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Brain Stem Glioma in Childhood: Acute Hemiplegic Onset

  • S.J. Rothman (a1) and C.W. Olanow (a1)

Summary:

Two children, age seven and 16 years, are described with the abrupt onset of a pure motor hemiplegia as the initial manifestation of a brain stem neoplasm. Subsequent rapid neurological deterioration localized the lesion to the brain stem and glioblastoma multiforme was diagnosed by surgical biopsy. It is suggested that brain stem gliomas with this unusual presentation are likely to be highly malignant and prone to rapid bulbar deterioration.

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Copyright

Corresponding author

F.R.C.P. (C), P.O. Box 3533, Duke University Medical Center, Durham, North Carolina, 27710

References

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Hara, M., Takeuchi, K., (1977). A temporal study of survival of patients with pontine gliomas. J. Neurol., 216, 189196.
Levitt, L.P., Selkoe, D.J.Franken–Field, B., Schoene, W., (1975). Pure motor hemiplegia secondary to brain-stem tumour. J. Neurol. Neurosurg. and Psych., 38, 12401243.
Masucci, E.F., Merrero, A.A., Kurtzke, J.F., Fox, J.L., (1966). Glioblastoma multiforme involving the posterior fossa. Diseases of the Nervous System, 27, 4751.
Matson, D.B., (1969). Tumors of the posterior fossa. In Neurosurgery of Infancy and Childhood. Springfield Illinois, Charles C. Thomas, pp. 410479.

Brain Stem Glioma in Childhood: Acute Hemiplegic Onset

  • S.J. Rothman (a1) and C.W. Olanow (a1)

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