Abstract
We report the first case of a 22-year-old man, with a previously neurosurgically treated intramedullary anaplastic oligodendroglioma (World Health Organization grade III), who developed 19 months later two histologically proven intracranial metastases. We support a hypothesis whereby the anaplastic parts of tumors have spread along the spinal cord and brainstem via the cerebrospinal fluid pathways, a process that could be promoted by surgical manipulation, although the relative contribution of the two factors remains speculative.
MeSH terms
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Adult
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Brain Neoplasms / diagnosis
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Brain Neoplasms / secondary*
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Cerebellar Neoplasms / secondary
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Fatal Outcome
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Humans
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Hydrocephalus / etiology
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Hydrocephalus / physiopathology
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Hydrocephalus / therapy
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Lateral Ventricles / pathology
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Lateral Ventricles / physiopathology
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Male
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Neoplasm Metastasis / pathology
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Neoplasm Metastasis / physiopathology*
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Neurosurgical Procedures / adverse effects
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Oligodendroglioma / diagnosis
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Oligodendroglioma / secondary*
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Spinal Cord Neoplasms / pathology*
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Spinal Cord Neoplasms / radiotherapy
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Spinal Cord Neoplasms / surgery
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Subarachnoid Space / pathology
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Subarachnoid Space / physiopathology*