Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features

We present the case of a 43-year-old lady who presented with headaches, visual impairment, and seizures, progressing rapidly over the course of a few weeks. Extensive workup excluded an inflammatory or infectious cause. Imaging studies revealed diffuse thickening of the leptomeninges and serial CSF...

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Main Authors: Ehtasham Ahmad, Mohamed Mohamed, Apostolos Vrettos
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/5016840
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author Ehtasham Ahmad
Mohamed Mohamed
Apostolos Vrettos
author_facet Ehtasham Ahmad
Mohamed Mohamed
Apostolos Vrettos
author_sort Ehtasham Ahmad
collection DOAJ
description We present the case of a 43-year-old lady who presented with headaches, visual impairment, and seizures, progressing rapidly over the course of a few weeks. Extensive workup excluded an inflammatory or infectious cause. Imaging studies revealed diffuse thickening of the leptomeninges and serial CSF analysis showed raised opening pressures and increased protein levels. A diagnostic biopsy of the lower thoracic dura confirmed the diagnosis of primary diffuse leptomeningeal gliomatosis (PDGL). She was managed supportively for her symptoms and unfortunately she passed away a few weeks later.
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institution Kabale University
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2090-6676
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spelling doaj-art-754fe3dd28124e82a0146164659157ad2025-02-03T05:59:48ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/50168405016840Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological FeaturesEhtasham Ahmad0Mohamed Mohamed1Apostolos Vrettos2East Kent Hospitals University NHS Trust, Queen Elizabeth the Queen Mother Hospital, Department of General Internal Medicine, Margate, UKEast Kent Hospitals University NHS Trust, Queen Elizabeth the Queen Mother Hospital, Department of General Internal Medicine, Margate, UKEast Kent Hospitals University NHS Trust, Queen Elizabeth the Queen Mother Hospital, Department of General Internal Medicine, Margate, UKWe present the case of a 43-year-old lady who presented with headaches, visual impairment, and seizures, progressing rapidly over the course of a few weeks. Extensive workup excluded an inflammatory or infectious cause. Imaging studies revealed diffuse thickening of the leptomeninges and serial CSF analysis showed raised opening pressures and increased protein levels. A diagnostic biopsy of the lower thoracic dura confirmed the diagnosis of primary diffuse leptomeningeal gliomatosis (PDGL). She was managed supportively for her symptoms and unfortunately she passed away a few weeks later.http://dx.doi.org/10.1155/2016/5016840
spellingShingle Ehtasham Ahmad
Mohamed Mohamed
Apostolos Vrettos
Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features
Case Reports in Neurological Medicine
title Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features
title_full Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features
title_fullStr Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features
title_full_unstemmed Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features
title_short Primary Diffuse Leptomeningeal Gliomatosis: Radiological/Pathological Features
title_sort primary diffuse leptomeningeal gliomatosis radiological pathological features
url http://dx.doi.org/10.1155/2016/5016840
work_keys_str_mv AT ehtashamahmad primarydiffuseleptomeningealgliomatosisradiologicalpathologicalfeatures
AT mohamedmohamed primarydiffuseleptomeningealgliomatosisradiologicalpathologicalfeatures
AT apostolosvrettos primarydiffuseleptomeningealgliomatosisradiologicalpathologicalfeatures