Mature cystic teratoma of conus medularis in an adult: A rare case
The incidence of spinal teratoma ranges from 0.2 to 0.5% of all spinal cord tumours. They may be associated with neural tube defects causing tethered cord syndrome and are rarely localized at the level of filum terminale. Only 0.15–0.18% of spinal tumours has been classified as teratomas. Unlike int...
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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/S2214751920304783 |
| _version_ | 1818432896626589696 |
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| author | Rahul Varshney Laxmi Narayan Gupta Ajay Choudhary |
| author_facet | Rahul Varshney Laxmi Narayan Gupta Ajay Choudhary |
| author_sort | Rahul Varshney |
| collection | DOAJ |
| description | The incidence of spinal teratoma ranges from 0.2 to 0.5% of all spinal cord tumours. They may be associated with neural tube defects causing tethered cord syndrome and are rarely localized at the level of filum terminale. Only 0.15–0.18% of spinal tumours has been classified as teratomas. Unlike intra spinal teratomas in infants and children, the symptoms of these tumours in adult patients typically lack specific clinical features that, upon diagnosis, may cause confusion with other spinal tumours.In this case report, a 25-year-old male presented with history of back pain for 3 years weakness in both lower limbs since 2 years and urinary incontinence for 4 months. Upon investigation MRI revealed a D12-L2 intradural multi loculated cystic leision measuring 6.7*2.1*3 cm heterogeneously enhancing with evidence of fat suppression at the level of the conus medullaris.T12-L2 decompressive laminectomies were performed and Subtotal resection of the lesion was achieved because the tumour was adherent to conus.Teratomas should be taken into consideration in the differential diagnosis of intramedullary lesions when the imaging reveals variable signal intensity as a result of tissue heterogeneity. A partial resection is a viable treatment option when the lesion is attached to vital structures due to the low recurrence rates reported in the literature. |
| first_indexed | 2024-12-14T16:12:29Z |
| format | Article |
| id | doaj.art-fb5c5db6a07d4554a77d202a516f686c |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-12-14T16:12:29Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-fb5c5db6a07d4554a77d202a516f686c2022-12-21T22:54:57ZengElsevierInterdisciplinary Neurosurgery2214-75192021-03-0123100917Mature cystic teratoma of conus medularis in an adult: A rare caseRahul Varshney0Laxmi Narayan Gupta1Ajay Choudhary2Corresponding author at: Department of Neurosurgery, Room No:-206, PGIMER &Dr RML Hospital New Delhi, 110001, India.; Department of Neurosurgery, PGIMER&Dr RML Hospital New Delhi, IndiaDepartment of Neurosurgery, PGIMER&Dr RML Hospital New Delhi, IndiaDepartment of Neurosurgery, PGIMER&Dr RML Hospital New Delhi, IndiaThe incidence of spinal teratoma ranges from 0.2 to 0.5% of all spinal cord tumours. They may be associated with neural tube defects causing tethered cord syndrome and are rarely localized at the level of filum terminale. Only 0.15–0.18% of spinal tumours has been classified as teratomas. Unlike intra spinal teratomas in infants and children, the symptoms of these tumours in adult patients typically lack specific clinical features that, upon diagnosis, may cause confusion with other spinal tumours.In this case report, a 25-year-old male presented with history of back pain for 3 years weakness in both lower limbs since 2 years and urinary incontinence for 4 months. Upon investigation MRI revealed a D12-L2 intradural multi loculated cystic leision measuring 6.7*2.1*3 cm heterogeneously enhancing with evidence of fat suppression at the level of the conus medullaris.T12-L2 decompressive laminectomies were performed and Subtotal resection of the lesion was achieved because the tumour was adherent to conus.Teratomas should be taken into consideration in the differential diagnosis of intramedullary lesions when the imaging reveals variable signal intensity as a result of tissue heterogeneity. A partial resection is a viable treatment option when the lesion is attached to vital structures due to the low recurrence rates reported in the literature.http://www.sciencedirect.com/science/article/pii/S2214751920304783Conus medularisTeratomaIntramedullaryDysembryogic |
| spellingShingle | Rahul Varshney Laxmi Narayan Gupta Ajay Choudhary Mature cystic teratoma of conus medularis in an adult: A rare case Interdisciplinary Neurosurgery Conus medularis Teratoma Intramedullary Dysembryogic |
| title | Mature cystic teratoma of conus medularis in an adult: A rare case |
| title_full | Mature cystic teratoma of conus medularis in an adult: A rare case |
| title_fullStr | Mature cystic teratoma of conus medularis in an adult: A rare case |
| title_full_unstemmed | Mature cystic teratoma of conus medularis in an adult: A rare case |
| title_short | Mature cystic teratoma of conus medularis in an adult: A rare case |
| title_sort | mature cystic teratoma of conus medularis in an adult a rare case |
| topic | Conus medularis Teratoma Intramedullary Dysembryogic |
| url | http://www.sciencedirect.com/science/article/pii/S2214751920304783 |
| work_keys_str_mv | AT rahulvarshney maturecysticteratomaofconusmedularisinanadultararecase AT laxminarayangupta maturecysticteratomaofconusmedularisinanadultararecase AT ajaychoudhary maturecysticteratomaofconusmedularisinanadultararecase |