https://scholars.lib.ntu.edu.tw/handle/123456789/476332
標題: | Gliomatosis cerebri with spinal metastasis presenting with chronic meningitis in two boys | 作者: | Lin Y.-H. Chang Y.-W. SHIH-HUNG YANG HSIU-HAO CHANG MENG-YAO LU PI-CHUAN FAN |
公開日期: | 2015 | 出版社: | Elsevier | 卷: | 114 | 期: | 9 | 起(迄)頁: | 886-890 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Spinal cord involvement in gliomatosis cerebri (GC) is uncommon. We report two patients with GC, who initially presented with chronic meningitis and were treated with antituberculous drugs. Although tumor meningitis was suspected, due to the intractable clinical course, a correct diagnosis was established after performing a biopsy examination of the metastatic spinal lesion which was detected by magnetic resonance imaging (MRI). Cerebrospinal fluid examination, including cytology, should be performed repetitively for patients with chronic meningitis refractory to antibiotic treatment. Spinal MRI is necessary for the complete neurological workup, even when the patients do not show spinal symptoms. ? 2012. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84940451462&doi=10.1016%2fj.jfma.2012.10.024&partnerID=40&md5=b7c584c07b20819ff76676eeb27be630 https://scholars.lib.ntu.edu.tw/handle/123456789/476332 |
ISSN: | 0929-6646 | DOI: | 10.1016/j.jfma.2012.10.024 | SDG/關鍵字: | carbamazepine; mannitol; methylprednisolone; phenobarbital; temozolomide; tuberculostatic agent; valproic acid; adolescent; antibiotic therapy; anticonvulsant therapy; Article; ascites; blurred vision; bradycardia; brain dysfunction; brain ventricle peritoneum shunt; cancer chemotherapy; carcinomatous peritonitis; case report; cerebrospinal fluid cytology; cerebrospinal fluid examination; child; computer assisted tomography; diagnostic accuracy; disease course; dizziness; electroencephalography; enzyme linked immunospot assay; epileptic discharge; facial nerve paralysis; glioblastoma; gliomatosis cerebri; headache; histopathology; human; human tissue; hydrocephalus; hypertension; hyporeflexia; intracranial pressure; lumbar puncture; male; multiple cycle treatment; multiple organ failure; neurologic examination; neurologic gait disorder; nuclear magnetic resonance imaging; paresthesia; pleocytosis; polymerase chain reaction; proprioception; school child; sensory dysfunction; spinal cord biopsy; spinal cord metastasis; tonic clonic seizure; treatment outcome; tuberculin test; tuberculous meningitis; tumor seeding; unconsciousness; unsteady gait; vomiting; biopsy; brain; Brain Neoplasms; drug therapy; meningitis; Neoplasms, Neuroepithelial; pathology; radiotherapy; secondary; Spinal Neoplasms; x-ray computed tomography; Adolescent; Biopsy; Brain; Brain Neoplasms; Child; Drug Therapy; Humans; Magnetic Resonance Imaging; Male; Meningitis; Neoplasms, Neuroepithelial; Radiotherapy; Spinal Neoplasms; Tomography, X-Ray Computed |
顯示於: | 醫學系 |
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