A rare case of H3K27-altered diffuse midline glioma with multiple osseous and spinal metastases at the time of diagnosis
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A rare case of H3K27-altered diffuse midline glioma with multiple osseous and spinal metastases at the time of diagnosis. / Aftahy, A Kaywan; Butenschoen, Vicki M; Hoenikl, Lisa; Liesche-Starnecker, Friederike; Wiestler, Benedikt; Schmidt-Graf, Friederike; Meyer, Bernhard; Gempt, Jens.
in: BMC NEUROL, Jahrgang 23, Nr. 1, 28.02.2023, S. 87.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - A rare case of H3K27-altered diffuse midline glioma with multiple osseous and spinal metastases at the time of diagnosis
AU - Aftahy, A Kaywan
AU - Butenschoen, Vicki M
AU - Hoenikl, Lisa
AU - Liesche-Starnecker, Friederike
AU - Wiestler, Benedikt
AU - Schmidt-Graf, Friederike
AU - Meyer, Bernhard
AU - Gempt, Jens
N1 - © 2023. The Author(s).
PY - 2023/2/28
Y1 - 2023/2/28
N2 - BACKGROUND: H3K27-altered diffuse midline gliomas are uncommon central nervous system tumors with extremely poor prognoses.CASE PRESENTATION: We report the case of a 24-year-old man patient with multiple, inter alia osseous metastases who presented with back pain, hemi-hypoesthesia, and hemi-hyperhidrosis. The patient underwent combined radio-chemotherapy and demonstrated temporary improvement before deteriorating.CONCLUSIONS: H3K27-altered diffuse midline glioma presents an infrequent but crucial differential diagnosis and should be considered in cases with rapid neurological deterioration and multiple intracranial and intramedullary tumor lesions in children and young adults. Combined radio-chemotherapy delayed the neurological deterioration, but unfortunately, progression occurred three months after the diagnosis.
AB - BACKGROUND: H3K27-altered diffuse midline gliomas are uncommon central nervous system tumors with extremely poor prognoses.CASE PRESENTATION: We report the case of a 24-year-old man patient with multiple, inter alia osseous metastases who presented with back pain, hemi-hypoesthesia, and hemi-hyperhidrosis. The patient underwent combined radio-chemotherapy and demonstrated temporary improvement before deteriorating.CONCLUSIONS: H3K27-altered diffuse midline glioma presents an infrequent but crucial differential diagnosis and should be considered in cases with rapid neurological deterioration and multiple intracranial and intramedullary tumor lesions in children and young adults. Combined radio-chemotherapy delayed the neurological deterioration, but unfortunately, progression occurred three months after the diagnosis.
KW - Child
KW - Male
KW - Young Adult
KW - Humans
KW - Adult
KW - Spinal Neoplasms/complications
KW - Diagnosis, Differential
KW - Bone and Bones
KW - Antineoplastic Combined Chemotherapy Protocols
KW - Glioma
U2 - 10.1186/s12883-023-03135-4
DO - 10.1186/s12883-023-03135-4
M3 - SCORING: Journal article
C2 - 36855102
VL - 23
SP - 87
JO - BMC NEUROL
JF - BMC NEUROL
SN - 1471-2377
IS - 1
ER -