Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra

A 24-year-old male patient presented with cauda equina lesion symptoms. His clinicoradiological examination including X-rays, CT scan and MRI revealed destruction of L(5) vertebral body, pedicle and a mass extending to lateral recess and left intervertebral foramina causing pressure over the thecal...

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Autores principales: Dhatt, Sarvdeep, Dhillon, Mandeep S, Tripathy, Sujit K, Goyal, Tarun, Jagadeesh, V
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911938/
https://www.ncbi.nlm.nih.gov/pubmed/20697491
http://dx.doi.org/10.4103/0019-5413.65153
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author Dhatt, Sarvdeep
Dhillon, Mandeep S
Tripathy, Sujit K
Goyal, Tarun
Jagadeesh, V
author_facet Dhatt, Sarvdeep
Dhillon, Mandeep S
Tripathy, Sujit K
Goyal, Tarun
Jagadeesh, V
author_sort Dhatt, Sarvdeep
collection PubMed
description A 24-year-old male patient presented with cauda equina lesion symptoms. His clinicoradiological examination including X-rays, CT scan and MRI revealed destruction of L(5) vertebral body, pedicle and a mass extending to lateral recess and left intervertebral foramina causing pressure over the thecal sac. A CT guided FNAC was inconclusive. Open biopsy and hemilaminectomy of L(5) vertebra was performed. Histopathology and immunocytochemical analysis revealed it to be primitive neuroectodermal tumor. Patient was given chemotherapy and radiation therapy. His lower limb power improved by grade I post operatively and at 2 years follow-up bowel/bladder recovery was noticed. Patient died after 2.5 years of surgery because of pulmonary metastasis.
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spelling pubmed-29119382010-08-09 Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra Dhatt, Sarvdeep Dhillon, Mandeep S Tripathy, Sujit K Goyal, Tarun Jagadeesh, V Indian J Orthop Case Report A 24-year-old male patient presented with cauda equina lesion symptoms. His clinicoradiological examination including X-rays, CT scan and MRI revealed destruction of L(5) vertebral body, pedicle and a mass extending to lateral recess and left intervertebral foramina causing pressure over the thecal sac. A CT guided FNAC was inconclusive. Open biopsy and hemilaminectomy of L(5) vertebra was performed. Histopathology and immunocytochemical analysis revealed it to be primitive neuroectodermal tumor. Patient was given chemotherapy and radiation therapy. His lower limb power improved by grade I post operatively and at 2 years follow-up bowel/bladder recovery was noticed. Patient died after 2.5 years of surgery because of pulmonary metastasis. Medknow Publications 2010 /pmc/articles/PMC2911938/ /pubmed/20697491 http://dx.doi.org/10.4103/0019-5413.65153 Text en © Indian Journal of Orthopaedics http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Dhatt, Sarvdeep
Dhillon, Mandeep S
Tripathy, Sujit K
Goyal, Tarun
Jagadeesh, V
Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra
title Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra
title_full Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra
title_fullStr Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra
title_full_unstemmed Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra
title_short Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra
title_sort peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of l5 vertebra
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911938/
https://www.ncbi.nlm.nih.gov/pubmed/20697491
http://dx.doi.org/10.4103/0019-5413.65153
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