Intramedullary Spinal Teratoma Presenting with Urinary Retention: Case Report and Review of the Literature

Intramedullary Spinal Teratoma Presenting with Urinary Retention: Case Report and Review of the... AbstractOBJECTIVE AND IMPORTANCE:Intramedullary tumors affect a small but significant segment of patients with spinal cord tumors. Intramedullary teratomas are rare entities that are usually located in the sacrococcygeal region. Although some reports claim that diagnostic studies can exactly predict the nature of intramedullary tumors, this case report demonstrates the lack of preoperative diagnostic specificity. Therefore, the aim of surgery should be radical extirpation whenever possible.CLINICAL PRESENTATION:A case report of a thoracolumbar intramedullary teratoma is presented. This young male patient displayed urinary retention and motor deficits. Computed tomographic and magnetic resonance imaging examination revealed an intramedullary tumor; however, the exact nature of the tumor could not be determined preoperatively. The literature concerning these tumors is extensively reviewed.INTERVENTION:During surgery, a multicystic tumor was found at the base of the filum terminale, which was resected as far as possible.CONCLUSION:It is concluded that surgery should be the first choice for treatment. More aggressive teratomas are found in intramedullary locations, especially in children, emphasizing the importance of radical tumor resection. The use of adjuvant chemo- or radiotherapy should be explicitly substantiated for the nonbenign teratoma group. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Neurosurgery Oxford University Press

Intramedullary Spinal Teratoma Presenting with Urinary Retention: Case Report and Review of the Literature

Intramedullary Spinal Teratoma Presenting with Urinary Retention: Case Report and Review of the Literature

Intramedullary Spinal Teratoma 379 m edullaris that was successfully re­ Intramedullary Spinal Teratoma moved, and we review the literature concerning sim ilar lesions. Presenting with Urinary Retention: Case CASE REPORT Report and Review of the Literature A 23-year-old m an presented with acute urinary retention at the outp atient D epartm ent of U rology. He reported a Martijn Poeze, M.D., Marcel J.H.M . Herpers, M.D., Ph.D., history of dysuria, poor stream , and the sensation of incom p lete void ing for se v ­ Bernard Tjandra, M.D., Gerard Freling, M.D., Ph.D., eral days. A ntibiotics prescribed by his Emiel A.M. Beuls, M.D., Ph.D. general practitioner did not p rovid e im ­ Departments of Surgery (MP), Neurosurgery (M )H M H , EAMB), Urology (BT), and Pathology provem ent. The p reviou s history of the (CF), University Hospital Maastricht, Maastricht, The Netherlands patient revealed voiding p ro b lem s for 1 year and constipation. T h e patient started to w alk late during childhood. His family history w as uneventful. OBJECTIVE A N D IM PO RTAN CE: Intram edullary tumors affect a small but Physical exam in ation sh o w ed b lad d er significant segment of patients with spinal cord tumors. Intramedullary distention up to the um bilicus, norm al teratomas are rare entities that are usually located in the sacrococcygeal external genitalia, and norm al scrotal region. Although some reports claim that diagnostic studies can exactly contents. The skin over the b ack sh ow ed predict the nature of intramedullary tumors, this case report demon­ no dim ples, hair tufts, or skin a b n o r m a l­ ities. Rectal exam in ation revealed a n o r­ strates the lack of preoperative diagnostic specificity. Therefore, the aim mal prostate gland. The b u lb o ca v ern o - of surgery should be radical extirpation whenever possible. sus, crem aster, and anal reflexes w ere CLINICAL PRESENTATIO N: A case report of a thoracolumbar intramedul­ normal. No...
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Publisher
Oxford University Press
Copyright
© Published by Oxford University Press.
ISSN
0148-396X
eISSN
1524-4040
D.O.I.
10.1097/00006123-199908000-00038
Publisher site
See Article on Publisher Site

Abstract

AbstractOBJECTIVE AND IMPORTANCE:Intramedullary tumors affect a small but significant segment of patients with spinal cord tumors. Intramedullary teratomas are rare entities that are usually located in the sacrococcygeal region. Although some reports claim that diagnostic studies can exactly predict the nature of intramedullary tumors, this case report demonstrates the lack of preoperative diagnostic specificity. Therefore, the aim of surgery should be radical extirpation whenever possible.CLINICAL PRESENTATION:A case report of a thoracolumbar intramedullary teratoma is presented. This young male patient displayed urinary retention and motor deficits. Computed tomographic and magnetic resonance imaging examination revealed an intramedullary tumor; however, the exact nature of the tumor could not be determined preoperatively. The literature concerning these tumors is extensively reviewed.INTERVENTION:During surgery, a multicystic tumor was found at the base of the filum terminale, which was resected as far as possible.CONCLUSION:It is concluded that surgery should be the first choice for treatment. More aggressive teratomas are found in intramedullary locations, especially in children, emphasizing the importance of radical tumor resection. The use of adjuvant chemo- or radiotherapy should be explicitly substantiated for the nonbenign teratoma group.

Journal

NeurosurgeryOxford University Press

Published: Aug 1, 1999

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