Case report of an acute presentation of diplegia in a four-month old - to expect the unexpected!

---

Case Report

Author Details : Pearl Mary Varughese*, Satheesh Ponnarmeni

Volume : 5, Issue : 1, Year : 2019

Article Page : 39-43

https://doi.org/10.18231/j.ijmpo.2019.008

Suggest article by email

Get Permission

---

Abstract

Spinal tumors are rare in infancy. Among them, atypical teratoid/rhabdoid tumor of the spine is an even more rare pediatric neoplasm with grave prognosis. Here we present a case of atypical teratoid/rhabdoid tumor (ATRT) of the lumbar spine in a four months old male who presented with acute onset of lower limb weakness. Magnetic resonance imaging of the spinal cord revealed a highly cellular intradural intramedullary embryonal tumour from D8-L4. Immunohistochemically, integrase inhibitor 1(INI-1) stain show loss of expression. Despite surgical resection, the infant presented with new metastatic lesions and hydrocephalus. Ventriculo-peritoneal shunt was placed and the prognosis was explained to the parents.

Keywords: Intramedullary, Rhabdoid tumor, Hydrocephalous.

How to cite : Varughese P M, Ponnarmeni S, Case report of an acute presentation of diplegia in a four-month old - to expect the unexpected!. IP Int J Med Paediatr Oncol 2019;5(1):39-43

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.