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July 1990

Congenital Astrocytoma in the Cervical Spinal Cord

Author Affiliations

Department of Pediatrics Mie University School of Medicine 2-174 Edobashi Tsu, Mie-Ken 514, Japan
Department of Pediatrics Yonaha Hospital Kuwana, Mie-Ken, Japan

Am J Dis Child. 1990;144(7):744-746. doi:10.1001/archpedi.1990.02150310010003

Sir.—A 1-month-old male infant with quadriplegia and apneic spells was found to have congenital astrocytoma in the cervical spinal cord, as defined by magnetic resonance imaging and computed tomographic metrizamide myelography. He underwent subtotal resection of the tumor at 85 days of age. Quadriparesis and apneic spells remained unchanged for the next 20 months.

Congenital intracranial neoplasms are estimated to account for 1.5% of all childhood brain tumors. To our knowledge, primary congenital tumors arising within the spinal cord have not been reported in the neonatal period. We describe a child with congenital astrocytoma arising in the cervical spinal cord.

Patient Report.—On July 16, 1987, a term male infant was delivered vaginally and weighed 3990 g. He was discharged with his mother at 6 days of age, and remained well until 1 month of age, when he developed fever and cough 2 days prior to admission. On the

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