{"id":"8d44784f-d08d-41a8-8467-59dd3aa92d55","slug":"thoracolumbar-pilomyxoid-astrocytoma-concomitant-with-spinal-scoliosis-a-case-report-and-literature-review","title":"Thoracolumbar pilomyxoid astrocytoma concomitant with spinal scoliosis: A case report and literature review","authors":["Alireza Tabibkhooei","Alireza Sadeghipour","Arash Fattahi"],"abstract":"Background: Pilomyxoid astrocytoma (PMA) is a variant of pilocytic astrocytomas but exhibits more aggressive behavior. Further, it is more prevalent in the hypothalamic/chiasmatic regions and is only rarely encountered in the thoracic spine. Case Description: A 9-year-old male presented with severe spastic paraparesis (motor/sensory) attributed to a thoracic cord PMA and scoliosis. The magnetic resonance (MR) showed an intraaxial ill-defined expansile lesion with heterogeneous enhancement extending from the cervicothoracic junction to conus medullaris. A multilevel decompressive laminectomy was performed with restricted tumor debulking; an expansile duraplasty was also effected. Two years later, the patient has moderately improved and has not shown any symptom progression. Conclusion: We recommend the early performance of a thoracic MR in children with idiopathic scoliosis presenting with the onset of a significant spastic paraparesis.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/8d44784f-d08d-41a8-8467-59dd3aa92d55/featured/hero-1781563677168.png","publishDate":"2019-12-06T00:00:00.000Z","doi":"10.25259/SNI_548_2019","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/8d44784f-d08d-41a8-8467-59dd3aa92d55/pdf"}