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Primary spinal glioblastoma multiforme: A case report and review of the literature
Chao-Xiong Shen1, Jian-Feng Wu, Wei Zhao
1Department of Neurosurgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Rationale:
Primary spinal glioblastoma multiforme (GBM) is a rare clinical entity with an aggressive course and an invariably dismal prognosis. Its clinical characteristics, radiologic and pathologic findings, and treatment protocols have been discussed in a few cases.
Patient Concerns:
A 15-year-old female was admitted to the neurology department with a chief complaint of progressive numbness and weakness in her left upper extremity for 3 months and neck pain for 1 month.
Diagnoses:
Spinal magnetic resonance imaging showed an intramedullary expansile mass localized between C4 and C7. The diagnosis of GBM was determined on the basis of the histopathological findings after operation.
Interventions:
Laminotomy and laminoplasty between C4 and C7 were performed, and the tumor was partially resected. The patient was administered focal adjuvant radiotherapy concomitantly with oral chemotherapy following the surgery.
Outcomes:
With severe neurologic deficits at 13 months after the diagnosis, the patient expired.
Lessons:
Although therapeutic options have been improving, the prognosis of the primary spinal GBM remains poor. The treatment of primary spinal GBM entered into a central registry and multiple-center cooperation is important in establishing future therapeutic strategies.