Intradural Extramedullary and Subcutaneous Tumors in Neonate: Atypical Myxoid Spindle Cell Neoplasm

Title
Intradural Extramedullary and Subcutaneous Tumors in Neonate: Atypical Myxoid Spindle Cell Neoplasm
Author(s)
김성호유동우최준혁이은실
Keywords
SPINAL-CORD TUMORS; CHILDREN; DYSRAPHISM; CHILDHOOD; MASSES
Issue Date
201210
Publisher
KOREAN NEUROSURGICAL SOC
Citation
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY, v.52, no.4, pp.417 - 419
Abstract
Tumors of the central nervous system are common in the pediatric population and constitute the second most prevalent tumor type in children. Within this group, spinal cord tumors are relatively rare and account for 1 to 10% of all pediatric central nervous system tumors. We describe a very rare case of an intradural extramedullary spinal cord tumor with a subcutaneous mass and discuss its clinical presentation, pathogenesis, and treatment. A male infant was delivered normally, with uneventful development. At 16 days post-delivery, his family took him to a pediatrician because of a mass on his upper back. Magnetic resonance imaging of the thoracic spine revealed a well-demarcated soft-tissue mass with central cystic change or necrosis at the subcutaneous layer of the posterior back (T2-7 level). Another mass was found with a fat component at the spinal canal of the T1-3 level, which was intradural extramedullary space. After six weeks, the spinal cord tumor and subcutaneous mass were grossly total resected; pathologic findings indicated an atypical myxoid spindle cell neoplasm, possibly nerve sheath in type. The final diagnosis of the mass was an atypical myxoid spindle cell neoplasm. The postoperative course was uneventful, and the patient was discharged after nine days without any neurological deficit. We report a rare case of an intradural extramedullary spinal tumor with subcutaneous mass in a neonate. It is necessary to monitor the patient's status by examining consecutive radiologic images, and the symptoms and neurological changes should be observed strictly during long-term follow-up.
URI
http://hdl.handle.net/YU.REPOSITORY/27126http://dx.doi.org/10.3340/jkns.2012.52.4.417
ISSN
2005-3711
Appears in Collections:
의과대학 > 신경외과학교실 > Articles
의과대학 > 병리학교실 > Articles
의과대학 > 소아청소년과학교실 > Articles
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