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Spinal cord astrocytoma

F Bianchi, G Tamburrini, L Massimi, M Caldarelli
OBJECT: Desmoplastic infantile gangliogliomas (DIGs) and desmoplastic infantile astrocytomas (DIAs) are tumors typical of the infantile age. A large size, with a mixed solid and cystic component, clinical presentation with progressing signs of increased intracranial pressure, a prominent benign desmoplastic structure at histological examination, and a favorable clinical course in the majority of cases are the prominent features of these tumors. The objective of the present paper was to review the pertinent literature on the topic together with our personal experience, with the aim of an updated review of the subject...
October 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
John Michael Hazenfield, Mary F Gaskill-Shipley
Neoplasia of the spinal cord, including both primary and metastatic tumors, is relatively rare, representing 4%-10% of all central nervous system tumors, and can present a diagnostic challenge to the radiologist. More than 90% of primary spinal cord neoplasms are derived from the glial cell lineage, including the 2 most common tumors ependymoma and astrocytoma. However, less common spinal cord tumors, including metastatic disease, as well as nonneoplastic and paraneoplastic processes should be considered in the diagnosis of intramedullary spinal cord lesions...
October 2016: Seminars in Ultrasound, CT, and MR
A Herbrecht, M Messerer, F Parker
INTRODUCTION: Intramedullary ependymomas are classically described as tumors developing in the center of the spinal cord, whereas intramedullary astrocytomas are more dispersed. This description only remains approximate. The aim of this study was to establish a lateralization index (LI), which is based on radiological measurements and may help in differentiating the two tumors. MATERIAL AND METHODS: Retrospective analysis based on the analysis of MRI of patients operated on for intramedullary astrocytoma or ependymoma in the Neurosurgical Department of Bicêtre Hospital...
September 9, 2016: Neuro-Chirurgie
Toshitaka Seki, Kazutoshi Hida, Shunsuke Yano, Takeshi Aoyama, Izumi Koyanagi, Toru Sasamori, Shuji Hamauch, Kiyohiro Houkin
STUDY DESIGN: Retrospective study. PURPOSE: To obtain information useful in establishing treatment guidelines by evaluating baseline clinical features and treatment outcomes of patients with spinal cord astrocytoma (SCA). OVERVIEW OF LITERATURE: The optimal management of SCA remains controversial, and there are no standard guidelines. METHODS: The study included 20 patients with low-grade and 13 with high-grade SCA surgically treated between 1989 and 2014...
August 2016: Asian Spine Journal
Nicola Montano, Fabio Papacci, Gianluca Trevisi, Eduardo Fernandez
Recently, great advances have been made in the surgical treatment of intramedullary spinal cord tumors (IMSCTs). Many articles have been published; but looking at the literature of the last 5 years, there are only descriptive reviews and no works in which a literature statistical analysis was performed. Here, we analyzed the literature to identify potential prognosticators of good functional outcome in IMSCT patients. To level out the selected studies, we stratified patients' neurological status as independent (ambulation possible without caregiver assistance) or disabled (cannot ambulate or can only ambulate with caregiver assistance)...
July 30, 2016: Acta Neurologica Belgica
Zulejha Merhemic, Tatjana Stosic-Opincal, Majda M Thurnher
Intradural tumors are relatively rare neoplasms; however, when unrecognized in a timely manner, they can result in serious deficits and disability. These tumors lack obvious clinical symptoms until compression of the cord or neurologic deficits occur. The most common intramedullary lesions are ependymomas, astrocytomas, and hemangioblastomas. Meningiomas and nerve sheath tumors (schwannomas and neurofibromas) comprise most intradural-extramedullary tumors. Less common tumors are hemangiopericytoma, paraganglioma, melanocytoma, melanoma, metastases, and lymphoma...
