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Primary diffuse leptomeningeal oligodendrogliomatosis: A case report and literature review
Amarnath Chellathurai1, Jay S Vaidya1, Gopinathan Kathirvelu2
1Department of Radiodiagnosis, Government Stanley Medical College, Chennai, Tamil Nadu, India.
Abstract:
Primary leptomeningeal oligodendrogliomatosis (PLO) is a rare low-grade intracranial and spinal canal subarachnoid neoplasm without an obvious primary neoplasm in the brain or spinal cord parenchyma. We present here the serial progression of radiological findings of this rare disease in a 2-year-old male child whose clinical status deteriorated over a period of 4 months with the main complaint of partial seizures. During this period, the MR findings progressed from mild hydrocephalus with minimal leptomeningeal enhancement to leptomeningeal multiple cystic lesions in the entire neuraxis including the spine.
Insights
Primary leptomeningeal oligodendrogliomatosis (PLO) is a rare tumor. This case study shows its radiological progression in a child over 4 months, from mild hydrocephalus to widespread cystic lesions.
Area of Science:
- Neuro-oncology
- Pediatric Neurology
- Radiology
Background:
- Primary leptomeningeal oligodendrogliomatosis (PLO) is a rare, low-grade neoplasm affecting the subarachnoid space.
- It presents without an apparent primary tumor in the brain or spinal cord parenchyma.
- Diagnosis and understanding of its progression remain challenging.
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