Intracranial metastasis of spinal intramedullary anaplastic astrocytoma. 2011

Rashim Kataria, and Vishal Bhasme, and Sanjeev Chopra, and V D Sinha, and Shashi Singhvi
Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.

Meningeal spread of spinal intramedullary astrocytoma into the cranium is rare. Only few case reports are available so far in the literature. We report a case of intramedullary high grade astrocytoma of the conus, developing intracranial metastasis after three months of partial excision of the spinal mass. The need for radical surgery, entire neuroaxis radiation, and adjuvant chemotherapy is suggested in the management of malignant spinal cord astrocytoma to prevent dissemination.

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