J Korean Neurosurg Soc.  1976 Oct;5(2):259-264.

A Case of Intramedullary Glioblastoma Multiforme in Child

• Kim MC
• Ha YS
• Song JU

Abstract

A case of primary cervical intramedullary glioblastoma multiforme which is infrequently reported is presented. An 11 year old girl was admitted to the Department of Neurosurgery, Catholic Medical College in September 1976 because of flaccid paralysis of both upper extremities, neck pain and vomiting for 3 months. On admission, the patient was found to have flaccid paralysis of both arms and weakness of both legs. Sensory examination revealed hyperthesia below C2 dermatome. Babinski's toe sign was positive bilaterally and she was unable to void. Plain cervical spine revealed widening of interpedicular distance at C5 & 6. Myelogram through lumbar and cisternal route showed obstruction and widening of cord at the level of C4 & 7 respectively. Total laminectomy was performed through C3 to C6 and a purplish-blue mass was extruded out through the dorsal myelotomy. Pathologic diagnosis of the tumor was glioblastoma multiforme. Postoperatively there was marked improvement of motor power of all limbs. The patient has not shown any worsening in neurological status until this paper is submitted since she was discharged from the hospital October 1976.

MeSH Terms

Arm
Child*
Diagnosis
Extremities
Female
Glioblastoma*
Humans
Laminectomy
Leg
Neck Pain
Neurosurgery
Paralysis
Spine
Toes
Upper Extremity
Vomiting