Published Paper Details:

INTRODUCTION: Primary spinal Glioblastoma multiforme is extremely rare central nervous system malignancy and even rarer is its occurrence at conus medullaris. Due to its rare occurrence no large studies have been conducted to delineate its treatment protocols with statistical significance. Due to lack of proper studies the treatment protocols are based on results from primary brain GBM studies and low power studies conducted on primary spinal GBM. The case report has described the treatment protocol in detail and also progressive follow up of the patient. Patient showed encouraging improvement in symptoms with the our treatment plan and a disease free survival upto one and half year. METHOD: The treatment protocol followed in this case was based on multi disciplinary discussion, analysis of various available literature and previous experience of the institute with primary central nervous system GBM treatment. Considering the physical and oncological condition of the patient after discussion in the multidisciplinary tumor board committee, the patient was given concurrent chemoradiation. PURPOSE: This case report aims to add to the sparse data of medical science on this rare disease primary spinal Glioblastoma Multiforme and try to guide clinician to its treatment. CONCLUSION: Spinal GBM being a rare tumor with poor prognosis need to be carefully treated using the traditional as well as novel treatment methods based on feasibility and conditions of patient and institute protocols. All such cases must be reported and contributed to medical literature.