| Exophytic intramedullary mature teratoma of the conus medullaris: case report and review of the literature. | |
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MedLine Citation:
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PMID: 19701875 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Intramedullary tumors affect a small but significant portion of patients with spinal tumors. Ependymomas and astrocytomas are the most common entities. The diagnosis of a mature teratoma is extremely rare, although not in the presence of associated developmental abnormalities. The medullary conus is the most common location. Such a case with caudal exophytic growth is presented here and the literature extensively reviewed. CASE PRESENTATION: Low back pain and muscle weakness led to diagnosis of a exophytic intramedullary lesion of the conus medullaris in a 52-year-old woman. After subtotal resection the symptomatology partially improved. Histopathological examination revealed mature teratoma. CONCLUSION: Literature review identified 68 cases of intramedullary teratomas. These should be considered in the differential diagnosis when an associated developmental abnormality is present. Subtotal resection is a valid alternative to radical tumor removal when neurological function is at risk. The prognosis of adult patients with intramedullary mature teratoma is excellent. |
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Authors:
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V Benes; P Barsa; J Mikulástík; P Suchomel |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-08-21 |
Journal Detail:
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Title: Central European neurosurgery Volume: 70 ISSN: 1868-4912 ISO Abbreviation: Cent Eur Neurosurg Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-24 Completed Date: 2009-11-16 Revised Date: 2012-03-23 |
Medline Journal Info:
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Nlm Unique ID: 101501500 Medline TA: Cent Eur Neurosurg Country: Germany |
Other Details:
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Languages: eng Pagination: 154-60 Citation Subset: IM |
Copyright Information:
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Georg Thieme Verlag KG Stuttgart New York. |
Affiliation:
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Department of Neurosurgery, Regional Hospital Liberec, Husova 10, Liberec 46063, Czech Republic. benr@nemlib.cz |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Low Back Pain / etiology Magnetic Resonance Imaging Middle Aged Muscle Weakness / etiology Neurosurgical Procedures Postoperative Complications / physiopathology Spina Bifida Occulta / pathology Spinal Neoplasms / pathology, surgery* Teratoma / pathology, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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