Rajeev Kumar, A. Kakani, C. Deopujari, Rajan M. Shah
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A dorsal intramedullary astrocytoma presenting as syringobulbia: A case report.
A 26 years old male presented with complaints of dysphagia and hoarseness of voice with poor gag reflex. Magnetic resonance imaging (MRI) of the spine and brain showed medium sized, ovoid shaped, intensely enhancing intramedullary lesion at D5-7 associated with extensive syringomyelia from cervicomedullry junction to D11 and syringobulbia. He underwent D5-8 laminectomy with near total excision of the lesion. The histopathology revealed astrocytoma (WHO Grade-1). The patient improved completely after surgery with resolution of syrinx. In the present case, the unusual clinical presentation, diagnostic challenges, and treatment dilemmas have been discussed.
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