Primary intramedullary spinal cord germinoma
| Autor: | Vinod G. Maller, Mark S. Dias, Megha Madhukar, Charles S. Specht, Mark Iantosca, Arabinda K. Choudhary |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
Cord medicine.diagnostic_test Germinoma business.industry Magnetic resonance imaging General Medicine medicine.disease Spinal cord law.invention Surgery Intramedullary rod medicine.anatomical_structure law medicine Abnormality Differential diagnosis Presentation (obstetrics) business |
| Zdroj: | Journal of Neurosurgery: Pediatrics. 11:605-609 |
| ISSN: | 1933-0715 1933-0707 |
| DOI: | 10.3171/2013.1.peds12402 |
| Popis: | Primary intramedullary spinal cord germinoma (PISCG) is an exceedingly rare diagnosis, with fewer than 30 cases reported in the literature. It is even less common in the pediatric population. Usually, initial imaging at patient presentation reveals a mass. The authors describe the unique case of a child whose initial imaging showed only focal spinal cord atrophy, which was the earliest sign of a slowly growing intramedullary lesion that was eventually proven via biopsy to represent a PISCG. The authors outline this child's diagnostically challenging presentation, review the events leading up to a diagnosis, briefly discuss PISCG, and summarize their recommendations for other physicians who may encounter a similar case. They assert that PISCG should be considered as a rare entity in the differential diagnosis of progressive spinal cord dysfunction even in the absence of an MRI abnormality of an intrinsic spinal cord mass, especially if there is unexplained focal atrophy of the cord. |
| Databáze: | OpenAIRE |
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