Abstract

TAGLE-VEGA, Uriel; SALAZAR-CAMPOS, Cristian Eugenio  and  CHOQUE-VELASQUEZ, Joham. Diffuse spinal cord injury; surgery or palliative treatment?: a case report. Horiz. Med. [online]. 2022, vol.22, n.4, e1730.  Epub Dec 07, 2022. ISSN 1727-558X.  http://dx.doi.org/10.24265/horizmed.2022.v22n4.09.

Diffuse spinal cord injuries are rare and pose a diagnostic challenge. Low-grade gliomas are the most prevalent type, with primary astrocytomas being the most frequent subtype. We present the case of a 36-year-old man with a 13-year history of squeezing neck pain, which progressed with right hemiparesis and later with severe paraparesis and loss of sphincter control. A whole spine MRI scan showed diffuse neoproliferative lesions that spread throughout all the spinal cord segments. An open biopsy of the lesion in the T1-T2 segment was performed. The pathology report stated low-grade glioma. Treatment is controversial, so surgery was ruled out due to high morbidity. Radiotherapy and chemotherapy were chosen because they play an important role in controlling the disease.

Keywords : Astrocytoma; Glioma; Syringomyelia.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )