Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols

Management of patients with medulloblastoma presenting with multiple metastasis in subarachnoid space preoperatively is unclear. An 11–year-old boy presented with vermian medulloblastoma with an unusually long segment cervico-dorsal lesion and suprasellar lesion. The child underwent a posterior foss...

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Autores principales: Salunke, Pravin, Gupta, Kirti, Kovai, Priyamvadha, Sura, Sukumar, Aggarwal, Ashish
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296416/
https://www.ncbi.nlm.nih.gov/pubmed/22408671
http://dx.doi.org/10.4103/1817-1745.92849
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author Salunke, Pravin
Gupta, Kirti
Kovai, Priyamvadha
Sura, Sukumar
Aggarwal, Ashish
author_facet Salunke, Pravin
Gupta, Kirti
Kovai, Priyamvadha
Sura, Sukumar
Aggarwal, Ashish
author_sort Salunke, Pravin
collection PubMed
description Management of patients with medulloblastoma presenting with multiple metastasis in subarachnoid space preoperatively is unclear. An 11–year-old boy presented with vermian medulloblastoma with an unusually long segment cervico-dorsal lesion and suprasellar lesion. The child underwent a posterior fossa craniotomy (prone position) and excision of vermian mass. He developed paraplegia in the immediate postoperative period, the possible causes for which are being discussed. Besides, treatment options for patients presenting with disseminated disease preoperatively have been highlighted. Preoperative chemotherapy to downstage such lesions may be tried and such complications could be avoided.
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spelling pubmed-32964162012-03-09 Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols Salunke, Pravin Gupta, Kirti Kovai, Priyamvadha Sura, Sukumar Aggarwal, Ashish J Pediatr Neurosci Case Report Management of patients with medulloblastoma presenting with multiple metastasis in subarachnoid space preoperatively is unclear. An 11–year-old boy presented with vermian medulloblastoma with an unusually long segment cervico-dorsal lesion and suprasellar lesion. The child underwent a posterior fossa craniotomy (prone position) and excision of vermian mass. He developed paraplegia in the immediate postoperative period, the possible causes for which are being discussed. Besides, treatment options for patients presenting with disseminated disease preoperatively have been highlighted. Preoperative chemotherapy to downstage such lesions may be tried and such complications could be avoided. Medknow Publications & Media Pvt Ltd 2011 /pmc/articles/PMC3296416/ /pubmed/22408671 http://dx.doi.org/10.4103/1817-1745.92849 Text en Copyright: © Journal of Pediatric Neurosciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Salunke, Pravin
Gupta, Kirti
Kovai, Priyamvadha
Sura, Sukumar
Aggarwal, Ashish
Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols
title Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols
title_full Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols
title_fullStr Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols
title_full_unstemmed Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols
title_short Preoperative diffuse leptomeningeal spread in a medulloblastoma: Paraplegia following surgery for posterior fossa and call for newer management protocols
title_sort preoperative diffuse leptomeningeal spread in a medulloblastoma: paraplegia following surgery for posterior fossa and call for newer management protocols
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3296416/
https://www.ncbi.nlm.nih.gov/pubmed/22408671
http://dx.doi.org/10.4103/1817-1745.92849
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