Spinal Astrocytoma with Brachial Plexus-like Presentation: A Report of 2 Cases.
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CASE: We present 2 cases of spinal astrocytoma in infants mistaken for brachial plexus birth injuries (BPBI). (1) A 5-month-old infant had upper-extremity weakness resembling a global plexus injury. An magnetic resonance imaging (MRI) and biopsy revealed a low-grade cervical astrocytoma. The patient underwent chemotherapy with partial recovery of upper extremity motor function. (2) A 5-month-old infant had upper-extremity weakness resembling upper trunk BPBI. MRI and biopsy revealed pilocystic astrocytoma. The patient underwent spinal decompression and proton therapy but did not regain function. CONCLUSION: A high degree of suspicion for neoplasia in the setting of presumed brachial plexus birth injury can prevent incorrect diagnosis allow timely treatment.