Presentation
Lack of coordination
Patient Data
Age: 20 months
Gender: Female
From the case:
Spinal pilocytic astrocytoma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/126541/annotated_viewer_json?iframe=true\u0026lang=us"}
There is an intramedullary peripherally enhancing T2 hyperintense lesion extending from the level of C5-T3 which expands the cervicothoracic cord which is eccentric to the right of the central canal and has heterogenous peripheral enhancement measuring approximately 4.4 x 1.1 x 1.4 cm . There is also effacement of the surrounding extramedullary CSF space.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/126677/annotated_viewer_json?iframe=true\u0026lang=us"}
Pathology report confirms pilocytic astrocytoma.
Case Discussion
This case demonstrates a pediatric cervical spinal cord pilocytic astrocytoma confirmed by biopsy via a posterior laminectomy. MRI remains the gold standard modality of initial imaging.