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Cerebellar Medulloblastoma with Intraspinal Metastasis Presenting with Acute Paraplegia: A Case Report

臨床以急性癱瘓表現之小腦神經管胚細胞瘤合併脊椎轉移:病例報告

摘要


本篇報告一例罹患神經管胚細胞瘤的四歲女孩。其特殊處在於發病時以便秘,尿液滯留及漸行性下肢無力等臨床症狀來表現,並在懷疑脊髓受壓迫的情況下接受脊椎磁振造影的檢查。結果發現脊椎內有腫瘤,同時也意外發存在小腦的另一個病灶。病理切片證實此病例為一小腦之神經管胚細胞瘤伴隨脊椎內的轉移。脊椎磁振造影時亦同時發現脊椎內的病灶有出血現象,極為罕見。

並列摘要


We report a 4-year-old girl with cerebellar medulloblastoma and intraspinal metastasis. This case is rare in its initial presentation with spinal cord compression and the intratumoral hemorrhage within the intraspinal metastasis. This girl received surgery, radiotherapy and chemotherapy immediately after the diagnosis. However, she died of pancytopenia and pneumonia six months after treatment.

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