Tags

Type your tag names separated by a space and hit enter

Hemangioblastoma of the filum terminale: case report.
Neurosurgery. 1999 Jan; 44(1):221-3.N

Abstract

OBJECTIVE AND IMPORTANCE

Tumors of the cauda equina and specifically the filum terminale are uncommon. We report the fourth case of a hemangioblastoma occurring in the filum terminale.

CLINICAL PRESENTATION

This 35-year-old man presented with a 4-year history of low back pain that had been previously diagnosed as a bulging disc and exhibited severe pain in response to percussion of his lower back but was neurologically intact. He was found to have a large, enhancing mass filling the thecal sac at L2-L3.

INTERVENTION

The tumor was found to be attached to the filum terminale and was cleanly dissected off en toto. Microscopically, the mass consisted of endothelial cells in addition to abundant fat-laden stromal cells and reticulum.

CONCLUSION

We present a case report and a review of the literature. Our patient was the first to exhibit no radicular complaints. The diagnosis was delayed in all four cases and was not determined until the time of surgery. Complete excision offers the best chance for cure, and spinal angiography can aid in diagnosis. However, a high index of suspicion is needed for preoperative detection.

Authors+Show Affiliations

Department of Neurosurgery, University of Mississippi Hospitals and Clinics, Jackson 39216, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

9894986

Citation

Tibbs, R E., et al. "Hemangioblastoma of the Filum Terminale: Case Report." Neurosurgery, vol. 44, no. 1, 1999, pp. 221-3.
Tibbs RE, Harkey HL, Raila FA. Hemangioblastoma of the filum terminale: case report. Neurosurgery. 1999;44(1):221-3.
Tibbs, R. E., Harkey, H. L., & Raila, F. A. (1999). Hemangioblastoma of the filum terminale: case report. Neurosurgery, 44(1), 221-3.
Tibbs RE, Harkey HL, Raila FA. Hemangioblastoma of the Filum Terminale: Case Report. Neurosurgery. 1999;44(1):221-3. PubMed PMID: 9894986.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hemangioblastoma of the filum terminale: case report. AU - Tibbs,R E,Jr AU - Harkey,H L, AU - Raila,F A, PY - 1999/1/23/pubmed PY - 2001/3/28/medline PY - 1999/1/23/entrez SP - 221 EP - 3 JF - Neurosurgery JO - Neurosurgery VL - 44 IS - 1 N2 - OBJECTIVE AND IMPORTANCE: Tumors of the cauda equina and specifically the filum terminale are uncommon. We report the fourth case of a hemangioblastoma occurring in the filum terminale. CLINICAL PRESENTATION: This 35-year-old man presented with a 4-year history of low back pain that had been previously diagnosed as a bulging disc and exhibited severe pain in response to percussion of his lower back but was neurologically intact. He was found to have a large, enhancing mass filling the thecal sac at L2-L3. INTERVENTION: The tumor was found to be attached to the filum terminale and was cleanly dissected off en toto. Microscopically, the mass consisted of endothelial cells in addition to abundant fat-laden stromal cells and reticulum. CONCLUSION: We present a case report and a review of the literature. Our patient was the first to exhibit no radicular complaints. The diagnosis was delayed in all four cases and was not determined until the time of surgery. Complete excision offers the best chance for cure, and spinal angiography can aid in diagnosis. However, a high index of suspicion is needed for preoperative detection. SN - 0148-396X UR - https://www.unboundmedicine.com/medline/citation/9894986/Hemangioblastoma_of_the_filum_terminale:_case_report_ L2 - https://academic.oup.com/neurosurgery/article-lookup/doi/10.1097/00006123-199901000-00137 DB - PRIME DP - Unbound Medicine ER -