Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma
Secondary leptomeningeal dissemination of oligodendroglioma is very rare. We report the case of a 38-year-old Caucasian male who presented with acute hydrocephalus. 8 months before, the patient had undergone craniotomy for right frontal anaplastic oligodendroglioma, WHO grade III. By that time, ther...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2009/370901 |
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| author | Andreas M. Stark Heinz-Herrmann Hugo H. Maximilian Mehdorn Friederike Knerlich-Lukoschus |
| author_facet | Andreas M. Stark Heinz-Herrmann Hugo H. Maximilian Mehdorn Friederike Knerlich-Lukoschus |
| author_sort | Andreas M. Stark |
| collection | DOAJ |
| description | Secondary leptomeningeal dissemination of oligodendroglioma is very rare. We report the case of a 38-year-old Caucasian male who presented with acute hydrocephalus. 8 months before, the patient had undergone craniotomy for right frontal anaplastic oligodendroglioma, WHO grade III. By that time, there was no evidence of tumor dissemination. MRI now ruled out local tumor progression but revealed meningeal contrast enhancement along the medulla, the myelon, and the cauda equina. Repeated lumbar puncture revealed increased cerebro-spinal fluid (CSF) pressure and protein content. Malignant cells were not detectable. Surgical treatment consisted in (1) placement of an ommaya reservoir for daily CSF puncture, (2) Spinal dural biopsy confirming leptomeningeal oligodendroglioma metastasis, and (3) ventriculo-peritoneal shunt placement after CSF protein has decreased to 1500–2000 mg/l. |
| format | Article |
| id | doaj-art-f99616cba7c74d7c8856084e87868068 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-f99616cba7c74d7c8856084e878680682025-02-03T01:03:34ZengWileyCase Reports in Medicine1687-96271687-96352009-01-01200910.1155/2009/370901370901Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic OligodendrogliomaAndreas M. Stark0Heinz-Herrmann Hugo1H. Maximilian Mehdorn2Friederike Knerlich-Lukoschus3Department of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, GermanyDepartment of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, GermanyDepartment of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, GermanyDepartment of Neurosurgery, Schleswig-Holstein University Medical Center, Campus Kiel, Arnold-Heller-Str. 3, 24105 Kiel, GermanySecondary leptomeningeal dissemination of oligodendroglioma is very rare. We report the case of a 38-year-old Caucasian male who presented with acute hydrocephalus. 8 months before, the patient had undergone craniotomy for right frontal anaplastic oligodendroglioma, WHO grade III. By that time, there was no evidence of tumor dissemination. MRI now ruled out local tumor progression but revealed meningeal contrast enhancement along the medulla, the myelon, and the cauda equina. Repeated lumbar puncture revealed increased cerebro-spinal fluid (CSF) pressure and protein content. Malignant cells were not detectable. Surgical treatment consisted in (1) placement of an ommaya reservoir for daily CSF puncture, (2) Spinal dural biopsy confirming leptomeningeal oligodendroglioma metastasis, and (3) ventriculo-peritoneal shunt placement after CSF protein has decreased to 1500–2000 mg/l.http://dx.doi.org/10.1155/2009/370901 |
| spellingShingle | Andreas M. Stark Heinz-Herrmann Hugo H. Maximilian Mehdorn Friederike Knerlich-Lukoschus Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma Case Reports in Medicine |
| title | Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma |
| title_full | Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma |
| title_fullStr | Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma |
| title_full_unstemmed | Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma |
| title_short | Acute Hydrocephalus due to Secondary Leptomeningeal Dissemination of an Anaplastic Oligodendroglioma |
| title_sort | acute hydrocephalus due to secondary leptomeningeal dissemination of an anaplastic oligodendroglioma |
| url | http://dx.doi.org/10.1155/2009/370901 |
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