Pilomyxoid astrocytoma of the thoracic spinal cord in an adult: A case report and review of literature

We present a case of pilomyxoid astrocytoma (PMA) in a 35-year-old Asian male with history of paraparesis for last 6 months. A contrast-enhanced magnetic resonance imaging of the spine revealed an intramedullary mass lesion occupying most of the thecal sac at the level of 10 ^th and 11 ^th dorsal vertebrae, with extensive contrast enhancement. Spinal PMA in an adult is an extremely rare entity, with only two reported cases in the literature, until date. This appears to be the first reported case of spinal PMA in an adult with isolated thoracic spinal cord involvement.