Central neurocytoma of the cervical spinal cord (original) (raw)
Central neurocytoma of the cervical spinal cord
SIMON R STAPLETON,
KAROLY M DAVID,
WILLIAM F J HARKNESS
Department of Neurosurgery
Department of Neuropathology, Great Ormond Street Children’s Hospital NHS Trust, London, UK.
Mr Simon R Stapleton, Department of Neurosurgery, Atkinson Morley’s Hospital, Wimbledon, London SW20 0NE, UK.
BRIAN N HARDING
Department of Neurosurgery
Department of Neuropathology, Great Ormond Street Children’s Hospital NHS Trust, London, UK.
Mr Simon R Stapleton, Department of Neurosurgery, Atkinson Morley’s Hospital, Wimbledon, London SW20 0NE, UK.
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The World Health Organisation (WHO) classification of brain tumours now includes the entity central neurocytoma as originally defined by Hassoun et al in 1982.1 Typically the tumour occurs in a supratentorial location in or around the lateral ventricles. Six cases of central neurocytoma of the spinal cord have been reported to date.2-4 We report a further case to highlight the importance of recognising this lesion at this site because the prognosis, as with central neurocytomas elsewhere, seems to be highly favourable.
A 12 year old boy presented with an eight week history of interscapular pain at night, after a fall. This was accompanied by numbness of the left arm and paraesthesiae of both hands coupled with fatigue in the legs. There had been no sphincteric symptoms. There had been no perinatal difficulties and he had reached his developmental milestones appropriately. On examination …