South African Journal of Radiology (May 2024)

Suprasellar pilocytic astrocytoma with leptomeningeal dissemination

  • Siti S. Mohamad Zaini,
  • Hilwati Hashim,
  • Emy S. Rosani,
  • Nor S. Bakar,
  • Suryati Mohd Yusuf

DOI
https://doi.org/10.4102/sajr.v28i1.2876
Journal volume & issue
Vol. 28, no. 1
pp. e1 – e5

Abstract

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Leptomeningeal dissemination is a rare manifestation of pilocytic astrocytoma. It may occur with higher-grade tumours like medulloblastoma, ependymoma and high-grade glioma, but is extremely rare with low-grade glioma. There has been a growing number of reported cases documenting leptomeningeal dissemination of pilocytic astrocytoma in the medical literature. Contribution: Description of a World Health Organization (WHO) Grade I suprasellar pilocytic astrocytoma with leptomeningeal dissemination in the brain and spinal cord which showed progression of the leptomeningeal nodules without tumour upgrading on long-term follow-up.

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