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...

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Main Authors: Akira Hioki, Kei Miyamoto, Yoshinobu Hirose, Yusuke Kito, Kazunari Fushimi, Katsuji Shimizu
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
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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.
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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
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AT yusukekito cervicalsymmetricdumbbellganglioneuromascausingsevereparesis
AT kazunarifushimi cervicalsymmetricdumbbellganglioneuromascausingsevereparesis
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