Primary Diffuse Leptomeningeal Gliomatosis Mimicking Tuberculous Meningitis

Kosker M., Sener D., Kilic Ö., Hasiloglu Z. I., Islak C., KAFADAR A. M., ...Daha Fazla

JOURNAL OF CHILD NEUROLOGY, cilt.29, sa.12, 2014 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 29 Sayı: 12
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1177/0883073813509121
  • Dergi Adı: JOURNAL OF CHILD NEUROLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Anahtar Kelimeler: glioma, tuberculous meningitis, children, leptomeningeal gliomatosis, OF-THE-LITERATURE, SPINAL-CORD
  • Eskişehir Osmangazi Üniversitesi Adresli: Evet

Özet

Primary diffuse leptomeningeal gliomatosis is a disease with an aggressive course that can result in death. To date, 82 cases have been reported. Here, the case of a 3-year-old male patient presenting with strabismus, headache, and restlessness is reported. Physical examination revealed paralysis of the left abducens nerve, neck stiffness, and bilateral papilledema. Tuberculous meningitis was tentatively diagnosed, and antituberculosis treatment was initiated when cranial imaging revealed contrast enhancement around the basal cistern. Craniocervical magnetic resonance imaging (MRI) was performed when there was no response to treatment, and it revealed diffuse leptomeningeal contrast enhancement around the basilar cistern, in the supratentorial and infratentorial compartments, and in the spinal region. Primary diffuse leptomeningeal gliomatosis was diagnosed by a meningeal biopsy.