Open AccessIntramedullary astrocytoma in childhood
Author(s) -
Caroline Silva,
Carolina Ercolano,
Dayara Salomão,
Thaiza Abdalla,
Ana Kuczynski
Publication year - 2021
Publication title -
residência pediátrica
Language(s) - English
Resource type - Journals
ISSN - 2236-6814
DOI - 10.25060/residpediatr-2021.v11n2-134
Subject(s) - medicine , intramedullary rod , carboplatin , vincristine , lesion , astrocytoma , vinblastine , chemotherapy , radiological weapon , surgery , torticollis , glioma , cisplatin , cancer research , cyclophosphamide
Intramedullary tumors are rare in childhood, with astrocytomas being more than half of the cases, presenting as a chronic disease due to indolent behavior. The report consists of a 2-year and 3-month-old child with torticollis and motor deficit in the right upper limb, which revealed an extensive low-grade glioma intramedullary tumor. After surgical resection with residual tumor, there were adverse effects to the first-line chemotherapy protocol, carboplatin and vincristine, with weekly vinblastine being instituted as an alternative. There was significant clinical improvement despite the radiological increase of the lesion.