Adult intradural extramedullary teratoma of the spinal cord: A case presentation

Triantafyllidi, Eleni; Papoudou‐Bai, Alexandra; Alexiou, George Α.; Zikou, Anastasia; Charchanti, Antonia; Konsolakis, Nikolaos; Skiada, Dionysoula; Voulgaris, Spyridon; Goussia, Anna

doi:10.1016/j.clineuro.2018.10.010

Cited by 6 publications

(1 citation statement)

References 5 publications

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“…MRI of the spine performed in our patient displayed a heterogenous tumor, which was multilobulated, partially cystic and calcified. Despite these findings and advancements in imaging technology, distinguishing between tumor types on imaging studies is unreliable [ 17 , 18 ]. Histopathological analysis remains the gold standard for identifying the final diagnosis of a teratoma.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Extramedullary Epidural Spinal Teratomas: A Case Report and Review of the Literature

Deckey

Fernandez

Lara

et al. 2021

Case Reports in Orthopedics

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Background. Teratomas in the pediatric population are most commonly found in the sacrococcygeal region. Pediatric intraspinal teratomas, however, are an exceedingly rare central nervous system (CNS) neoplasm. The clinical presentation of these intraspinal neoplasms can vary significantly and thus can be difficult to identify in infants less than one year of age where verbal expression and motor development are still lacking. Case Description. A 7-month-old, previously healthy male presented with a thoracic scoliosis and an asymptomatic right midupper thoracic spinal prominence present since birth. MRI revealed an extensive heterogenous mass in the right epidural space from T5-T6 and the right paravertebral space, resulting in severe spinal stenosis. Outcome. Complete resection of the tumor, including a three-level neurotomy, was achieved by posterior decompression/laminectomy. The final tumor was consistent with a mature teratoma. The surgical resection was performed without any immediate complications. Conclusions. Extramedullary epidural teratomas are exceptionally rare tumors in the pediatric population. Clinical presentation can be ambiguous, particularly in an infant. MRI was useful in suggesting a teratoma as a potential diagnosis and for postoperative surveillance for recurrence. However, histopathological analysis remains the gold standard for definitive diagnosis. Surgical resection is the mainstay of treatment, especially in the setting of cord compression and progressive loss of motor function. Close follow-up is crucial to monitor for progressive spinal deformity or recurrence.

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Section: Discussionmentioning

confidence: 99%

Pediatric Extramedullary Epidural Spinal Teratomas: A Case Report and Review of the Literature

Deckey

Fernandez

Lara

et al. 2021

Case Reports in Orthopedics

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Mature teratoma of conus medullaris: A case report and review of literature

Eslami,

Ilaghi,

Shahabinejad

et al. 2023

Clinical Case Reports

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Key Clinical MessageIn conus medullaris, mature teratomas are rare. We report a case of a 40‐year‐old man who presented with urinary incontinence, low back pain, and muscle weakness. Magnetic resonance imaging revealed a mass in conus medullaris (T11–L1), further confirmed as a mature teratoma by pathological examination. We identified 63 cases of conus medullaris teratoma over the past two decades by systematically analyzing the case reports. Findings demonstrated that most cases were diagnosed in the fourth decade of life, with the majority of cases (57.6%) being male. Lower back pain, radiating pain in the extremities, hypoesthesia, and urinary dysfunction are the most common clinical presentations among patients with teratoma of conus medullaris. Mature teratoma is the dominant pathologic subtype of teratomas in this region, comprising more than 95% of cases. Our case highlights the importance of considering spinal teratoma as a differential diagnosis in patients presenting with urinary incontinence and lumbar pain.

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Teratoma maduro del filum terminale. Extirpación guiada por estimulación directa de raíces nerviosas

et al. 2021

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Adult intradural extramedullary teratoma of the spinal cord: A case presentation

Cited by 6 publications

References 5 publications

Pediatric Extramedullary Epidural Spinal Teratomas: A Case Report and Review of the Literature

Pediatric Extramedullary Epidural Spinal Teratomas: A Case Report and Review of the Literature

Mature teratoma of conus medullaris: A case report and review of literature

Teratoma maduro del filum terminale. Extirpación guiada por estimulación directa de raíces nerviosas

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