Brain Stem Glioma in Childhood: Acute Hemiplegic Onset

Abstract
Two children, age 7 and 16 yr, are described with the abrupt onset of a pure motor hemiplegia as the initial manifestation of a brain stem neoplasm. Subsequent rapid neurological deterioration localized the lesion to the brain stem, and glioblastoma multiforme was diagnosed by surgical biopsy. Brain stem gliomas with this unusual presentation are likely to be highly malignant and prone to rapid bulbar deterioration.

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