Pilomyxoid astrocytoma of the spinal cord with cerebrospinal fluid and peritoneal metastasis

Sahayini Arulrajah, Thierry A.G.M. Huisman

Research output: Chapter in Book/Report/Conference proceedingChapter


Pilomyxoid astrocytoma (PMA) is a recently described rare tumor which is a variant of pilocytic astrocytoma (PA). It exhibits a more aggressive behavior than PA. Spinal cord PMA has been reported in two articles in the past and none of the reported case had extraneural metastasis. We report on a female child with cervical cord PMA with diffuse leptomeningeal metastasis involving the brain and spinal cord. Two years later she presented with peritoneal carcinomatoses which was consistent with metastatic tumor via a ventriculoperitoneal (VP) shunt. This case confirms the aggressive behavior of PMA and makes clinicians aware of the possibility of extraneural, peritoneal metastasis through a VP shunt.

Original languageEnglish (US)
Title of host publicationTumors of the1 Central Nervous System, Volume 6
Subtitle of host publicationSpinal Tumors (Part 1)
PublisherSpringer Netherlands
Number of pages5
ISBN (Electronic)9789400728660
ISBN (Print)9789400728653
StatePublished - Jan 1 2012


  • Astrocytoma
  • Brain
  • Metastasis
  • Peritoneal cavity
  • Pilomyxoid
  • Shunt
  • Spinal cord
  • Ventriculoperitoneal

ASJC Scopus subject areas

  • Medicine(all)


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