A Case Report on Cerebral Gliomatosis: Challenges in Delayed Diagnosis and Management
Ghizlane Arsalane *
Hôpital Militaire MV, Service de Pediatrie –RABAT, Morocco.
A. Ourrai
Hôpital Militaire MV, Service de Pediatrie –RABAT, Morocco.
R. Abilkassem
Hôpital Militaire MV, Service de Pediatrie –RABAT, Morocco.
O. Agdar
Hôpital Militaire MV, Service de Pediatrie –RABAT, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Aim: The aim of this study is to reveal the difficulties in delayed diagnosis and management of the Cerebral Gliomatosis : A rare primary infiltrative neoplasia of the brain.
Presentation of the Case: It’s about 9 years old girl with no specific symptoms like headaches with balance disorder and speech disorder that last for more than 2 months.
The paraclinical exams of the brain (MRI,spectrometry and stereotactic biopsy) can put the diagnosis.
Discussion: Cerebral Gliomatosis (CG) is a rare primary infiltrative neoplasia of the brain characterized by diffuse glial proliferation affecting at least both cerebral lobes. The difficulties to diagnosis this pathology and to manage it like in the case of that young girl is because there’s no specific symptoms and to the delayed diagnosis to . In fact the clinical signs are unspecific and highly variable and depending on the areas of the brain affected, the patient's age and the rate of tumor growth.
Conclusion : The difficult diagnosis of the Cerebral Gliomatosis is based on a combination of morphological and histological criteria.
Spectroscopic imaging is of diagnostic and prognostic interest.
Keywords: Cerebral Gliomatosis, diagnosis, management, pediatric neurooncology