A Case of Intramedullary Spinal Glioblastoma Multiforme

Primary intramedullary spinal glioblastoma multiforme is very rare. Spinal dissemination from intracranial glioblastoma is also uncommon. We present a 13-year-old girl who had difficulty in elevating her right upper extremity and developed spinal symptoms. Metrizamide myelography, computed tomographic metrizamide myelography, and magnetic resonance imaging showed intramedullary mass expanding from medulla oblongata to C-7 vertebral body level. Laminectomy from C-2 to C-7 revealed intramedullary tumor infiltrating the right C-5 spinal nerves. Histopathologically, the surgical specimen showed the peculiar featuers of a glioblastoma multiforme.