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.