August 2016: Magnetic Resonance Imaging Clinics of North America
Sandra Camelo-Piragua, Santosh Kesari
INTRODUCTION: Glioma classification and grading has been historically based in morphologic appearance of tumor cells: astrocytomas, oligodendrogliomas, oligoastrocytomas and ependymomas. Recent molecular advances have transformed the field of neuro-oncology, as some molecular markers harbor diagnostic, prognostic and therapeutic implications. AREAS COVERED: In this paper we will review the major molecular changes associated with gliomas and their implications in diagnosis, prognosis, and opportunities in therapeutics...
September 2016: Expert Review of Neurotherapeutics
Xiang Zeng, Inbo Han, Muhammad Abd-El-Barr, Zaid Aljuboori, Jamie E Anderson, John H Chi, Ross D Zafonte, Yang D Teng
The adult rodent spinal cord presents an inhibitory environment for donor cell survival, impeding efficiency for xenograft-based modeling of gliomas. We postulated that mild thermal precondition may influence the fate of the implanted tumor cells. To test this hypothesis, high grade human astrocytoma G55 and U87 cells were cultured under 37°C and 38.5°C, to mimic regular experimental or core body temperature of rodents, respectively. In vitro, 38.5°C-conditioned cells, relative to 37°C, grew slightly faster...
May 4, 2016: Cell Transplantation
Z J Duan, K Yao, X L Qi
OBJECTIVE: To investigate the clinicopathologic features of glioneuronal tumor with neuropil-like island (GTNI). METHODS: Four cases of intracranial and spinal GTNI, including three cases of WHO grade Ⅲ, and one case of WHO grade Ⅱ with grade Ⅲ recurrence. HE and immunohistochemical (IHC) staining were used for pathologic analysis. Fluorescence in situ hybridization (FISH) was used to detect tumor genetic changes. Related literatures were reviewed. RESULTS: Microscopically, neuropil-like islands of varying sizes were seen within a background of glial proliferation, which showed features of astrocytoma or oligoastrocytoma...
May 8, 2016: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
J Alcalde López, J J Sánchez Garduño
No abstract text is available yet for this article.
September 2016: Radiología
Hongyan Zhao, Mei'e Yuan, Li Yang, Jianyi Niu, Xunhui Yuan, Yun'an Bai, Liemei Guo
Astrocytomas are the most common intramedullary spinal cord tumors in pediatric and adolescent patients and the incidence decreases with age. Spinal oligoastrocytoma, which is a mixed glioma with distinct astrocytic and oligodendroglial components, is an extremely rare pathology of the spinal cord. To authors' best of knowledge, there are only 7 spinal oligoastrocytomas reported in the English literature. Here, the authors report a patient of a pathologically confirmed spinal oligoastrocytoma, who presented with severe left leg pain and numbness...
May 2016: Journal of Craniofacial Surgery
Gaurav V Watane, Saumil P Pandya, Isha D Atre, Foram N Kothari
Cranial nerve thickening as an initial isolated presentation of CNS lymphoma is rare. Once an extremely rare neoplasm, primary lymphoma of the central nervous system (CNS) now ranks only next to meningiomas and low-grade astrocytomas in prevalence. Multiple cranial nerve thickening can be a feature of primary CNS lymphoma. Here we report a case of a 45-year-old immunocompetent female who presented with relapsing remitting multiple cranial nerve thickening as an initial feature of primary CNS lymphoma without any other brain or spinal cord lesions...
January 2016: Indian Journal of Radiology & Imaging
Hussam Abou Al-Shaar, Amol Raheja, Cheryl A Palmer, Meic H Schmidt, William T Couldwell
BACKGROUND: The co-occurrence of cerebral gliomas and cavernous angiomas is rarely encountered in clinical practice. All reported cases with such association have occurred within the brain with none involving the spinal cord. CASE DESCRIPTION: The authors report the case of a hypothalamic-optochiasmatic pilocytic astrocytoma coexisting with right occipital and sacral spinal cavernomas. This 30-year-old man had an 8-year history of chronic lower back pain. Spinal magnetic resonance imaging (MRI) demonstrated an 8...
