Resection of a conus medullaris hemangioblastoma: Case report
Background: Conus medullaris tumors are rare, as the majority of all spinal cord tumors occur in the cervical and thoracic regions. Hemangioblastomas of the spinal cord account for 3%–4% of all intramedullary spinal cord tumors and can be sporadic or associated with von Hippel-Lindau disease. There...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-03-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751920304655 |
| _version_ | 1831582906977353728 |
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| author | Reinier Alvarez Panagiotis Mastorakos Prashant Chittiboina |
| author_facet | Reinier Alvarez Panagiotis Mastorakos Prashant Chittiboina |
| author_sort | Reinier Alvarez |
| collection | DOAJ |
| description | Background: Conus medullaris tumors are rare, as the majority of all spinal cord tumors occur in the cervical and thoracic regions. Hemangioblastomas of the spinal cord account for 3%–4% of all intramedullary spinal cord tumors and can be sporadic or associated with von Hippel-Lindau disease. There are only fourteen cases of conus medullaris hemangioblastomas published in the literature, herein we present the fifteenth. Case description: A 44-year old male with von Hippel Lindau disease presented with worsening bilateral lower extremity weakness, gait imbalance as well as absent perineal and genital sensation with weak voluntary anal contraction. MRI demonstrated multiple stable spinal tumors and a 6 mm conus medullaris hemangioblastoma with growth and a new peri-tumoral cyst. The patient underwent uncomplicated surgical resection with appreciable improvement in perineal sensation and sphincteric control during post-operative course. Conclusions: Timely resection of conus medullaris tumors can provide symptomatic relief and prevent the progression of devastating neurological deficits. Careful microsurgical dissection with appropriate patient selection allows for safe resection of conus medullaris tumors. |
| first_indexed | 2024-12-17T20:32:58Z |
| format | Article |
| id | doaj.art-36332a511d3946438e74492b201ac379 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-17T20:32:58Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-36332a511d3946438e74492b201ac3792022-12-21T21:33:32ZengElsevierInterdisciplinary Neurosurgery2214-75192021-03-0123100904Resection of a conus medullaris hemangioblastoma: Case reportReinier Alvarez0Panagiotis Mastorakos1Prashant Chittiboina2Neurosurgery Unit for Pituitary and Inheritable Diseases, National Institute of Neurological Disorders and Stroke, Bethesda, MD, United States; Florida International University Herbert Wertheim College of Medicine, Miami, FL, United States; Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD, United StatesSurgical Neurology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD, United States; Department of Neurosurgery, University of Virginia, Charlottesville, VA, United StatesNeurosurgery Unit for Pituitary and Inheritable Diseases, National Institute of Neurological Disorders and Stroke, Bethesda, MD, United States; Surgical Neurology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, MD, United States; Corresponding author at: Neurosurgery Unit for Pituitary and Inheritable Diseases, National Institute of Neurological Diseases and Stroke, National Institutes of Health. 10 Center Drive, Room 3D20, Bethesda, MD 20892-1414, United States.Background: Conus medullaris tumors are rare, as the majority of all spinal cord tumors occur in the cervical and thoracic regions. Hemangioblastomas of the spinal cord account for 3%–4% of all intramedullary spinal cord tumors and can be sporadic or associated with von Hippel-Lindau disease. There are only fourteen cases of conus medullaris hemangioblastomas published in the literature, herein we present the fifteenth. Case description: A 44-year old male with von Hippel Lindau disease presented with worsening bilateral lower extremity weakness, gait imbalance as well as absent perineal and genital sensation with weak voluntary anal contraction. MRI demonstrated multiple stable spinal tumors and a 6 mm conus medullaris hemangioblastoma with growth and a new peri-tumoral cyst. The patient underwent uncomplicated surgical resection with appreciable improvement in perineal sensation and sphincteric control during post-operative course. Conclusions: Timely resection of conus medullaris tumors can provide symptomatic relief and prevent the progression of devastating neurological deficits. Careful microsurgical dissection with appropriate patient selection allows for safe resection of conus medullaris tumors.http://www.sciencedirect.com/science/article/pii/S2214751920304655Conus medullarisHemangioblastomaIntramedullary spinal cord tumorVon Hippel Lindau |
| spellingShingle | Reinier Alvarez Panagiotis Mastorakos Prashant Chittiboina Resection of a conus medullaris hemangioblastoma: Case report Interdisciplinary Neurosurgery Conus medullaris Hemangioblastoma Intramedullary spinal cord tumor Von Hippel Lindau |
| title | Resection of a conus medullaris hemangioblastoma: Case report |
| title_full | Resection of a conus medullaris hemangioblastoma: Case report |
| title_fullStr | Resection of a conus medullaris hemangioblastoma: Case report |
| title_full_unstemmed | Resection of a conus medullaris hemangioblastoma: Case report |
| title_short | Resection of a conus medullaris hemangioblastoma: Case report |
| title_sort | resection of a conus medullaris hemangioblastoma case report |
| topic | Conus medullaris Hemangioblastoma Intramedullary spinal cord tumor Von Hippel Lindau |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920304655 |
| work_keys_str_mv | AT reinieralvarez resectionofaconusmedullarishemangioblastomacasereport AT panagiotismastorakos resectionofaconusmedullarishemangioblastomacasereport AT prashantchittiboina resectionofaconusmedullarishemangioblastomacasereport |