A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis

Diffuse midline glioma with H3 K27M mutation is a new tumor entity from 2016 which is highly aggressive and classified as a WHO Grade IV tumor regardless of histopathologic features. We report a case of a 40-year-old male with diffuse midline glioma with pathology confirmation of histone H3 K27M mut...

Full description

Bibliographic Details
Main Authors: Hsin-Pin Lin, Cuiping Zhao, Vyas Viswanathan, Anthony T. Yachnis, James Wymer
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Interdisciplinary Neurosurgery
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214751920305661
_version_ 1819060524238766080
author Hsin-Pin Lin
Cuiping Zhao
Vyas Viswanathan
Anthony T. Yachnis
James Wymer
author_facet Hsin-Pin Lin
Cuiping Zhao
Vyas Viswanathan
Anthony T. Yachnis
James Wymer
author_sort Hsin-Pin Lin
collection DOAJ
description Diffuse midline glioma with H3 K27M mutation is a new tumor entity from 2016 which is highly aggressive and classified as a WHO Grade IV tumor regardless of histopathologic features. We report a case of a 40-year-old male with diffuse midline glioma with pathology confirmation of histone H3 K27M mutation presenting predominately with subacute lower motor neuron syndrome mimicking long segmental myelitis. Our case will remind physicians that diffuse midline gliomas with H3 K27M mutation should be considered for differential diagnosis when there is long segmental spinal cord lesion. Careful evaluation should be done when there is atypical clinical manifestation.
first_indexed 2024-12-21T14:28:21Z
format Article
id doaj.art-f5baa663c9ad40ffad5988a93541e287
institution Directory Open Access Journal
issn 2214-7519
language English
last_indexed 2024-12-21T14:28:21Z
publishDate 2021-03-01
publisher Elsevier
record_format Article
series Interdisciplinary Neurosurgery
spelling doaj.art-f5baa663c9ad40ffad5988a93541e2872022-12-21T19:00:35ZengElsevierInterdisciplinary Neurosurgery2214-75192021-03-0123101005A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitisHsin-Pin Lin0Cuiping Zhao1Vyas Viswanathan2Anthony T. Yachnis3James Wymer4Department of Neurology, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Neurology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Jinan, Shandong Province, ChinaDepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FL, USADepartment of Neurology, College of Medicine, University of Florida, Gainesville, FL, USA; Corresponding author at: Department of Neurology, University of Florida, HSC Box 100236, Gainesville, FL 32610, USA.Diffuse midline glioma with H3 K27M mutation is a new tumor entity from 2016 which is highly aggressive and classified as a WHO Grade IV tumor regardless of histopathologic features. We report a case of a 40-year-old male with diffuse midline glioma with pathology confirmation of histone H3 K27M mutation presenting predominately with subacute lower motor neuron syndrome mimicking long segmental myelitis. Our case will remind physicians that diffuse midline gliomas with H3 K27M mutation should be considered for differential diagnosis when there is long segmental spinal cord lesion. Careful evaluation should be done when there is atypical clinical manifestation.http://www.sciencedirect.com/science/article/pii/S2214751920305661Diffuse midline gliomaH3 K27M mutationMyelitisLower motor neuron syndromeGliomaAstrocytoma
spellingShingle Hsin-Pin Lin
Cuiping Zhao
Vyas Viswanathan
Anthony T. Yachnis
James Wymer
A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis
Interdisciplinary Neurosurgery
Diffuse midline glioma
H3 K27M mutation
Myelitis
Lower motor neuron syndrome
Glioma
Astrocytoma
title A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis
title_full A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis
title_fullStr A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis
title_full_unstemmed A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis
title_short A case of diffuse midline glioma with histone H3 K27M mutation mimicking long segmental myelitis
title_sort case of diffuse midline glioma with histone h3 k27m mutation mimicking long segmental myelitis
topic Diffuse midline glioma
H3 K27M mutation
Myelitis
Lower motor neuron syndrome
Glioma
Astrocytoma
url http://www.sciencedirect.com/science/article/pii/S2214751920305661
work_keys_str_mv AT hsinpinlin acaseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT cuipingzhao acaseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT vyasviswanathan acaseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT anthonytyachnis acaseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT jameswymer acaseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT hsinpinlin caseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT cuipingzhao caseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT vyasviswanathan caseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT anthonytyachnis caseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis
AT jameswymer caseofdiffusemidlinegliomawithhistoneh3k27mmutationmimickinglongsegmentalmyelitis