Tumor vertebral primario de axis: un desafío clínico y quirúrgico
| Autor: | Pelayo Hevia Rodríguez, Patricia Moreno Moya, Alejandro Elúa Pinín, Enrique Úrculo Bareño, J.A. Andermatten, Nicolás Samprón |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Neck pain
medicine.medical_specialty medicine.diagnostic_test business.industry medicine.medical_treatment Soft tissue Laminectomy Ewing's sarcoma Magnetic resonance imaging medicine.disease 03 medical and health sciences 0302 clinical medicine Biopsy medicine Surgery Neurology (clinical) Sarcoma Radiology medicine.symptom business 030217 neurology & neurosurgery Fixation (histology) |
| Zdroj: | Neurocirugía. 32:236-240 |
| ISSN: | 1130-1473 |
| DOI: | 10.1016/j.neucir.2020.08.004 |
| Popis: | We report the case of a 17-year-old male presented to the emergency department with a six weeks history of neck pain and no neurogical deficit. Computed tomography and magnetic resonance imaging revealed an expansile lesion in the axis, with soft tissue and spinal cavity invasion, without mielopathy signs. Tomography-guided mass biopsy was taken. Waiting for histopathologic results, the pacient developed acute tetraparesis and sphincter incompetence. Magnetic resonance revealed that the bone mass had grown with epidural compromise, mielopathy and new vertebral lesions. Medular decompression with laminectomy, excision of the posterior elements of axis with the involved soft tissue mass and occipito-cervical fixation was performed. Neurological recovery was complete. Inmunochemistry revealed an Ewing Sarcoma. Chemoteraphy treatment was given, with partial response. Primary Ewing sarcoma of atlas-axis is a rare entity with poor prognosis. Multidisciplinary approach treatment is needed, with a total surgical resection if it is possible, a real challenge for the surgeon. |
| Databáze: | OpenAIRE |
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