| The rare case of an intramedullary cervical spinal cord teratoma in an elderly adult: case report and literature review. | |
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MedLine Citation:
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PMID: 20010388 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN.: Case report and literature review. OBJECTIVES.: To report the very rare case of a mature intramedullary teratoma with exophytic extension localized to the uppermost cervical spinal level in a 65-year-old woman and review the pertinent medical literature. SUMMARY OF BACKGROUND DATA.: Cervical intramedullary teratomas are extremely rare in adults, especially in patients older than 50 years. METHODS.: The patient presented with progressive ataxia, mild bilateral kinetic hand tremors, and dizziness. Magnetic resonance imaging revealed an intramedullary 1.7 x 1.3 x 2.3 cm mass at C1 with exophytic extension. A C1-C2 laminectomy and a partial suboccipital craniotomy were performed, followed by a subtotal microscopic resection of the tumor. Pathology was consistent with a mature teratoma. RESULTS.: After surgery, the patient's ataxia, tremor, and dizziness resolved almost immediately. CONCLUSION.: This report presents the very rare case of a mature intramedullary teratoma located in the upper cervical spine of an elderly patient, possibly the oldest patient documented with this type of lesion. The authors recommend a conservative subtotal surgical resection of cervical intramedullary tumors because it may improve symptoms that relate to direct mechanical cord compression and avoid further harm from a gross resection. |
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Authors:
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Samer Ghostine; Edward Perry; Shoshanna Vaynman; Ravi Raghavan; Karen A Tong; Srinath Samudrala; J Patrick Johnson; Austin Colohan |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Spine Volume: 34 ISSN: 1528-1159 ISO Abbreviation: Spine Publication Date: 2009 Dec |
Date Detail:
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Created Date: 2009-12-17 Completed Date: 2010-02-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: United States |
Other Details:
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Languages: eng Pagination: E973-8 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Loma Linda University Medical Center, Loma Linda, CA, USA. sghostine@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cervical Vertebrae / surgery Female Humans Laminectomy Magnetic Resonance Imaging Spinal Cord Neoplasms / pathology*, surgery Teratoma / pathology*, surgery Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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