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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.

About the Authors

M. L. Pospelova
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



I. K. Ternovykh
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



A. Y. Maksimov
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



А. А. Kasumova
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



А. М. Makhanova
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



Т. М. Alekseeva
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



A. Y. Efimtsev
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



А. А. Bukkieva
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



R. А. Kovalenko
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



M. R. Mamatkhanov
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



N. Y. Ivanova
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
Russian Federation

Saint Petersburg



Y. V. Parmon
Polenov Russian Scienific Research Institute of Neurosurgery – branch of Federal Almazov North-West Medical Research Centre
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.)

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ISSN 2071-2693 (Print)