Primary leptomeningeal primitive neuroectodermal tumor Journal Article


Authors: Begemann, M.; Lyden, D.; Rosenblum, M. K.; Lis, E.; Wolden, S.; Antunes, N. L.; Dunkel, I. J.
Article Title: Primary leptomeningeal primitive neuroectodermal tumor
Abstract: Leptomeningeal metastases are a common complication of medulloblastomas and other primitive neuroectodermal tumors (PNETs). Much rarer are PNETs apparently arising in the leptomeninges. An 8-year-old boy presented with headache and vomiting, due to neoplastic meningitis from primary neuroectodermal tumor without an identifying mass. After craniospinal irradiation and chemotherapy (carboplatin, vincristine, cyclophosphamide and lomustine) the boy was in remission for 14 months, then suffered several relapses despite various chemotherapy regimens. After the initial presentation of 3.5 years the boy began to suffer from prolonged refractory non-convulsive status epilepticus and later expired from progression of primary leptomeningeal PNET.
Keywords: child; school child; case report; cancer combination chemotherapy; cancer growth; multimodality cancer therapy; radiation dose; combined modality therapy; temozolomide; nuclear magnetic resonance imaging; magnetic resonance imaging; antineoplastic agent; carboplatin; etoposide; vomiting; antineoplastic combined chemotherapy protocols; radiotherapy dosage; lorazepam; cyclophosphamide; dexamethasone; vincristine; stem cell transplantation; tumor regression; pathology; lomustine; thiotepa; skull irradiation; cranial irradiation; irinotecan; papilledema; phenobarbital; lumbar puncture; meningeal neoplasms; immunocytochemistry; tumor recurrence; remission; remission induction; headache; physical examination; meningioma; diplopia; fatal outcome; neuroectoderm tumor; carcinomatous meningitis; visual impairment; phenytoin; valproic acid; neuroectodermal tumors, primitive; cerebrospinal fluid cytology; fatality; epileptic state; leptomeninx; neoplastic meningitis; disease resistance; leptomeninges; pnet; humans; human; male; article; non-convulsive status epilepticus; primary leptomeningeal pnet
Journal Title: Journal of Neuro-Oncology
Volume: 63
Issue: 3
ISSN: 0167-594X
Publisher: Springer  
Date Published: 2003-07-01
Start Page: 299
End Page: 303
Language: English
DOI: 10.1023/a:1024324700411
PUBMED: 12892237
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 12 September 2014 -- Source: Scopus
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MSK Authors
  1. Ira J Dunkel
    371 Dunkel
  2. David C Lyden
    87 Lyden
  3. Eric Lis
    138 Lis
  4. Suzanne L Wolden
    560 Wolden
  5. Nuno L Antunes
    22 Antunes
  6. Marc Rosenblum
    424 Rosenblum