Department of Neurosurgery, Clemens Hospital, Academic Hospital of Munster University Hospital (UKM), Germany
*Corresponding author: Sergio Calero-Martinez, Department of Neurosurgery, Clemens Hospital, Academic Hospital of Munster University Hospital (UKM), Munster, Germany
Submission: July 25, 2018; Published: August 17, 2018
ISSN 2637-7748Volume2 Issue1
We present the case of a 3-year old female with a diffuse astrocytoma (WHO grade II, IDH Wild Type) of the thoracic cord. The patient is without tumor-progression after 1-year follow-up. Guidelines at this age group are missing. After reviewing the literature, surgical tumor removal is recommended, however chemo- or radiotherapy or combined after surgical removal is controversial. This decision seems to be simplified by tumor grade and progression, as well as the age of the patient resulting in better outcomes. Radiotherapy is not performed in children below 5 years old. Early neurological rehabilitation is mandatory.
Keywords: Diffuse astrocytoma; Spinal cord tumor; Childhood
Abbreviations: WHO: World Health Organization; IDH: Isocitratede Hydrogenase; NF1: Neurofibromatosis Type 1; MRI: Magnetic Resonance Imaging; SEP or MEP: Somatosensory- and Motor-Evoked Potential Monitoring; CUSA: Cavitronic Ultrasonic Surgical Aspirator