Results:
The patient underwent L5 and S1-S2 posterior laminectomy and complete excision of lesion followed by post-operative radiotherapy from L4- to S3. After surgery, the patient demonstrated gradual improvement in neurologic deficits.
At 10 years of initial diagnosis spinal magnetic resonance evaluation detected leptomeningeal enhancement at the level of T9 and L2. Surgery with L2 posterior laminectomy and complete resection of the L2 lesion was performed.
Magnetic resonance and positron emission tomography scans after surgery were indicative of slowly progressing leptomeningeal enhancement at the T9, T12 and L3 level. No detectable extraspinal disease was present.
The patient remains presently asymptomatic and under regular follow up at our institution.