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Plexiform neurofibroma of the cauda equina: case report.
Surg Neurol. 2005 Feb; 63(2):182-4; discussion 184.SN

Abstract

BACKGROUND

Plexiform neurofibromas are rarely found in the cauda equina. The most recent report of a plexiform neurofibroma of the cauda equina noted only 2 previously described cases.

CASE DESCRIPTION

To these we add the current case, as well as 2 additional previously published cases. We report the case of a 44-year-old man with a sudden exacerbation of his long-standing lower-back and bilateral leg pain. An intradural lesion was seen on magnetic resonance imaging and he underwent surgery. Intraoperatively, there were swollen nerve roots and tumor insinuating itself between the roots. A biopsy was performed, and pathology findings were consistent with plexiform neurofibroma.

CONCLUSIONS

Plexiform neurofibroma of the cauda equina is a rare tumor, with variable manifestations. These tumors are not amenable to complete resection. Surgical treatment consists of either partial resection or biopsy, possibly with dural grafting for decompression.

Authors+Show Affiliations

Department of Neurosurgery, New York University, NY 10016, USA. seth.joseffer@med.nyu.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

15680670

Citation

Joseffer, Seth S., et al. "Plexiform Neurofibroma of the Cauda Equina: Case Report." Surgical Neurology, vol. 63, no. 2, 2005, pp. 182-4; discussion 184.
Joseffer SS, Babu RP, Kleinman G. Plexiform neurofibroma of the cauda equina: case report. Surg Neurol. 2005;63(2):182-4; discussion 184.
Joseffer, S. S., Babu, R. P., & Kleinman, G. (2005). Plexiform neurofibroma of the cauda equina: case report. Surgical Neurology, 63(2), 182-4; discussion 184.
Joseffer SS, Babu RP, Kleinman G. Plexiform Neurofibroma of the Cauda Equina: Case Report. Surg Neurol. 2005;63(2):182-4; discussion 184. PubMed PMID: 15680670.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Plexiform neurofibroma of the cauda equina: case report. AU - Joseffer,Seth S, AU - Babu,Ramesh P, AU - Kleinman,George, PY - 2003/09/29/received PY - 2004/02/23/accepted PY - 2005/2/1/pubmed PY - 2005/3/11/medline PY - 2005/2/1/entrez SP - 182-4; discussion 184 JF - Surgical neurology JO - Surg Neurol VL - 63 IS - 2 N2 - BACKGROUND: Plexiform neurofibromas are rarely found in the cauda equina. The most recent report of a plexiform neurofibroma of the cauda equina noted only 2 previously described cases. CASE DESCRIPTION: To these we add the current case, as well as 2 additional previously published cases. We report the case of a 44-year-old man with a sudden exacerbation of his long-standing lower-back and bilateral leg pain. An intradural lesion was seen on magnetic resonance imaging and he underwent surgery. Intraoperatively, there were swollen nerve roots and tumor insinuating itself between the roots. A biopsy was performed, and pathology findings were consistent with plexiform neurofibroma. CONCLUSIONS: Plexiform neurofibroma of the cauda equina is a rare tumor, with variable manifestations. These tumors are not amenable to complete resection. Surgical treatment consists of either partial resection or biopsy, possibly with dural grafting for decompression. SN - 0090-3019 UR - https://www.unboundmedicine.com/medline/citation/15680670/Plexiform_neurofibroma_of_the_cauda_equina:_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0090-3019(04)00434-3 DB - PRIME DP - Unbound Medicine ER -