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Intradural spina tumors

Giuseppe M V Barbagallo, Massimiliano Maione, Giuseppe Raudino, Francesco Certo
BACKGROUND: Intradural epidermoid tumors of the spinal cord are commonly associated with spinal cord dysraphism or invasive procedures. We report the particular relationships between spinal subarachnoid compartments and thoracic intradural-extramedullary epidermoid tumor, highlighting the relevant anatomic changes that may influence microsurgery. METHODS: A 40-year-old woman from compressive myelopathy owing to a thoracic epidermoid tumor extending from T3 to T4 and not associated with spina bifida, trauma, previous surgery, or lumbar spinal puncture underwent microsurgical excision...
December 2017: World Neurosurgery
Anand Sinha, Arvind Sabharwal, Nandini Yadav, R K Gupta, Rana Patir
Retroperitoneum is a relatively uncommon site for pediatric teratomas. Rarely, such tumors can have an intraspinal extension and few cases of retroperitoneal teratomas associated with spinal dysraphism have been reported. Teratomas consist of tissues arising from all three embryonic layers. However, mature renal tissues in the form of glomeruli and tubules are sparingly found in teratomas. A 15-day-old female presented with spina bifida occulta and on evaluation a cystic presacral mass was detected. Intraoperatively the cyst was found densely adherent to the hemivertebrae but not entering the spinal canal...
June 2014: European Journal of Pediatric Surgery Reports
Erhan Arslan, Kayhan Kuzeyli, Elif Acar Arslan
INTRODUCTION: The aim of this study was to report surgical strategies and clinical outcomes for thoraco-lumbar intradural lipomas. Intraspinal lipomas are rare congenital histologically benign neoplasms, which account for less than 1% of all spinal cord tumors. These tumors are most frequently found in the lumbosacral area as components of a dysraphic state, however, intramedullary lipomas are not associated with spina bifida or cutaneous malformations and have only been described as isolated cases among spinal lipomas, where the thoracolumbar region is rarely affected...
May 2014: Iranian Red Crescent Medical Journal
Joshua J Chern, Amber S Gordon, Robert P Naftel, R Shane Tubbs, W Jerry Oakes, John C Wellons
Intracranial endoscopy in the treatment of hydrocephalus, arachnoid cysts, or brain tumors has gained wide acceptance, but the use of endoscopy for intradural navigation in the pediatric spine has received much less attention. The aim of the authors' present study was to analyze their experience in using spinal endoscopy to treat various pathologies of the spinal canal. The authors performed a retrospective review of intradural spinal endoscopic cases at their institution. They describe 4 representative cases, including an arachnoid cyst, intrinsic spinal cord tumor, holocord syrinx, and split cord malformation...
July 2011: Journal of Neurosurgery. Pediatrics
Saeed Ansari, Yasir Andrabi, Mostafa El Khashab, Farzad Bateni, Majid Dadmehr, Bermans J Iskandar, Farideh Nejat
BACKGROUND: Congenital dermal sinus is a type of closed spinal dysraphism caused by incomplete disjunction. The lesion occurs everywhere along neuraxis predominantly as a solitary midline sinus in the lumbosacral area. CASE HISTORY: The authors report on a 10-month-old girl with triple congenital dermal sinuses associated with dermoid tumors and intradural extension of one of them. DISCUSSION: Triple dermal sinuses of the lumbosacral area in a single patient have never been described previously...
2009: Pediatric Neurosurgery
Farid Radmanesh, Farideh Nejat, Mostafa El Khashab
OBJECTIVE: Spinal dermal sinus tract (DST) is a rare entity which usually comes to clinical attention by cutaneous abnormalities, neurologic deficit, and/or infection. We performed this study to assess presentation patterns, associated anomalies, radiologic, urologic, and surgical findings in children afflicted with spinal DST. METHODS: Medical records of 35 children treated for spinal DST in Children's Medical Center from January 2001 to December 2008 were reviewed...
