor Differentiation

A Glioblastoma Multiforme Case Spread to Lomber Spine

Staging and Surveillance of Children with Central Nervous System Neoplasms: Recommendations of the Neurology and Tumor Imaging Committees of the Children’s Cancer Group

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