Resumen

TAGLE-VEGA, Uriel; SALAZAR-CAMPOS, Cristian Eugenio  y  CHOQUE-VELASQUEZ, Joham. Diffuse spinal cord injury; surgery or palliative treatment?: a case report. Horiz. Med. [online]. 2022, vol.22, n.4, e1730.  Epub 07-Dic-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.

Palabras clave : Astrocytoma; Glioma; Syringomyelia.

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