A special case of intramedullary teratoma in an adult. Literature review
Spinal teratomas that occur in adulthood are rare. The most accepted theory is that of a disembryogenic origin, but in this case we present the theory of misplaced germ cells.We present a 54-year-old male with saddle hypoesthesia, 3/5 paraesthesia of the lower extremities, urinary incontinence, loss...
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| Format: | Article |
| Language: | English |
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Permanyer
2018-10-01
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| Series: | Revista Médica del Hospital General de México |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0185106316301020 |
| _version_ | 1818821616487890944 |
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| author | E. Ariñez Barahona J.L. Navarro Olvera M.A. Esqueda Liquidano A. Muñoz Cobos K.E. González Echeverria A.D. Rivera Arroyo E. Gómez Apo R.S. Torres Durán A. Méndez Viveros |
| author_facet | E. Ariñez Barahona J.L. Navarro Olvera M.A. Esqueda Liquidano A. Muñoz Cobos K.E. González Echeverria A.D. Rivera Arroyo E. Gómez Apo R.S. Torres Durán A. Méndez Viveros |
| author_sort | E. Ariñez Barahona |
| collection | DOAJ |
| description | Spinal teratomas that occur in adulthood are rare. The most accepted theory is that of a disembryogenic origin, but in this case we present the theory of misplaced germ cells.We present a 54-year-old male with saddle hypoesthesia, 3/5 paraesthesia of the lower extremities, urinary incontinence, loss of anal sphincter tone, and patellar and achilles hyporeflexia, of 10 months’ evolution. The MRI showed a heterogeneous, cystic and solid intramedullary lesion with defined edges. Laminoplasty surgery of L2 to L4 and complete resection of the lesion was performed. The histopathological study found a mature teratoma.The incidence of intraspinal teratomas is very low. There are two theories: the disembryogenic theory (most accepted) and the misplaced germ cell theory (our case). This pathogenesis of teratoma formation involves a niche of pluripotent cells from the primitive knot or a caudal cell mass that may precede the formation of a dysraphism. In this modified theory, teratoma growth sometimes causes disruption of the development field and dysraphism. Resumen: Los teratomas espinales, son raros que se presenten en edad adulta. La teoría más aceptada es disembriogénica, pero en este caso exponemos la teoría de células germinales del fuera de lugar.Presentamos un masculino de 54 años, de 10 meses de evolución con hipoestesia en silla de montar, parestesia miembros pélvicos 3/5, incontinencia urinaria, tono de esfínter anal ausente, hiporeflexia patelar y aquilea. RMN lumbar muestra lesión tumoral heterogénea intramedular, quística y solida, bordes definidos. Se realiza cirugía de laminoplastia de L2-L4 y resección total de lesión tumoral, con resultado del estudio histopatológico de Teratoma maduro. La incidencia de teratomas intraespinales es muy baja. Existen 2 teorías: teoría disembiogénica (más aceptada) y teoría de células germinales fuera de lugar (nuestro caso). Esta patogénesis de formación de teratoma tiene nicho de células pluripotentes a partir de nodos de Hensen o masa celular caudal que puede preceder a la formación de disrafismo. Esta teoría modificada, del crecimiento de teratoma a veces causa interrupción del campo del desarrollo y disrafismo. Keywords: Teratoma, Spinal tumour, Mollaret's meningitis, Aseptic meningitis, Intradural, Misplaced germ cell theory, Palabras clave: Teratoma, Tumour espinal, Meningitis Mollaret, Meningitis aséptica, Intradural, Teoría de las células germinales fuera de lugar |
| first_indexed | 2024-12-18T23:11:01Z |
| format | Article |
| id | doaj.art-14ff36e37e9f40b496d7daf79d520384 |
| institution | Directory Open Access Journal |
| issn | 0185-1063 |
| language | English |
| last_indexed | 2024-12-18T23:11:01Z |
| publishDate | 2018-10-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Revista Médica del Hospital General de México |
