Difficulties in diagnosis of a spinal cord tumor in the practice of a neurologist and neurosurgeon : a clinical case
Abstract
Pilocytic astrocytomas are highly differentiated tumors of neuroectodermal origin, low grade (WHO Grade I), which are localized in any part of the brain and spinal cord, but the most common area of occurrence is cerebellar hemispheres and temporal lobes. Pilocytic astrocytomas of spinal localization account for 2–5,2 % of all tumors of this type, which makes the study of each clinical observation urgent. Despite their rarity, spinal astrocytomas attract great attention due to pronounced neurological deficits, which is associated with their intramedullary location, and also due to the need for a thorough differential diagnosis with clinically similar conditions. Complete surgical resection is possible in 50–81 % of cases, postoperative survival is high, and the prognosis is assessed as favorable. Considering the urgency of the problem, epidemiology and certain difficulties of primary clinical diagnosis, we present a description of a clinical case of a middleaged patient with pilocytic astrocytoma.
Keywords
About the Authors
M. L. PospelovaRussian Federation
Saint Petersburg
I. K. Ternovykh
Russian Federation
Saint Petersburg
A. Y. Maksimov
Russian Federation
Saint Petersburg
А. А. Kasumova
Russian Federation
Saint Petersburg
А. М. Makhanova
Russian Federation
Saint Petersburg
Т. М. Alekseeva
Russian Federation
Saint Petersburg
A. Y. Efimtsev
Russian Federation
Saint Petersburg
А. А. Bukkieva
Russian Federation
Saint Petersburg
R. А. Kovalenko
Russian Federation
Saint Petersburg
M. R. Mamatkhanov
Russian Federation
Saint Petersburg
N. Y. Ivanova
Russian Federation
Saint Petersburg
Y. V. Parmon
Russian Federation
Saint Petersburg
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Review
For citations:
Pospelova M.L., Ternovykh I.K., Maksimov A.Y., Kasumova А.А., Makhanova А.М., Alekseeva Т.М., Efimtsev A.Y., Bukkieva А.А., Kovalenko R.А., Mamatkhanov M.R., Ivanova N.Y., Parmon Y.V. Difficulties in diagnosis of a spinal cord tumor in the practice of a neurologist and neurosurgeon : a clinical case. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2021;13(2):120-124. (In Russ.)