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ISAMU Miura
Department School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine Position Assistant Professor |
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| Article types | Case report |
| Language | English |
| Peer review | Peer reviewed |
| Title | Lumbar Ganglioneuroma from the Paravertebral Body Presenting in Continuity Between Intradural and Extradural Spaces. |
| Journal | Formal name：World neurosurgery Abbreviation：World Neurosurg ISSN code：18788769/18788750 |
| Domestic / Foregin | Foregin |
| Volume, Issue, Page | 128,pp.289-294 |
| Author and coauthor | Takebayashi Kento, Kohara Kotaro, Miura Isamu, Yuzurihara Masahito, Kubota Motoo, Kawamata Takakazu |
| Publication date | 2019/08 |
| Summary | BACKGROUND:Ganglioneuroma is a well-differentiated benign tumor that develops from the ganglion cells of the posterior mediastinum, retroperitoneum, cervical spine, and adrenal glands. The paravertebral body, in which the sympathetic trunk exists, is a common tumor site, and tumor sometimes invades the spinal canal through the intervertebral foramen. There have been no reports regarding tumors with intradural and extradural continuity. We report a paravertebral ganglioneuroma extending between the intradural and extradural spaces and its surgical treatment.CASE DESCRIPTION:A 33-year-old man was admitted to the hospital with progressive left lower limb numbness. A dumbbell-type tumor progressing to the spinal canal via the left intervertebral foramen from the paravertebral body at L1-2 was detected, and intradural calcified lesions were found. Pathologic examination of a computed tomography-guided biopsy sample revealed a ganglioglioma. The extradural tumor was removed; however, the left lower limb pain gradually worsened. As complete block was observed on myelography, the intradural tumor was removed 8 months later. Intraoperative findings revealed that the intradural and extradural tumors were continuous through the L1 nerve root.CONCLUSIONS:This is the first known reported case of paravertebral ganglioneuroma presenting in continuity between the intradural and extradural spaces. |
| DOI | 10.1016/j.wneu.2019.05.065 |
| PMID | 31102769 |