Tags

Type your tag names separated by a space and hit enter

Coexistence of spinal intramedullary teratoma and diastematomyelia in an adult.
Spinal Cord. 2006 Oct; 44(10):632-5.SC

Abstract

STUDY DESIGN

A case report of intramedullary spinal cord teratoma with remote diastematomyelia in a female adult.

OBJECTIVE

To present a rare case of a dysembryogenic spinal tumor with concurrent split cord malformation and to define the importance of early surgical removal of the tumor.

SETTING

A department of neurosurgery in Greece.

METHODS

A 44-year old woman, presented with progressive lower limb muscle weakness, gait disturbances and dysesthesias in the trunk and lower extremity. She underwent plain radiographs, CT and MRI scan, which revealed an exophytic intramedullary spinal cord tumor at the level of T8-T10 and distant diastematomyelia in the upper lumbar spine (L2-L3). She underwent surgical intervention. The tumor was subtotally removed. No attempt was made to treat diastematomyelia.

RESULTS

Postoperatively, the patient's neurological status started to improve gradually. After 1 year she exhibited better strength in the lower limb muscles and improved sensation. The histological examination demonstrated mature spinal teratoma consisting of ectodermal, mesodermal and endodermal elements.

CONCLUSIONS

In adult patients with intramedullary masses of possible dysembryogenic origin, the whole spine must be examined for additional dysraphic lesions. The choice and the timing of a surgical intervention are strongly dependent on the clinical picture.

Authors+Show Affiliations

Department of Neurosurgery, Thriassio General Hospital, Elefsina, Greece.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

16389271

Citation

Tsitsopoulos, P, et al. "Coexistence of Spinal Intramedullary Teratoma and Diastematomyelia in an Adult." Spinal Cord, vol. 44, no. 10, 2006, pp. 632-5.
Tsitsopoulos P, Rizos C, Isaakidis D, et al. Coexistence of spinal intramedullary teratoma and diastematomyelia in an adult. Spinal Cord. 2006;44(10):632-5.
Tsitsopoulos, P., Rizos, C., Isaakidis, D., Liapi, G., & Zymaris, S. (2006). Coexistence of spinal intramedullary teratoma and diastematomyelia in an adult. Spinal Cord, 44(10), 632-5.
Tsitsopoulos P, et al. Coexistence of Spinal Intramedullary Teratoma and Diastematomyelia in an Adult. Spinal Cord. 2006;44(10):632-5. PubMed PMID: 16389271.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Coexistence of spinal intramedullary teratoma and diastematomyelia in an adult. AU - Tsitsopoulos,P, AU - Rizos,C, AU - Isaakidis,D, AU - Liapi,G, AU - Zymaris,S, Y1 - 2006/01/03/ PY - 2006/1/4/pubmed PY - 2006/12/9/medline PY - 2006/1/4/entrez SP - 632 EP - 5 JF - Spinal cord JO - Spinal Cord VL - 44 IS - 10 N2 - STUDY DESIGN: A case report of intramedullary spinal cord teratoma with remote diastematomyelia in a female adult. OBJECTIVE: To present a rare case of a dysembryogenic spinal tumor with concurrent split cord malformation and to define the importance of early surgical removal of the tumor. SETTING: A department of neurosurgery in Greece. METHODS: A 44-year old woman, presented with progressive lower limb muscle weakness, gait disturbances and dysesthesias in the trunk and lower extremity. She underwent plain radiographs, CT and MRI scan, which revealed an exophytic intramedullary spinal cord tumor at the level of T8-T10 and distant diastematomyelia in the upper lumbar spine (L2-L3). She underwent surgical intervention. The tumor was subtotally removed. No attempt was made to treat diastematomyelia. RESULTS: Postoperatively, the patient's neurological status started to improve gradually. After 1 year she exhibited better strength in the lower limb muscles and improved sensation. The histological examination demonstrated mature spinal teratoma consisting of ectodermal, mesodermal and endodermal elements. CONCLUSIONS: In adult patients with intramedullary masses of possible dysembryogenic origin, the whole spine must be examined for additional dysraphic lesions. The choice and the timing of a surgical intervention are strongly dependent on the clinical picture. SN - 1362-4393 UR - https://www.unboundmedicine.com/medline/citation/16389271/Coexistence_of_spinal_intramedullary_teratoma_and_diastematomyelia_in_an_adult_ L2 - http://dx.doi.org/10.1038/sj.sc.3101886 DB - PRIME DP - Unbound Medicine ER -