IP International Journal of Medical Paediatrics and Oncology


Case report of an acute presentation of diplegia in a four-month old - to expect the unexpected!


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Article Type : Case Report

Author Details: Pearl Mary Varughese*,Satheesh Ponnarmeni

Volume : 5

Issue : 1

Online ISSN : 2581-4702

Print ISSN : 2581-4699

Article First Page : 39

Article End Page : 43


Abstract

Spinal tumors are rare in infancy. Among them, atypical teratoid/rhabdoid tumor of the spine is an even more rare pediatric neoplasm with grave prognosis. Here we present a case of atypical teratoid/rhabdoid tumor (ATRT) of the lumbar spine in a four months old male who presented with acute onset of lower limb weakness. Magnetic resonance imaging of the spinal cord revealed a highly cellular intradural intramedullary embryonal tumour from D8-L4. Immunohistochemically, integrase inhibitor 1(INI-1) stain show loss of expression. Despite surgical resection, the infant presented with new metastatic lesions and hydrocephalus. Ventriculo-peritoneal shunt was placed and the prognosis was explained to the parents.

Keywords: Intramedullary, Rhabdoid tumor, Hydrocephalous.

Doi :-https://doi.org/10.18231/j.ijmpo.2019.008