Affiliations: [a] Department of Physical Medicine and Rehabilitation, Antwerp University Hospital, Edegem, Belgium | [b] Department of Physical Medicine and Rehabilitation, ZNA Middelheim Hospital, Antwerp, Belgium | [c] Department of Radiology, ZNA Middelheim Hospital, Antwerp, Belgium
Correspondence:
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Corresponding author: Jeroen Stappers, Department of Physical Medicine and Rehabilitation, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium. Tel.: +32 484 26 94 71; E-mail:stappers_jeroen@hotmail.com
Abstract: We report the case of a 53-year-old male with a right Achilles tendinosis, who complains about a mild gait disorder starting after walking several kilometers. In the following months he develops neurological symptoms. MRI lumbar spine shows an intramedullary tumor at level Th12. A biopsy confirms the diagnosis of an intramedullary astrocytoma. Primary intramedullary tumors are relatively rare. Clinical presentation is often insidious. The authors want to make a point to reconsider a diagnosis in case it does not explain completely the anamnestic or clinical findings. According to the literature there is no optimal approach to the management of these tumors.
