Intramedullary cystic teratoma

Padovani, Roberto; Tognetti, Francesco; Sanpaolo, Patrizia; Pozzati, Eugenio; Gaist, G; Kuba, I.

doi:10.1007/bf01402216

Cited by 23 publications

(7 citation statements)

References 16 publications

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“…Lum bar spine MRI a, b -T2 sagittal and ax ial plane showed well de lin eated cys tic le sion; c -T2 TIRM se quence showed no intralesional fat; d -T1 sequence with fat sup pres sion af ter con trast ad mis sion showed no con trast en hance ment in the le sion [4]. In our re viewed lit er a ture there was no con sen sus between au thors on the most com mon lo ca tion of spi nal teratoma: cer vi cal [14], tho racic [2,[15][16][17][18][19][20][21][22][23][24], lum bar [1,2,[15][16][17][18][19][20][21][22][23][24] or co nus [1,14]. No sex spe cific dif fer ences were found in spi nal teratoma in ci dence [4] but there is a sig nif icant dif fer ence in mean age at the time of di ag no sis between male and fe male: 36.4±12.3 years for men and 41.3±11.6 for women [4].…”

Section: Discussionmentioning

confidence: 51%

Adult-onset spinal teratoma: a case report and review

Blank¹,

Terbetas²,

Neverauskiene³

et al. 2019

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Teratoma yra apibrėžiama kaip neoplazma, kuri susideda iš įvairių parenchiminių ląstelių, kilusių iš trijų germinacinių sluoksnių (ektodermos, mezodermos ir endodermos). Nugaros smegenų teratomos sudaro 0,1–0,5 % visų nugaros smegenų navikų. Taip pat šis navikas yra itin retas tarp suaugusiųjų. Intramedulinė spinalinė teratoma yra pats dažniausias šio naviko tipas. Pagrindiniai spinalinės teratomos požymiai yra skausmas, kojų silpnumas ir tirpimas, šlaplės ar išangės raukų jos sutrikimas, kai anksti pasireiškia sustiprėję refleksai ir šlapinimosi bei tuštinimosi kontrolės praradimas. Histologinis ištyrimas yra tikslios diagnozės nustatymo auksinis standartas. Teratoma diagnozuojama, stebint audinius, kilusius iš visų trijų germinacinių sluoksnių. Magnetinio rezonanso tyrimas yra auksinis diagnostikos standartas. Dėl naviko audinių įvairovės, MRT vaizduose stebimi nehomogeniško intensyvumo vaizdai T1 ir T2 sekose. Chirurginė rezekcija yra pirmo pasirinkimo gydymas šiam navikui ir dažniausiai atliekama laminektomijos metu. Operacijos tikslas daugeliu atvejų turėtų būti radikali rezekcija su nervų kompresijos sumažinimu, siekiant sumažinti neurologinių funkcijų pablogėjimą. Straipsnio autoriai pristato pirmą intradurinės intramedulinės spinalinės teratomos atvejį Lietuvoje, kuris, nors ir nepasireiškė būdingais simpto mais ir požymiais, tačiau buvo sėkmingai diagnozuotas ir gydytas, taip pat suaugusiųjų spinalinės teratomos literatūros apžvalgą.

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Section: Discussionmentioning

confidence: 51%

Adult-onset spinal teratoma: a case report and review

Blank¹,

Terbetas²,

Neverauskiene³

et al. 2019

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“…8 Ak et al 1 reported a lesion in the upper cervical cord at the C2-3 level, and in the other two cases the lesions were located in the lower cervical segments at the levels of C5-T2 4 and C6-T1. 12 To the best of our knowledge we present the third case published in the literature of an IMMT in an adult in which the lesion occurred in the upper segment of the cervical cord (C1-2) and the fifth case in which an IMMT was located in the cervical spinal cord.…”

Section: Discussionmentioning

confidence: 86%

“…10 In only four of the reported cases of spinal teratomas in adults was the lesion located in the cervical cord. 1,4,8,12 The authors of one of these reports documented multiple lesions extending from the medulla oblongata to the L-2 level. 8 Ak et al 1 reported a lesion in the upper cervical cord at the C2-3 level, and in the other two cases the lesions were located in the lower cervical segments at the levels of C5-T2 4 and C6-T1.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary mature teratoma of the cervical spinal cord at C1–2 associated with occult spinal dysraphism in an adult

Makary¹,

Wolfson²,

DaSilva

et al. 2007

SPI

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✓There is a well-recognized association between dysontogenetic tumors of the spinal cord (including teratomas and enterogenous cysts) and dysraphic congenital spinal malformations. The authors present a case of an adult with an intramedullary mature teratoma (IMMT) at the level of C1–2 of the cord associated with dysraphic congenital spinal malformations. Intramedullary mature teratomas of the cervical region of the spinal cord are very rare in adults; only four such lesions have been reported, two of which involved upper cervical segments. Despite the potentially critical location of the tumor, monitored microsurgery resulted in complete removal of the tumor with an intact surrounding capsule, associated fibrous tract, and ellipse of skin with a central dimple. There was an excellent postoperative neurological outcome. The clinical features, imaging studies, treatment options, postoperative outcome, and plausible pathological correlations of IMMTs are discussed.

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“…Only seven cases of cervical intramedullary teratoma have been reported. [ 3 4 5 6 7 8 9 ] Cervical intramedullary mature cystic spinal teratoma with congenital dermal sinus has not been reported. We report clinical, radiological, operative, and histopathological findings and review literature on the subject.…”

Section: Introductionmentioning

confidence: 99%

Cervical Intramedullary Cystic Teratoma with Dermal Sinus Tract: A Case Report and Review of Literature

Diyora

Kukreja

Mulla

et al. 2018

Journal of Neurosciences in Rural Practice

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Intramedullary spinal teratomas are rare. We report a case in a 40-year-male who presented with progressive weakness over the right side of the body and gait imbalance. He had dermal sinus with hair patch over nape of the neck. Magnetic resonance imaging revealed cervical (C4–C7) intramedullary tumor with dermal sinus tract. C3–C7 laminectomy was performed and tumor excised along with the sinus tract. Histopathological examination revealed mature cystic teratoma. Gait ataxia was improved immediately while near complete recovery in motor power was achieved over a period of 2–3 weeks.

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Intramedullary cystic teratoma

Cited by 23 publications

References 16 publications

Adult-onset spinal teratoma: a case report and review

Adult-onset spinal teratoma: a case report and review

Intramedullary mature teratoma of the cervical spinal cord at C1–2 associated with occult spinal dysraphism in an adult

Cervical Intramedullary Cystic Teratoma with Dermal Sinus Tract: A Case Report and Review of Literature

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