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Spinal Cord Astrocytoma
Blaise V. Jones, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Spinal glioma, intramedullary glioma
            • Definitions

              • Primary intramedullary neoplasm of spinal cord originating from astrocytes

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Nonvascular Interventions

                      • Nuclear Medicine Findings

                        • Imaging Recommendations

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              • Staging, Grading, & Classification

                                • Gross Pathologic & Surgical Features

                                  • Microscopic Features

                                    CLINICAL ISSUES

                                    • Presentation

                                      • Demographics

                                        • Natural History & Prognosis

                                          • Treatment

                                            DIAGNOSTIC CHECKLIST

                                            • Consider

                                              • Image Interpretation Pearls

                                                Selected References

                                                1. Karikari IO et al: Impact of tumor histology on resectability and neurological outcome in primary intramedullary spinal cord tumors: a single-center experience with 102 patients. Neurosurgery. 76 Suppl 1:S4-13; discussion S13, 2015
                                                2. Ahmed R et al: Long-term disease and neurological outcomes in patients with pediatric intramedullary spinal cord tumors. J Neurosurg Pediatr. 13(6):600-12, 2014
                                                3. Milano MT et al: Primary spinal cord glioma: a surveillance, epidemiology, and end results database study. J Neurooncol. 98(1):83-92, 2010
                                                4. Raco A et al: High-grade intramedullary astrocytomas: 30 years' experience at the Neurosurgery Department of the University of Rome "Sapienza". J Neurosurg Spine. 12(2):144-53, 2010
                                                5. Seo HS et al: Nonenhancing intramedullary astrocytomas and other MR imaging features: a retrospective study and systematic review. AJNR Am J Neuroradiol. 31(3):498-503, 2010
                                                6. Tendulkar RD et al: Irradiation of pediatric high-grade spinal cord tumors. Int J Radiat Oncol Biol Phys. 78(5):1451-6, 2010
                                                7. Garcés-Ambrossi GL et al: Factors associated with progression-free survival and long-term neurological outcome after resection of intramedullary spinal cord tumors: analysis of 101 consecutive cases. J Neurosurg Spine. 11(5):591-9, 2009
                                                8. Peraud A et al: Recurrent spinal cord astrocytoma with intraventricular seeding. Childs Nerv Syst. 20(2):114-8, 2004
                                                9. Colby C et al: Rapid deterioration of a newborn with congenital spinal cord astrocytoma. Med Pediatr Oncol. 36(4):500-2, 2001
                                                10. Chacko AG et al: Favorable outcome after radical excision of a 'Holocord' astrocytoma. Clin Neurol Neurosurg. 102(4):240-242, 2000
                                                11. Constantini S et al: Radical excision of intramedullary spinal cord tumors: surgical morbidity and long-term follow-up evaluation in 164 children and young adults. J Neurosurg. 93(2 Suppl):183-93, 2000
                                                12. Houten JK et al: Pediatric intramedullary spinal cord tumors: special considerations. J Neurooncol. 47(3):225-30, 2000
                                                13. Houten JK et al: Spinal cord astrocytomas: presentation, management and outcome. J Neurooncol. 47(3):219-24, 2000
                                                14. Merchant TE et al: Pediatric low-grade and ependymal spinal cord tumors. Pediatr Neurosurg. 32(1):30-6, 2000
                                                15. Ng A et al: Congenital spinal astrocytoma: how favourable is the long-term outcome? Br J Neurosurg. 14(4):366-70, 2000
                                                16. Nishio S et al: Spinal cord gliomas: management and outcome with reference to adjuvant therapy. J Clin Neurosci. 7(1):20-3, 2000
                                                17. Wilmshurst JM et al: Positron emission tomography in imaging spinal cord tumors. J Child Neurol. 15(7):465-72, 2000
                                                18. Abdel-Wahab M et al: Prognostic factors and survival in patients with spinal cord gliomas after radiation therapy. Am J Clin Oncol. 22(4):344-51, 1999
                                                19. Kulkarni AV et al: MR characteristics of malignant spinal cord astrocytomas in children. Can J Neurol Sci. 26(4):290-3, 1999
                                                20. Bouffet E et al: Prognostic factors in pediatric spinal cord astrocytoma. Cancer. 83(11):2391-9, 1998
                                                21. Lowis SP et al: Chemotherapy for spinal cord astrocytoma: can natural history be modified? Childs Nerv Syst. 14(7):317-21, 1998
                                                22. Yagi T et al: Intramedullary spinal cord tumour associated with neurofibromatosis type 1. Acta Neurochir (Wien). 139(11):1055-60, 1997
                                                Related Anatomy
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                                                Related Differential Diagnoses
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                                                References
                                                Tables

                                                Tables

                                                KEY FACTS

                                                • Terminology

                                                  • Imaging

                                                    • Top Differential Diagnoses

                                                      • Pathology

                                                        • Clinical Issues

                                                          TERMINOLOGY

                                                          • Synonyms

                                                            • Spinal glioma, intramedullary glioma
                                                          • Definitions