June 2016: World Neurosurgery
Roy Xiao, Kalil G Abdullah, Jacob A Miller, Daniel Lubelski, Michael P Steinmetz, John H Shin, Ajit A Krishnaney, Thomas E Mroz, Edward C Benzel
OBJECTIVE: Intramedullary spinal cord astrocytomas are uncommon but important entities. Aggressive surgical resection is believed to be critical to prevent subsequent neurological deterioration; however, the prognostic significance of numerous patient and molecular variables remains unclear. We sought to investigate the clinical and molecular factors associated with outcomes following surgical resection of adult spinal cord astrocytomas. METHODS: A consecutive retrospective chart review of all patients who underwent intramedullary spinal cord astrocytoma resection at a single tertiary-care institution between January 1996 and December 2011 was conducted...
May 2016: Clinical Neurology and Neurosurgery
Seong Jun Ryu, Jong Yul Kim, Kyung Hyun Kim, Jeong Yoon Park, Sung Uk Kuh, Dong Kyu Chin, Keun Su Kim, Yong Eun Cho, Se Hoon Kim
PURPOSE: To determine the biologic behavior and prognostic factors of spinal cord astrocytoma, we reviewed surgical and clinical outcomes. Due to the rarity of spinal cord astrocytoma, there is a lack of research regarding this type of tumor and malignant transformation. METHODS: We retrospectively reviewed the data from all patients on whom we performed spinal cord tumor removal between 1983 and 2014. Twenty-six patients were pathologically confirmed to have spinal cord astrocytoma or glioblastoma...
March 16, 2016: European Spine Journal
Yu V Kushel, Yu D Belova
UNLABELLED: Intramedullary spinal cord tumors (IMSCTs) are a rare pathology. They can be found at any age. Our experience with more than 507 surgeries for IMSCTs revealed some differences between pediatric and adult IMSCTs. AIM: We used a large surgical series to conduct comparative analysis of the main epidemiological characteristics of intramedullary tumors in children and adults and to identify possible differences. MATERIAL AND METHODS: Prospectively collected data from 224 pediatric and 242 adult patients operated by one surgeon (YK) for last 12 years were analyzed...
2015: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
Muhammad M Abd-El-Barr, Kevin T Huang, John H Chi
Spinal cord gliomas, consisting mostly of ependymomas and astrocytomas, are rare entities. Of the gliomas, infiltrating astrocytomas are particularly challenging entities to treat due to their invasive nature. Surgical resection is oftentimes not possible without subjecting patients to permanent neurological deficits because of the difficulty in establishing clear tissue planes. As more is learned about the molecular genetics, genomics, and biology of these tumors, it is becoming more apparent that there are important differences between these tumors and their more common intracranial counterparts...
July 2016: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
(no author information available yet)
[This corrects the article on p. 244 in vol. 10, PMID: 25883623.].
December 2015: Neural Regeneration Research
Alessandro Landi, Valeria Palmarini, Alessandro D'Elia, Nicola Marotta, Maurizio Salvati, Antonio Santoro, Roberto Delfini
Some specially imaging of magnetic resonance imaging, the diffusion-weighted imaging (DWI), the diffusion tensor imaging and fractional anisotropy (FA), are useful to described, detect, and map the extent of spinal cord lesions. FA measurements may are used to predicting the outcome of patients who have spinal cord lesions. Fiber tracking enable to visualizing the integrity of white matter tracts surrounding some lesions, and this information could be used to formulating a differential diagnosis and planning biopsies or resection...
January 16, 2016: World Journal of Clinical Cases
Gozde Yazici, Faruk Zorlu, Mustafa Cengiz, Gokhan Ozyigit, Gulnihan Eren, Deniz Yüce, Ali Varan, Canan Akyuz, Nejat Akalan, Murat Gurkaynak
PURPOSE: The aim of this study was to report the outcome in children with high-grade astrocytoma outside the brain stem and spinal cord that were treated at a single center. MATERIALS AND METHODS: The study included 26 patients with anaplastic astrocytoma and 37 patients with glioblastoma; all patients were aged ≤18 years. At initial diagnosis, 18 of the patients with glioblastoma received only temozolomide (TMZ), 14 received other chemotherapies, and 5 did not receive any chemotherapy...
February 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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