Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis
We report an extremely rare case with bilateral and symmetric dumbbell ganglioneuromas of the cervical spine in an elderly patient. A 72-year-old man came by ambulance to our hospital due to progressive incomplete paraplegia. Magnetic resonance imaging demonstrated bilateral symmetric dumbbell tumor...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Spine Society
2014-02-01
|
Series: | Asian Spine Journal |
Subjects: | |
Online Access: | http://www.asianspinejournal.org/upload/pdf/asj-8-74.pdf |
_version_ | 1819230351337193472 |
---|---|
author | Akira Hioki Kei Miyamoto Yoshinobu Hirose Yusuke Kito Kazunari Fushimi Katsuji Shimizu |
author_facet | Akira Hioki Kei Miyamoto Yoshinobu Hirose Yusuke Kito Kazunari Fushimi Katsuji Shimizu |
author_sort | Akira Hioki |
collection | DOAJ |
description | We report an extremely rare case with bilateral and symmetric dumbbell ganglioneuromas of the cervical spine in an elderly patient. A 72-year-old man came by ambulance to our hospital due to progressive incomplete paraplegia. Magnetic resonance imaging demonstrated bilateral symmetric dumbbell tumors at the C1/2 level. We performed total resection of the intracanalar tumor, aiming at complete decompression of the spinal cord, and partial and subtotal resection of foraminal outside portions. Histopathological examination of the surgical specimen indicated the tumor cells to be spindle cells with the presence of ganglion cells and no cellular pleomorphism, suggesting a diagnosis of ganglioneuroma. Although the surgery was not curative, the postoperative course was uneventful and provided a satisfactory outcome. This is the fourth known case of cervical ganglioneuromas of the bilateral symmetric dumbbell type. |
first_indexed | 2024-12-23T11:27:41Z |
format | Article |
id | doaj.art-692723bf45f04830950a04d1a299e04b |
institution | Directory Open Access Journal |
issn | 1976-1902 1976-7846 |
language | English |
last_indexed | 2024-12-23T11:27:41Z |
publishDate | 2014-02-01 |
publisher | Korean Spine Society |
record_format | Article |
series | Asian Spine Journal |
spelling | doaj.art-692723bf45f04830950a04d1a299e04b2022-12-21T17:48:54ZengKorean Spine SocietyAsian Spine Journal1976-19021976-78462014-02-0181747810.4184/asj.2014.8.1.74693Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe ParesisAkira Hioki0Kei Miyamoto1Yoshinobu Hirose2Yusuke Kito3Kazunari Fushimi4Katsuji Shimizu5Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.Department of Reconstructive Surgery for Spine, Bone, and Joint, Gifu University Graduate School of Medicine, Gifu, Japan.Department of Pathology, Gifu University Graduate School of Medicine, Gifu, Japan.Department of Pathology, Gifu University Graduate School of Medicine, Gifu, Japan.Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.We report an extremely rare case with bilateral and symmetric dumbbell ganglioneuromas of the cervical spine in an elderly patient. A 72-year-old man came by ambulance to our hospital due to progressive incomplete paraplegia. Magnetic resonance imaging demonstrated bilateral symmetric dumbbell tumors at the C1/2 level. We performed total resection of the intracanalar tumor, aiming at complete decompression of the spinal cord, and partial and subtotal resection of foraminal outside portions. Histopathological examination of the surgical specimen indicated the tumor cells to be spindle cells with the presence of ganglion cells and no cellular pleomorphism, suggesting a diagnosis of ganglioneuroma. Although the surgery was not curative, the postoperative course was uneventful and provided a satisfactory outcome. This is the fourth known case of cervical ganglioneuromas of the bilateral symmetric dumbbell type.http://www.asianspinejournal.org/upload/pdf/asj-8-74.pdfGanglioneuromaSymmetricDumbbell tumorCervical spine |
spellingShingle | Akira Hioki Kei Miyamoto Yoshinobu Hirose Yusuke Kito Kazunari Fushimi Katsuji Shimizu Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis Asian Spine Journal Ganglioneuroma Symmetric Dumbbell tumor Cervical spine |
title | Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis |
title_full | Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis |
title_fullStr | Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis |
title_full_unstemmed | Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis |
title_short | Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis |
title_sort | cervical symmetric dumbbell ganglioneuromas causing severe paresis |
topic | Ganglioneuroma Symmetric Dumbbell tumor Cervical spine |
url | http://www.asianspinejournal.org/upload/pdf/asj-8-74.pdf |
work_keys_str_mv | AT akirahioki cervicalsymmetricdumbbellganglioneuromascausingsevereparesis AT keimiyamoto cervicalsymmetricdumbbellganglioneuromascausingsevereparesis AT yoshinobuhirose cervicalsymmetricdumbbellganglioneuromascausingsevereparesis AT yusukekito cervicalsymmetricdumbbellganglioneuromascausingsevereparesis AT kazunarifushimi cervicalsymmetricdumbbellganglioneuromascausingsevereparesis AT katsujishimizu cervicalsymmetricdumbbellganglioneuromascausingsevereparesis |