                                                            • Primary intramedullary neoplasm of spinal cord originating from astrocytes

                                                          IMAGING

                                                          • General Features

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Nonvascular Interventions

                                                                    • Nuclear Medicine Findings

                                                                      • Imaging Recommendations

                                                                        DIFFERENTIAL DIAGNOSIS

                                                                          PATHOLOGY

                                                                          • General Features

                                                                            • Staging, Grading, & Classification

                                                                              • Gross Pathologic & Surgical Features

                                                                                • Microscopic Features

                                                                                  CLINICAL ISSUES

                                                                                  • Presentation

                                                                                    • Demographics

                                                                                      • Natural History & Prognosis

                                                                                        • Treatment

                                                                                          DIAGNOSTIC CHECKLIST

                                                                                          • Consider

                                                                                            • Image Interpretation Pearls

                                                                                              Selected References

                                                                                              1. Karikari IO et al: Impact of tumor histology on resectability and neurological outcome in primary intramedullary spinal cord tumors: a single-center experience with 102 patients. Neurosurgery. 76 Suppl 1:S4-13; discussion S13, 2015
                                                                                              2. Ahmed R et al: Long-term disease and neurological outcomes in patients with pediatric intramedullary spinal cord tumors. J Neurosurg Pediatr. 13(6):600-12, 2014
                                                                                              3. Milano MT et al: Primary spinal cord glioma: a surveillance, epidemiology, and end results database study. J Neurooncol. 98(1):83-92, 2010
                                                                                              4. Raco A et al: High-grade intramedullary astrocytomas: 30 years' experience at the Neurosurgery Department of the University of Rome "Sapienza". J Neurosurg Spine. 12(2):144-53, 2010
                                                                                              5. Seo HS et al: Nonenhancing intramedullary astrocytomas and other MR imaging features: a retrospective study and systematic review. AJNR Am J Neuroradiol. 31(3):498-503, 2010
                                                                                              6. Tendulkar RD et al: Irradiation of pediatric high-grade spinal cord tumors. Int J Radiat Oncol Biol Phys. 78(5):1451-6, 2010
                                                                                              7. Garcés-Ambrossi GL et al: Factors associated with progression-free survival and long-term neurological outcome after resection of intramedullary spinal cord tumors: analysis of 101 consecutive cases. J Neurosurg Spine. 11(5):591-9, 2009
                                                                                              8. Peraud A et al: Recurrent spinal cord astrocytoma with intraventricular seeding. Childs Nerv Syst. 20(2):114-8, 2004
                                                                                              9. Colby C et al: Rapid deterioration of a newborn with congenital spinal cord astrocytoma. Med Pediatr Oncol. 36(4):500-2, 2001
                                                                                              10. Chacko AG et al: Favorable outcome after radical excision of a 'Holocord' astrocytoma. Clin Neurol Neurosurg. 102(4):240-242, 2000
                                                                                              11. Constantini S et al: Radical excision of intramedullary spinal cord tumors: surgical morbidity and long-term follow-up evaluation in 164 children and young adults. J Neurosurg. 93(2 Suppl):183-93, 2000
                                                                                              12. Houten JK et al: Pediatric intramedullary spinal cord tumors: special considerations. J Neurooncol. 47(3):225-30, 2000
                                                                                              13. Houten JK et al: Spinal cord astrocytomas: presentation, management and outcome. J Neurooncol. 47(3):219-24, 2000
                                                                                              14. Merchant TE et al: Pediatric low-grade and ependymal spinal cord tumors. Pediatr Neurosurg. 32(1):30-6, 2000
                                                                                              15. Ng A et al: Congenital spinal astrocytoma: how favourable is the long-term outcome? Br J Neurosurg. 14(4):366-70, 2000
                                                                                              16. Nishio S et al: Spinal cord gliomas: management and outcome with reference to adjuvant therapy. J Clin Neurosci. 7(1):20-3, 2000
                                                                                              17. Wilmshurst JM et al: Positron emission tomography in imaging spinal cord tumors. J Child Neurol. 15(7):465-72, 2000
                                                                                              18. Abdel-Wahab M et al: Prognostic factors and survival in patients with spinal cord gliomas after radiation therapy. Am J Clin Oncol. 22(4):344-51, 1999
                                                                                              19. Kulkarni AV et al: MR characteristics of malignant spinal cord astrocytomas in children. Can J Neurol Sci. 26(4):290-3, 1999
                                                                                              20. Bouffet E et al: Prognostic factors in pediatric spinal cord astrocytoma. Cancer. 83(11):2391-9, 1998
                                                                                              21. Lowis SP et al: Chemotherapy for spinal cord astrocytoma: can natural history be modified? Childs Nerv Syst. 14(7):317-21, 1998
                                                                                              22. Yagi T et al: Intramedullary spinal cord tumour associated with neurofibromatosis type 1. Acta Neurochir (Wien). 139(11):1055-60, 1997