| spelling | doaj.art-14ff36e37e9f40b496d7daf79d5203842022-12-21T20:48:20ZengPermanyerRevista Médica del Hospital General de México0185-10632018-10-01814237242A special case of intramedullary teratoma in an adult. Literature reviewE. Ariñez Barahona0J.L. Navarro Olvera1M.A. Esqueda Liquidano2A. Muñoz Cobos3K.E. González Echeverria4A.D. Rivera Arroyo5E. Gómez Apo6R.S. Torres Durán7A. Méndez Viveros8Hospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, Mexico; Corresponding author at: Avenida Cuauhtémoc 403, Edificio 1, Interior 204, Colonia Roma Sur, Mexico City, Mexico.Hospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, MexicoHospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, MexicoHospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, MexicoHospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, MexicoHospital General de Xoco, Neurosurgery Unit, Mexico City, MexicoHospital General de México “Dr Eduardo Liceaga”, Neuropathology Unit, Mexico City, MexicoHospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, MexicoHospital General de México “Dr Eduardo Liceaga”, Neurology and Neurosurgery Unit, Neurosurgery Department, Mexico City, MexicoSpinal teratomas that occur in adulthood are rare. The most accepted theory is that of a disembryogenic origin, but in this case we present the theory of misplaced germ cells.We present a 54-year-old male with saddle hypoesthesia, 3/5 paraesthesia of the lower extremities, urinary incontinence, loss of anal sphincter tone, and patellar and achilles hyporeflexia, of 10 months’ evolution. The MRI showed a heterogeneous, cystic and solid intramedullary lesion with defined edges. Laminoplasty surgery of L2 to L4 and complete resection of the lesion was performed. The histopathological study found a mature teratoma.The incidence of intraspinal teratomas is very low. There are two theories: the disembryogenic theory (most accepted) and the misplaced germ cell theory (our case). This pathogenesis of teratoma formation involves a niche of pluripotent cells from the primitive knot or a caudal cell mass that may precede the formation of a dysraphism. In this modified theory, teratoma growth sometimes causes disruption of the development field and dysraphism. Resumen: Los teratomas espinales, son raros que se presenten en edad adulta. La teoría más aceptada es disembriogénica, pero en este caso exponemos la teoría de células germinales del fuera de lugar.Presentamos un masculino de 54 años, de 10 meses de evolución con hipoestesia en silla de montar, parestesia miembros pélvicos 3/5, incontinencia urinaria, tono de esfínter anal ausente, hiporeflexia patelar y aquilea. RMN lumbar muestra lesión tumoral heterogénea intramedular, quística y solida, bordes definidos. Se realiza cirugía de laminoplastia de L2-L4 y resección total de lesión tumoral, con resultado del estudio histopatológico de Teratoma maduro. La incidencia de teratomas intraespinales es muy baja. Existen 2 teorías: teoría disembiogénica (más aceptada) y teoría de células germinales fuera de lugar (nuestro caso). Esta patogénesis de formación de teratoma tiene nicho de células pluripotentes a partir de nodos de Hensen o masa celular caudal que puede preceder a la formación de disrafismo. Esta teoría modificada, del crecimiento de teratoma a veces causa interrupción del campo del desarrollo y disrafismo. Keywords: Teratoma, Spinal tumour, Mollaret's meningitis, Aseptic meningitis, Intradural, Misplaced germ cell theory, Palabras clave: Teratoma, Tumour espinal, Meningitis Mollaret, Meningitis aséptica, Intradural, Teoría de las células germinales fuera de lugarhttp://www.sciencedirect.com/science/article/pii/S0185106316301020 |
| spellingShingle | E. Ariñez Barahona J.L. Navarro Olvera M.A. Esqueda Liquidano A. Muñoz Cobos K.E. González Echeverria A.D. Rivera Arroyo E. Gómez Apo R.S. Torres Durán A. Méndez Viveros A special case of intramedullary teratoma in an adult. Literature review Revista Médica del Hospital General de México |
| title | A special case of intramedullary teratoma in an adult. Literature review |
| title_full | A special case of intramedullary teratoma in an adult. Literature review |
| title_fullStr | A special case of intramedullary teratoma in an adult. Literature review |
| title_full_unstemmed | A special case of intramedullary teratoma in an adult. Literature review |
| title_short | A special case of intramedullary teratoma in an adult. Literature review |
| title_sort | special case of intramedullary teratoma in an adult literature review |
| url | http://www.sciencedirect.com/science/article/pii/S0185106316301020 |
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