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Clinics and Practice
Volume 6
Issue 1
10.4081/cp.2016.813
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Diffuse Spinal Leptomeningeal Spread of a Pilocytic Astrocytoma in a 3-Year-Old Child

by
Ameer Alyeldien
1,*,
Sarah Teuber-Hanselmann
2,
Azad Cheko
1,
Tanja Höll
3,
Martin Scholz
1 and
Athanasios K. Petridis
4
1
Department of Neurosurgery, Sana Kliniken, Duisburg, Germany
2
Institute of Neuropathology, University of Duisburg-Essen, Essen, Germany
3
Department of Pediatrics, Sana Kliniken, Duisburg, Germany
4
Department of Neurosurgery, Heinrich Heine University, Düsseldorf, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(1), 813; https://doi.org/10.4081/cp.2016.813
Submission received: 14 October 2015 / Revised: 7 March 2016 / Accepted: 13 March 2016 / Published: 31 March 2016

Abstract

Pilocytic astrocytomas correspond to lowgrade gliomas and therefore metastasize exceedingly rare. However, pilocytic astrocytomas are able to and leptomeningeal dissemination may be seen. What are the treatment options of these cases? We present a case report of a 3-year-old child with a pilocytic astrocytoma of the optic chiasm with leptomeningeal dissemination of the spinal meninges. Partial resection of the cerebral tumor has been performed. Since the leptomeningeal dissemination was seen all over the spinal meninges, the child did not undergo further surgical treatment. A wait and watch strategy were followed. Chemotherapy was initiated, if a 25% tumor growth was seen. Leptomeningeal dissemination of a pilocytic astrocytoma is seen so infrequently that no standard therapy is established. Since these metastases may occur even up to 2 decades after primary tumor resection, long-term follow- up is indicated. In case of spinal metastases, surgical treatment should be performed if feasible. Otherwise observation should be possessed and/or chemotherapy should be initiated.
Keywords: pilocytic astrocytoma; metastasis; spinal dissemination; optic chiasm pilocytic astrocytoma; metastasis; spinal dissemination; optic chiasm

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MDPI and ACS Style

Alyeldien, A.; Teuber-Hanselmann, S.; Cheko, A.; Höll, T.; Scholz, M.; Petridis, A.K. Diffuse Spinal Leptomeningeal Spread of a Pilocytic Astrocytoma in a 3-Year-Old Child. Clin. Pract. 2016, 6, 813. https://doi.org/10.4081/cp.2016.813

AMA Style

Alyeldien A, Teuber-Hanselmann S, Cheko A, Höll T, Scholz M, Petridis AK. Diffuse Spinal Leptomeningeal Spread of a Pilocytic Astrocytoma in a 3-Year-Old Child. Clinics and Practice. 2016; 6(1):813. https://doi.org/10.4081/cp.2016.813

Chicago/Turabian Style

Alyeldien, Ameer, Sarah Teuber-Hanselmann, Azad Cheko, Tanja Höll, Martin Scholz, and Athanasios K. Petridis. 2016. "Diffuse Spinal Leptomeningeal Spread of a Pilocytic Astrocytoma in a 3-Year-Old Child" Clinics and Practice 6, no. 1: 813. https://doi.org/10.4081/cp.2016.813

APA Style

Alyeldien, A., Teuber-Hanselmann, S., Cheko, A., Höll, T., Scholz, M., & Petridis, A. K. (2016). Diffuse Spinal Leptomeningeal Spread of a Pilocytic Astrocytoma in a 3-Year-Old Child. Clinics and Practice, 6(1), 813. https://doi.org/10.4081/cp.2016.813

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