Cargando…

Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor

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 resonan...

Descripción completa

Detalles Bibliográficos
Autores principales: Shrestha, Aayush, Bijukachhe, Binod, Khan, Javed Ahmad, Dahal, Ram Krishna, Yadav, Sandip Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808163/
https://www.ncbi.nlm.nih.gov/pubmed/35127191
http://dx.doi.org/10.1155/2022/9365719
_version_ 1784643825468178432
author Shrestha, Aayush
Bijukachhe, Binod
Khan, Javed Ahmad
Dahal, Ram Krishna
Yadav, Sandip Kumar
author_facet Shrestha, Aayush
Bijukachhe, Binod
Khan, Javed Ahmad
Dahal, Ram Krishna
Yadav, Sandip Kumar
author_sort Shrestha, Aayush
collection PubMed
description 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.
format Online
Article
Text
id pubmed-8808163
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Hindawi
record_format MEDLINE/PubMed
spelling pubmed-88081632022-02-03 Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor Shrestha, Aayush Bijukachhe, Binod Khan, Javed Ahmad Dahal, Ram Krishna Yadav, Sandip Kumar Case Rep Orthop Case Report 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. Hindawi 2022-01-25 /pmc/articles/PMC8808163/ /pubmed/35127191 http://dx.doi.org/10.1155/2022/9365719 Text en Copyright © 2022 Aayush Shrestha et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under 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
Shrestha, Aayush
Bijukachhe, Binod
Khan, Javed Ahmad
Dahal, Ram Krishna
Yadav, Sandip Kumar
Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor
title Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor
title_full Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor
title_fullStr Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor
title_full_unstemmed Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor
title_short Spinal Intradural Intramedullary Mature Cystic Teratoma in a Young Adult: A Rare Tumor
title_sort spinal intradural intramedullary mature cystic teratoma in a young adult: a rare tumor
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8808163/
https://www.ncbi.nlm.nih.gov/pubmed/35127191
http://dx.doi.org/10.1155/2022/9365719
work_keys_str_mv AT shresthaaayush spinalintraduralintramedullarymaturecysticteratomainayoungadultararetumor
AT bijukachhebinod spinalintraduralintramedullarymaturecysticteratomainayoungadultararetumor
AT khanjavedahmad spinalintraduralintramedullarymaturecysticteratomainayoungadultararetumor
AT dahalramkrishna spinalintraduralintramedullarymaturecysticteratomainayoungadultararetumor
AT yadavsandipkumar spinalintraduralintramedullarymaturecysticteratomainayoungadultararetumor