March 2010: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
B Haluk Güvenç, Volkan Etus, Bahar Muezzinoglu
BACKGROUND CONTEXT: The association of teratomas and spinal malformations such as spina bifida, partial sacral agenesis, hemivertebrae, and diastematomyelia has been described in the literature. Reported cases, however, are mainly presacral or sacrococcygeal with an extremely rare presentation of intradural extension. PURPOSE: A case of lumbar teratoma with an intradural extension and extramedullary component and the clinical outcome following surgical treatment are reported...
January 2006: Spine Journal: Official Journal of the North American Spine Society
Henry E Aryan, Rahul Jandial, Azadeh Farin, Joseph C Chen, Robert Granville, Michael L Levy
OBJECTIVE: The congenital dermal sinus (CDS) is a benign tumor-like entity that has unique anatomical and clinical features. We retrospectively examined our data to determine factors associated with adverse outcomes for cranial-based dermal sinuses. METHODS: We retrospectively examined our data obtained from patients presenting between 1975 and 2002. Sixty-seven patients with a CDS were found. Of these, 20 cases of a cranial CDS were identified, 15 of which had evidence of an intradural component...
March 2006: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Laurie L Ackerman, Arnold H Menezes
OBJECTIVE: Dermal sinus tracts are an uncommon form of spinal dysraphism often presenting in childhood with skin findings, neurologic deficit, or infection. We reviewed our surgical experience, examining presenting symptomatology, operative findings, and patient outcomes. METHODS: A retrospective analysis of operated dermal sinus tract cases by the senior author (A.H.M.) from 1970 to present was made. RESULTS: Twenty-eight patients were identified; 17 female and 11 male...
September 2003: Pediatrics
Laurie L Ackerman, Arnold H Menezes, Kenneth A Follett
Cervical and thoracic dermal sinus tracts (DSTs) account for 1 and 10%, respectively, of all DSTs. Few case reports describe this diagnosis. To characterize this entity, a 30-year retrospective audit was utilized to identify cases. Nine cases were identified, five of which were cervical and four thoracic. Four cases less than 1 year old presented with skin findings and no neurologic deficit. All five cases greater than 1 year old presented with neurologic findings. Initial examination revealed changes in motor function (n = 5), sensation (n = 4), reflexes (n = 5), gait (n = 4) and altered bowel/bladder function (n = 2)...
September 2002: Pediatric Neurosurgery
F Parker
Syringomyelia is a cyst within the spinal cord, associated with numerous causes, most frequently combined with the Chiari abnormality. Many other causes of craniovertebral junction anomalies are described. In those cases the syringomyelia is so-called hind-brain related syringomyelia. Other dysraphic states and spinal causes of syringomyelia are spina bifida cystica, lumbar lipomas, diastematomyelia or split notochord syndrome. Mechanical causes of spinal cord compression are mostly of tumoral origin. The vast majority of spinal metastases occur extradurally and originate from carcinomas of the breast, prostate and lung...
June 2001: La Revue du Praticien
M Takahashi, H Murata, T Ohmura, A Nagano
OBJECTIVE: To report unique and unknown clinical features of muscle fasciculation and muscle hypertrophy in a case of congenital dermal sinus. PATIENTS: A 16-year-old girl presented with continuous fasciculation, often cramp, and hypertrophy of the left calf muscle. The radiography showed spina bifida of L4, L5 and S1. MRI revealed dermal sinus tract from the skin dimple of the back to the dura mater, and connected to the intradural inclusion tumor. At surgery the inclusion tumor contained many short hairs, and the cauda equina were severely adherent...
May 2001: Acta Neurologica Scandinavica
S Carré, S Sanoussi, J L Dietemann, S Salatino, M Guessoum
Epidermoid cysts are rare intradural extramedullary tumors. There are two types of lesions: congenital spinal cysts frequently associated with other bone or skin malformations (spina bifida aperta, dermal sinus ...) and iatrogenic spinal cysts resulting from lumbar puncture. In both situations, clinical and the radiologic findings are similar. We describe an epidermoid cyst in a 52-year-old female affected with a lumbar pain and recent urinary disorders. Symptoms were slow to appear and dependent on the location of the cyst...
