Paraganglioma quístico del filum terminal

  1. Gelabert-González, Miguel 1
  1. 1 Servicio de Neurocirugía, Hospital Clínico Universitario de Santiago de Compostela, A Coruña. España.
Journal:
International Journal of Medical and Surgical Sciences, (IJMSS)

ISSN: 0719-532X,  0719-3904

Year of publication: 2022

Issue Title: March, 2022

Volume: 9

Issue: 1

Type: Article

DOI: 10.32457/IJMSS.V9I1.1774 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: International Journal of Medical and Surgical Sciences, (IJMSS)

Abstract

Spinal Paragangliomas are rare tumors, most frequently involving the cauda equina and the filum terminale. We report the case of a 62-year old woman presenting with a one month’s lower back pain, left sciatica and leg weakness. Spinal magnetic resonance imaging showed a extramedullary lesion at L3-L4 level, measuring 37 x 52 x 21   mm with contrast enhancement. It presented an unenhancing intradural cystic lesion in the upper pole. The patient underwent lumbar laminectomy, and with neurofisiologic monitorization the tumor was completely resected. Microscopic examination of the tumor revealed a paraganglioma. In a review of the literature, we found only five previous reported cases in which the tumor is accompanied by a cyst.

Bibliographic References

  • Adam, D.; Moisescu, C.; Iftimie, D.; Burdusa, G. (2018). Filum terminale paraganglioma with associated cyst: a case report. Romanian Neurosurgery; XXXII 2, 217-223. htpps://10.2478/romneu-2018-0028
  • Berenguer, J.; Bargalló, N.; Sanchez, M.; Bravo, E.; Cardenal, C.; Mercader, J.M.; Muñoz, J. (1995). Magnetic resonance imaging of paraganglioma of the cauda equina. Can Assoc Radiol J 1995; 46(1)237-39.
  • Faro, S.H.; Turtz, A.R.; Koeningsberg, R.A.; Mohamed, F.B.; Chen, C.Y.; Stein, H. (1997). Paraganglioma of the cauda equina with associated intramedullary cyst: MR findings. AJNR AM J Neuroradiol. 18 :1588-1590.
  • Gelabert-González, M. (2005). Paragangliomas of the lumbar region. Report of two cases and review of the literature. J Neurosurg Spine 2005; 2(3), 354-365. https://10.3171/spi.2005.2.3.0354
  • Gelabert-González, M. (2007). Tumores medulares primarios. Análisis de una serie de 168 pacientes. Rev Neurol. 44: 269-274. https://doi.org/10.33588/rn.4405.2006205
  • Ghedira, K.; Matar, N.; Bouali, S.; Zehani, A.; Jemel, H. (2019). Acute paraplegia revealing a hemorrhagic cauda equina Paragangliomas. Asian J Neurosurg. 14(1), 245-248. https://10.4103/ajns.AJNS_206_17.
  • Lerman, R.I.; Kaplan, E.S.; Daman, L. (1972). Ganglioneuroma-paraganglioma of the intradural filum terminale. J Neurosurg. 36(5), 652-658. https://10.3171/jns.1972.36.5.0652
  • Matschke, J.; Westphal, M.; Lamszus, K. (2004). Intradural mass of the cauda equina in a woman in her early 60s. Brain Pathol. 15(2),169-70. https://10.1111/j.1750-3639.2005.tb00515.x
  • Miller, C.A.; Torack, R.M. (1970). Secretory ependymoma of the filum terminale. Acta Neuropathol. 15(3),240-250. https//10.1007/BF00686770
  • Pérez-López, C.; Sarmiento, M.A.; Álvarez-Ruíz, F.; Gutiérrez, M.; Fernández Prieto, A.; García-Raya, P.; et al. (2004) Paragangliomas de la cauda equina: a propósito de dos casos. Neurocirugía (Astur). 15(6), 565–570. https://10.1016/s1130-1473(04)70445-5
  • Undabeitia-Huertas, J.; Noboa, R.; Jové, R.; Boix, M.; Gatius, S.; Nogues, P. (2013). Paraganglioma del filum terminal como causa de síndrome de cauda equina. An Sist Sanit Nav. 2013; 36(2), 347-351. https://10.4321/s1137-66272013000200021
  • Wester, D.J.; Falcone, S.; Green, B.A.; Camp, A.; Quencer, R.M. (1993). Paraganglioma of the filum: MR appearance. J Como Assist Tomogr. 17(6), 967-969.
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