Tardy spinal cord tumor following avulsive brachial plexus injury

Coincidental or causal?

Marie Noëlle Hébert-Blouin, Allen Thorp Bishop, Alexander Yong-Shik Shin, Cynthia Wetmore, Robert J. Spinner

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objective Late neurologic deterioration after brachial plexus injury (BPI) is uncommon and may be caused by multiple etiologies. An unusual, previously unreported, case of late neurologic deterioration after BPI is presented. Methods A pediatric patient previously treated for a traumatic preganglionic BPI and presenting with neurologic deterioration 5 years after his injury is reviewed. Results Magnetic resonance imaging and computed tomography myelogram revealed spinal cord herniation at the same level of the previous nerve root avulsions. Surgical open biopsy demonstrated a spinal cord anaplastic astrocytoma. Despite craniospinal radiotherapy and different regimens of chemotherapy, he died 4 years later from leptomeningeal spread. Conclusion This case illustrates a previously unreported cause of late neurologic deterioration following BPI. The probable coincidental versus possible causal interrelationship of these two processes (BPI and spinal cord tumor) is discussed, but no conclusions can be reached.

Original languageEnglish (US)
Pages (from-to)368-373
Number of pages6
JournalWorld Neurosurgery
Volume74
Issue number2-3
DOIs
StatePublished - Aug 2010

Fingerprint

Arm Injuries
Spinal Cord Neoplasms
Brachial Plexus
Nervous System
Spinal Cord
Radiculopathy
Astrocytoma
Radiotherapy
Tomography
Magnetic Resonance Imaging
Pediatrics
Biopsy
Drug Therapy
Wounds and Injuries

Keywords

  • Astrocytoma
  • Brachial plexus injury
  • Spinal cord tumor

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Tardy spinal cord tumor following avulsive brachial plexus injury : Coincidental or causal? / Hébert-Blouin, Marie Noëlle; Bishop, Allen Thorp; Shin, Alexander Yong-Shik; Wetmore, Cynthia; Spinner, Robert J.

In: World Neurosurgery, Vol. 74, No. 2-3, 08.2010, p. 368-373.

Research output: Contribution to journalArticle

Hébert-Blouin, Marie Noëlle ; Bishop, Allen Thorp ; Shin, Alexander Yong-Shik ; Wetmore, Cynthia ; Spinner, Robert J. / Tardy spinal cord tumor following avulsive brachial plexus injury : Coincidental or causal?. In: World Neurosurgery. 2010 ; Vol. 74, No. 2-3. pp. 368-373.
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