June 1997: Journal of Neuroradiology. Journal de Neuroradiologie
P F Chang, P J Wang, Y K Tu
A 9-year-old girl developed a progressive unsteady gait for one month. Hyperactive reflexes of the four extremities and a spasticity of the lower extremities were found. Bilateral Babinski responses were elicited. An intradural extramedullary mass of upper thoracic spinal cord was demonstrated using magnetic resonance imaging and was confirmed as an intradural extramedullary epidermoid cyst at surgery. This epidermoid cyst was from congenital origin. No congenital anomalies such as spina bifida or dermal sinus were associated...
May 1996: Zhonghua Minguo Xiao Er Ke Yi Xue Hui za Zhi [Journal]
K Matsumoto, E Kohmura, K Tsuruzono, K Mori, Y Araki, T Tsujimura, K Kawano
A 61-year-old man presented with repeated back pain and progressive anesthesia of both lower limbs. MR images and myelography showed an intradural, extramedullary tumor at the Th8-9 level. Surgery revealed a thin membrane containing xanthochromic cerebrospinal fluid behind the spinal cord. Microscopically, the excised lesions contained columnar epithelium with goblet cells. Spinal neurenteric cysts are a rare anomaly, especially solitary cysts located in the thoracic spine. The neurenteric canal transiently develops in the lumbosacral region during the 3rd week of gestation...
January 1994: Nō to Shinkei, Brain and Nerve
M F Calvit, G Aranda
In the past, if infection was present at the time a spinal dermal sinus was discovered, the sinus opening and cerebrospinal fluid were sterilized with a course of appropriate antibiotic therapy prior to the surgical intervention. The cases of two children with an infected spinal dermal sinus are reported here. One patient developed acute paraplegia during the initial stage of antibiotic therapy, and the second patient, who was admitted only with signs of fever and irritability, experienced after antibiotic therapy a complete myelographic blockade secondary to a large infected intradural dermoid tumor...
March 1995: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
I Pelissou-Guyotat, M Sindou, J Pialat, A Goutelle
The authors report the case of a 33 year-old male with urinary disturbances referred for removal of a spinal intradural mass associated with a L4 spina bifida occulta. At operation three types of lesions were present: a tethered cord, an intradural lipoma of the cauda equina and conus medullaris and an intramedullary mature teratoma. A total removal of teratoma and lipoma and a section of the filum terminale achieved a normalization of urological function. Such mature teratoma that consists of all three germ layers only represent 2% of all intramedullary tumors...
1988: Neuro-Chirurgie
S R Alston, G N Fuller, O B Boyko, S A Goscin, A DiSclafani
Ectopic immature renal tissue was found in a lumbosacral subcutaneous lipoma with intradural extension in a 6-day-old female with spina bifida. No additional neurologic or renal anomalies were found. Ectopic renal tissue is an extremely rare finding. Histopathologic and MRI results from this case are presented and the possible significance of ectopic renal tissue in relation to the origin of extrarenal Wilms' tumors is discussed.
1989: Pediatric Neuroscience
D L Benzil, M H Epstein, N W Knuckey
Intramedullary spinal abscesses are rare and potentially devastating lesions. A heightened clinical awareness of patients at risk is essential for an early diagnosis and intervention to improve the prognosis of these patients. The first case of spinal abscess was described in 1830, and only 63 cases have been reported subsequently. Intraspinal epidermoids also are unusual lesions. These tumors were reported first in 1829 and represent less than 1% of all intraspinal tumors. We present a case of a 2-year-old girl who had rapidly progressive paraplegia with urinary and bowel retention and was found to have an intramedullary epidermoid and an intramedullary abscess as a result of a dermal sinus...
January 1992: Neurosurgery
E Goldenberg, J Bories, M Royon
Observation of the four cases reported and a review of the published literature suggest that spinal column lipomas can produce two entirely unrelated types of radiological image. 1. An image of cord-like appearance and variable width which joins the filum terminale to the sacrum, and is usually associated with enlargement of the spinal cord at the same level. This image can be demonstrated by both gas myelography and opaque myelography, and is produced by a lipoma of the filum terminale. The cord image is either that of an ectopic spinal cord or that of the lipomatous tumor itself, which joins the filum terminale to the sacrum...
December 1978: Journal de Radiologie, D'électrologie, et de Médecine Nucléaire
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