SPINAL SEEDINGS OF AN OLIGOASTROCYTOMA OF GRADE-III WHO - CASE-REPORT

3 1/2 years after two operations and radiation therapy of a biparietal ly, parasagittaly localised grade III oligoastrocytoma, a 34-year-old patient developed symptoms of the spinal cord. By performing magnetic resonance tomography and laminectomy, multiple metastases of the anapl astic part of the primary tumour could be identified. Spinal seedings of a tumour of this grading are even rarer than those sporadically rep orted on corresponding complications of a multiform glioblastoma. Risk factors for the development of such a complication are youth of the p atient, primary site of the tumour near the midline and anaplastic par ts of the tumour in adults. If such a constellation exists, one should definitely consider the possibility of a spinal seeding in a grade II I glioma, especially because in these younger patients thus would be o f greater relevance for therapy than in patients with multiform gliobl astoma.