Intradural mature teratomas are spinal tumors containing all the germinal layers and rarely present in adulthood. This study describes an unusual case of intradural mature teratoma in a 19-year-old male who presented with persistent lower limb pain and difficulty in micturition. The magnetic resonance imaging (MRI) scan showed heterogeneously enhancing intramedullary mass in the L3-L4 vertebral region and was associated with tethering of the spinal cord. Scalloping of the posterior aspect of vertebral body and narrowing of the pedicles were present. Subtotal excision of the tumor was done because of its adherence to the conus. Attempt to completely excise such adherent intramedullary tumors can lead to permanent neurological deficits. The tissue was sent for histopathological examination which showed tissue from all the three germinal layers confirming the diagnosis. The patient showed improvement of symptoms following the surgery. This study also compared the literature of similar cases and the treatments available for this disease.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808163 | PMC |
| http://dx.doi.org/10.1155/2022/9365719 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Effect of surgical resection extent on neurological prognosis of adult intradural spinal teratomas.
Acta Neurochir (Wien)
October 2024
Department of Neurosurgery, Shanghai Institute of Neurosurgery, Changzheng Hospital, Naval Medical University, Shanghai, 200003, PR China.
Article Synopsis
- Intradural spinal teratomas (IST) are rare in adults and can lead to significant neurological issues, making their surgical removal challenging due to their close association with the spinal cord.
- This study analyzed 26 adult patients who underwent microsurgery, finding that those with shorter symptom durations and lower neurological grades had better postoperative outcomes.
- Results indicated that subtotal resection (STR) may provide better neurological improvements compared to gross total resection (GTR), suggesting that less aggressive surgical approaches could be sufficient in certain cases.
Mature Spinal Teratoma: A Case Report.
Cureus
February 2024
Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.
We presented an unusual case of a teratoma in a 76-year-old female who began four years ago with paresthesias and hypoesthesias in the sacral and gluteal regions. She denied weakness or gait instability. The magnetic resonance imaging showed an intradural lesion within the cauda equina at levels L2-L3.
View Article and Find Full Text PDFSimultaneous spine extradural and intradural teratomas in a pediatric patient: A rare presentation with insights in the flawed migration of germ cells theory.
Childs Nerv Syst
April 2024
Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo León, México.
Spinal teratomas are infrequent lesions in the pediatric population. These lesions can be extradural, intradural or intramedullary. We present a case of an 8-month-old boy that was assessed for underdevelopment of motor milestones.
View Article and Find Full Text PDFMature Teratoma at the Lumbar Spinal Cord: A Case Report and Literature Review.
Cureus
January 2024
Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.
Mature spinal teratoma is a rare type of germ cell tumor that arises from any of the three germ cell layers (ectoderm, mesoderm, and endoderm) and consists of differentiated tissues and structures that reflect the cellular organization and morphology of normal adult tissues. It has the ability to grow independently and cause compressive symptoms when found in this rare location. In this article, we present the case of a 29-year-old male patient with the onset of neurological symptoms beginning with pelvic limb paresthesias and progressing to back pain.
View Article and Find Full Text PDFCervicomedullary junction mature teratoma with pulmonary differentiation and diastematomyelia in an adult - A rare case.
Surg Neurol Int
September 2023
Department of Neurosurgery, University of California Los Angeles (UCLA), Los Angeles, California, United States.
Background: Intradural extramedullary teratomas in the cervical or cervicomedullary region are rare in adults.
Case Description: We report a symptomatic, mature teratoma at the cervicomedullary junction in a 52-year-old Hispanic female who also has a type I diastematomyelia in the thoracolumbar spine. The patient underwent surgical resection of the lesion with the resolution of presenting symptoms.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!