Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report

Low-grade, sporadic, pilocytic astrocytomas (PAs) are rare spinal cord tumors diagnosed in adult patients. Their localization to the conus medullaris is exceedingly rare, having only been described in a limited number of case reports. Here, we describe a case of a 22-year-old female presenting with...

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Autores principales: Leclair, Nathan K., Buehler, Avery, Wu, Qian, Becker, Kevin, Moss, Isaac L., Bulsara, Ketan R., Onyiuke, Hilary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2022
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9665972/
https://www.ncbi.nlm.nih.gov/pubmed/36398175
http://dx.doi.org/10.1055/s-0042-1756635
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author Leclair, Nathan K.
Buehler, Avery
Wu, Qian
Becker, Kevin
Moss, Isaac L.
Bulsara, Ketan R.
Onyiuke, Hilary
author_facet Leclair, Nathan K.
Buehler, Avery
Wu, Qian
Becker, Kevin
Moss, Isaac L.
Bulsara, Ketan R.
Onyiuke, Hilary
author_sort Leclair, Nathan K.
collection PubMed
description Low-grade, sporadic, pilocytic astrocytomas (PAs) are rare spinal cord tumors diagnosed in adult patients. Their localization to the conus medullaris is exceedingly rare, having only been described in a limited number of case reports. Here, we describe a case of a 22-year-old female presenting with back pain, lower extremity weakness, hypoesthesia, and urinary incontinence. Imaging studies demonstrated a cystic lesion of the conus medullaris that was treated with subtotal resection and cyst-subarachnoid shunt placement. Final pathology report confirmed PA from the histology of surgical specimens. We discuss the current literature of conus medullaris lesions and their differential diagnosis.
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spelling pubmed-96659722022-11-16 Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report Leclair, Nathan K. Buehler, Avery Wu, Qian Becker, Kevin Moss, Isaac L. Bulsara, Ketan R. Onyiuke, Hilary Asian J Neurosurg Low-grade, sporadic, pilocytic astrocytomas (PAs) are rare spinal cord tumors diagnosed in adult patients. Their localization to the conus medullaris is exceedingly rare, having only been described in a limited number of case reports. Here, we describe a case of a 22-year-old female presenting with back pain, lower extremity weakness, hypoesthesia, and urinary incontinence. Imaging studies demonstrated a cystic lesion of the conus medullaris that was treated with subtotal resection and cyst-subarachnoid shunt placement. Final pathology report confirmed PA from the histology of surgical specimens. We discuss the current literature of conus medullaris lesions and their differential diagnosis. Thieme Medical and Scientific Publishers Pvt. Ltd. 2022-10-12 /pmc/articles/PMC9665972/ /pubmed/36398175 http://dx.doi.org/10.1055/s-0042-1756635 Text en Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Leclair, Nathan K.
Buehler, Avery
Wu, Qian
Becker, Kevin
Moss, Isaac L.
Bulsara, Ketan R.
Onyiuke, Hilary
Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report
title Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report
title_full Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report
title_fullStr Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report
title_full_unstemmed Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report
title_short Pilocytic Astrocytoma Arising from the Conus Medullaris in an Adult: A Case Report
title_sort pilocytic astrocytoma arising from the conus medullaris in an adult: a case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9665972/
https://www.ncbi.nlm.nih.gov/pubmed/36398175
http://dx.doi.org/10.1055/s-0042-1756635
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