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Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases

INTRODUCTION AND IMPORTANCE: Long-level intramedullary astrocytomas complicated with spine scoliosis are rare. Surgical treatment of such tumors becomes more complicated and challenging when spinal scoliosis is present. However, studies describing the treatment of long segmental intramedullary spina...

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Autores principales: Zhang, Dongao, Fan, Wayne, Zhao, Xingang, Massicotte, Eric M., Fan, Tao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7820800/
https://www.ncbi.nlm.nih.gov/pubmed/33485173
http://dx.doi.org/10.1016/j.ijscr.2021.01.035
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author Zhang, Dongao
Fan, Wayne
Zhao, Xingang
Massicotte, Eric M.
Fan, Tao
author_facet Zhang, Dongao
Fan, Wayne
Zhao, Xingang
Massicotte, Eric M.
Fan, Tao
author_sort Zhang, Dongao
collection PubMed
description INTRODUCTION AND IMPORTANCE: Long-level intramedullary astrocytomas complicated with spine scoliosis are rare. Surgical treatment of such tumors becomes more complicated and challenging when spinal scoliosis is present. However, studies describing the treatment of long segmental intramedullary spinal cord astrocytomas complicated with severe spine scoliosis have been rarely reported. CASE PRESENTATION: Two cases of long-level intramedullary astrocytomas complicated with severe spine scoliosis were surgically treated with one-stage operation of tumor resection and scoliosis correction in this report. Case 1: A 16-year-old boy presented to our hospital with a five-month progressive paresthesia, weakness of the left lower limb, and a long-time abnormal body appearance. MRI showed a T4-T12 intramedullary tumor combined with spinal scoliosis. Case 2: A 14-year-old boy presented at our service with a 6-year history of visible spine scoliosis and a 1-year progressive motor disability of bilateral lower limbs. Spine MRI indicated a long-level abnormal syringomyelia signal from C4 to L1 and there was irregular enhancement after intravenous contrast medium administration at C7-T2 and T9-T12 level. DISCUSSION: We performed a laminectomy over the whole length of the tumor and corrected the scoliosis with trans-pedicle screws. The patients exhibited a long-time tumor free with largely neurological function preservation. One-stage operation did not generate severe short- or long-term complications. The correction of the scoliosis prevented the progression of the spinal deformity and facilitated the recovery of normal life. CONCLUSION: This case report demonstrates that the one-stage resection of long-level intramedullary astrocytoma and correction of the complicated scoliosis might be a feasible option.
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spelling pubmed-78208002021-01-29 Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases Zhang, Dongao Fan, Wayne Zhao, Xingang Massicotte, Eric M. Fan, Tao Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Long-level intramedullary astrocytomas complicated with spine scoliosis are rare. Surgical treatment of such tumors becomes more complicated and challenging when spinal scoliosis is present. However, studies describing the treatment of long segmental intramedullary spinal cord astrocytomas complicated with severe spine scoliosis have been rarely reported. CASE PRESENTATION: Two cases of long-level intramedullary astrocytomas complicated with severe spine scoliosis were surgically treated with one-stage operation of tumor resection and scoliosis correction in this report. Case 1: A 16-year-old boy presented to our hospital with a five-month progressive paresthesia, weakness of the left lower limb, and a long-time abnormal body appearance. MRI showed a T4-T12 intramedullary tumor combined with spinal scoliosis. Case 2: A 14-year-old boy presented at our service with a 6-year history of visible spine scoliosis and a 1-year progressive motor disability of bilateral lower limbs. Spine MRI indicated a long-level abnormal syringomyelia signal from C4 to L1 and there was irregular enhancement after intravenous contrast medium administration at C7-T2 and T9-T12 level. DISCUSSION: We performed a laminectomy over the whole length of the tumor and corrected the scoliosis with trans-pedicle screws. The patients exhibited a long-time tumor free with largely neurological function preservation. One-stage operation did not generate severe short- or long-term complications. The correction of the scoliosis prevented the progression of the spinal deformity and facilitated the recovery of normal life. CONCLUSION: This case report demonstrates that the one-stage resection of long-level intramedullary astrocytoma and correction of the complicated scoliosis might be a feasible option. Elsevier 2021-01-15 /pmc/articles/PMC7820800/ /pubmed/33485173 http://dx.doi.org/10.1016/j.ijscr.2021.01.035 Text en © 2021 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Zhang, Dongao
Fan, Wayne
Zhao, Xingang
Massicotte, Eric M.
Fan, Tao
Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases
title Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases
title_full Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases
title_fullStr Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases
title_full_unstemmed Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases
title_short Long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: Report of two cases
title_sort long-level intramedullary spinal cord astrocytoma complicated with spine scoliosis: report of two cases
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7820800/
https://www.ncbi.nlm.nih.gov/pubmed/33485173
http://dx.doi.org/10.1016/j.ijscr.2021.01.035
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