A comprehensive evaluation of imaging features in pediatric spinal gliomas and their value in predicting tumor grade and histology
Neuroradiology,
Journal Year:
2024,
Volume and Issue:
66(8), P. 1311 - 1324
Published: June 20, 2024
Abstract
Purpose
Pediatric
spinal
cord
gliomas
(PSGs)
are
rare
in
children
and
few
reports
detail
their
imaging
features.
We
tested
the
association
of
tumoral
grade
with
features
proposed
a
novel
approach
to
categorize
post-contrast
enhancement
patterns
PSGs.
Methods
This
single-center,
retrospective
study
included
patients
<21
years
age
preoperative
MRI
confirmed
pathological
diagnosis
PSG
from
2000-2022.
Tumors
were
classified
using
5th
edition
WHO
CNS
Classification.
Two
radiologists
reviewed
multiple
features,
approach.
Fisher's
exact
test
determined
associations
between
histological
Results
Forty-one
PSGs
reviewed.
Thirty-four
intramedullary,
seven
extramedullary.
Pilocytic
astrocytoma
was
most
common
tumor
(39.02%).
Pain
weakness
prevalent
symptoms.
Seven
(17.07%)
died.
Cyst,
syringomyelia,
leptomeningeal
associated
grade.
Widening
canal
observed
only
low-grade
astrocytomas.
There
significant
contrast
pattern.
Specifically,
more
likely
exhibit
type
1A
(mass-like,
well-defined
enhancing
margins)
less
1B
ill-defined
margins).
Conclusion
display
overlapping
making
differentiation
challenging
based
solely
on
imaging.
The
correlation
suggests
potential
diagnostic
avenue,
requiring
further
validation
larger,
multicenter
studies.
Furthermore,
Low-grade
cysts
syringomyelia
frequently,
is
common.
Language: Английский
Intramedullary pediatric low-grade glioma of the spine
Child s Nervous System,
Journal Year:
2024,
Volume and Issue:
40(10), P. 3107 - 3117
Published: June 21, 2024
Language: Английский
Radiology of Spinal Tumors
Published: June 10, 2024
Spinal
cord
and
paraspinal
mass
lesions
can
be
identified
radiologically,
allowing
for
the
planning
of
treatment
processes.Magnetic
Resonance
Imaging
(MRI)
is
most
important
non-invasive
radiological
method
identifying
spinal
.
Apart
from
its
lack
ionizing
radiation,
MRI
used
diagnosing
affecting
due
to
high
soft
tissue
resolution
Moreover,
preoperative
imaging
brain
spine
mandatory
exclude
cerebrospinal
fluid
displacing
masses.
Lesions
within
typically
demonstrate
contrast
enhancement.
Detection
malignant
cysts
lesion
crucial
surgery.
Peripheral
enhancement
necessitates
resection.
A
comprehensive
should
include
contrast-enhanced
metastatic
in
cases
detection.
intracranial
neoplasms.
Language: Английский
Unmasking the Mystery of A Hidden Syrinx: Case Report of Progressive Paralysis in A 20-Year-Old Male with Intact Pain and Temperature Sensations
Muhammad Sohail Ajmal Ghoauri,
No information about this author
Nauman Ismat Butt,
No information about this author
Mutahra Khaliq
No information about this author
et al.
Journal of Bahria University Medical and Dental College,
Journal Year:
2023,
Volume and Issue:
13(02), P. 244 - 246
Published: July 16, 2023
Syringomyelia
is
a
progressive
neurological
disorder
in
which
fluid-filled
cyst
known
as
syrinx
forms
within
the
spinal
cord.
The
case
of
20-year
adult
presented
with
lower
limb
stiffness
and
difficulty
walking
for
last
3
years.
For
1
year,
he
also
developed
upper
limbs.
Upon
examination,
had
spastic
gait
no
ataxia.
There
was
muscle
wasting
both
limbs,
fasciculation.
Tone
increased
reduced
power
hyperreflexia
bilaterally
all
four
limbs
positive
ankle
clonus
upgoing
plantars
bilaterally.
Sensory
system,
cerebellum
higher
motor
functions
were
intact.
MRI
scan
revealed
an
abnormal
intramedullary
multifocal
T2WI
hyper
intense
signal
cervical
thoracic
cord
consistent
diagnosed
Syringomyelia.
This
uncommon
presentation
presenting
predominantly
neuron
lesion
without
sensory
involvement
Language: Английский