{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:41:19Z","timestamp":1787755279342,"version":"build-2784847793"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>A high degree of suspicion for neoplasia in the setting of presumed brachial plexus birth injury can prevent incorrect diagnosis allow timely treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.25.00653","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T18:01:03Z","timestamp":1780682463000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Spinal Astrocytoma with Brachial Plexus-like Presentation"],"prefix":"10.2106","volume":"16","author":[{"given":"Keenan","family":"Sobol","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Jefferson Einstein Hospital, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6791-6230","authenticated-orcid":false,"given":"Scott","family":"Kozin","sequence":"additional","affiliation":[{"name":"Shriners Children\u2019s, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2135-7603","authenticated-orcid":false,"given":"Natalie","family":"Williams","sequence":"additional","affiliation":[{"name":"Shriners Children\u2019s, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-2320-3182","authenticated-orcid":false,"given":"Emily","family":"Nice","sequence":"additional","affiliation":[{"name":"Shriners Children\u2019s, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6728-3450","authenticated-orcid":false,"given":"Mariarita","family":"Santi","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1874-1926","authenticated-orcid":false,"given":"Eugene","family":"Park","sequence":"additional","affiliation":[{"name":"Shriners Children\u2019s, Philadelphia, Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"5","key":"bib1-20260605","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1016\/j.ijrobp.2012.11.022","article-title":"Management of pediatric spinal cord astrocytomas: outcomes with adjuvant 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