Sacrococcygeal Teratoma with Split Spinal Cord Malformation

  • Park, Jong-Tae (Department of Neurosurgery, School of Medicine, Wonkwang University) ;
  • Kim, Dae-Won (Department of Neurosurgery, School of Medicine, Wonkwang University) ;
  • Kim, Tae-Young (Department of Neurosurgery, School of Medicine, Wonkwang University) ;
  • Kim, Jong-Moon (Department of Neurosurgery, School of Medicine, Wonkwang University)
  • Published : 2007.01.30

Abstract

The incidence of diastematomyelia associated with teratoma is extremely rare. We present a case of sacrococcygeal teratoma in a neonate with split spinal cord malformation[SSCM]. Magnetic resonance imaging[MRI] showed a heterogenous mass lesion with cyst in the sacrococcygeal region and multiple spinal anormalies [diastematomyelia, tethered cord, hydromyelia, and hemivertebrae]. The mature teratoma was confirmed on histopathological examination. In SSCMs, the potential for coexisting congenital anomalies at separate levels of the spinal cord must be considered in radiological investigations.

Keywords

References

  1. Abubakar AM, N ggada HA, Chinda JY : Sacrococcygeal teratoma in northeastern Nigeria: 18-years experience. Pediatr Surg Int 21 : 645-648, 2005 https://doi.org/10.1007/s00383-005-1486-6
  2. Altman RP, Randolph JG, Lilly JR: Sacrococcygeal teratoma: Ametican Academy of Pediatric Surgical Section Survey-1973. J Pediatr Surg 9 : 389-398, 1974 https://doi.org/10.1016/S0022-3468(74)80297-6
  3. Cameron AH : Malformations of the neuro-spinal axis, urogenital tract and foregut in spina bifida attributable co disturbances of the blastopote. J Pathol Bacteriol 73: 213-221, 1957 https://doi.org/10.1002/path.1700730125
  4. Conti P, Conti R, De Luca G: Observations on some rare cases of vertebro-medullar malformations associated with tumors. J Neurosurg Sci 28 : 81-87, 1984
  5. Ersahin Y, Mutluer S, Kocaman S, Demirtas E : Split spinal cord malformations in children. J Neurosurg 88: 57-65, 1998 https://doi.org/10.3171/jns.1998.88.1.0057
  6. Garza-Mercado R: Diastematomyelia and intramedullary epidermoid spinal cord tumor combined with extradural teratoma in an adult. J Neurosurg 58 : 954-958, 1983 https://doi.org/10.3171/jns.1983.58.6.0954
  7. Graft JL, Albanese CT : Fetal Sacrococcygeal teratoma. World J Surg 27: 720-725, 1980
  8. Hader WJ, Steinbok P, Poskitt K, Hendson G: Intramedullary spinal teratoma and diastematomyelia, Case report and review of the literature. Pediatr Neurosurg 30 : 140-145, 1999 https://doi.org/10.1159/000028782
  9. Kleniewski A, Maryjek J, Chalupnik S : A case of diastematomyelia. Neural Neurochir Pol 3: 79-83, 1969
  10. Koen JL, Mclendon RE, George TM : Intradural spinal teratoma: evidence for a dysembryogenic origin. Report of four cases. J Neurosurg 89 : 844-851, 1998 https://doi.org/10.3171/jns.1998.89.5.0844
  11. Lemmen LJ, Wilson CM : Intramedullary malignant teratoma of the spinal cord: report of a case. Arch Neurol Psychiatry 66 : 61-68, 1951 https://doi.org/10.1001/archneurpsyc.1951.02320070081007
  12. Mahour GH, Wolley MM, Trivedi SN, Landing BH : Sacrococcygeal teratoma: a 33-year experience. J Pediatr Surg 10: 183-188, 1975 https://doi.org/10.1016/0022-3468(75)90276-6
  13. McMaster MJ : Occult intraspinal anomalies and congenital scoliosis. J Bone Joint Surg 66A: 588-601, 1984
  14. Ng EW, Porcu P, Loehrer PJ Sr : Sacrococcygeal teratoma in adults. Cancer 86: 1198-1202, 1999 https://doi.org/10.1002/(SICI)1097-0142(19991001)86:7<1198::AID-CNCR14>3.0.CO;2-M
  15. Pang D : Split cord malformarion : Part II : clinical syndrome. Neurosurgery 31 : 481-500, 1992 https://doi.org/10.1227/00006123-199209000-00011
  16. Pang D, Dias MS, Ahab-Barmada M: Split cord malformation: Part I: a unified theory of embryogenesis for double spinal cord malformations. Neurosurgery 31: 451-480, 1992 https://doi.org/10.1227/00006123-199209000-00010
  17. Razack N, Page LK: Split notocord syndrome: case report. Neurosurgery 37: 1006-1008, 1995 https://doi.org/10.1227/00006123-199511000-00023
  18. Reddy CRRM, Chalapathi KV, Jagabhandhu N : Intraspinal reratoma associated with diastematomyelia. Indian J Pathol Bacterial 11 : 7781, 1968
  19. Ritchie GW, Flanagan MN : Diastematomyelia. Can Med Assoc J 100 : 428-433, 1969
  20. Shin JH, Choi CS, Ju MB : Diastematomyelia combined with intradural cystic teratoma. J Korean Neurosurg Soc 21 : 1179-1185, 1992
  21. Tapper O, Lack EE : Teratomas in infancy and childhood. A 54 year experience at the Children Hospital Medical Centre. Ann Surg 198 : 398-410, 1983 https://doi.org/10.1097/00000658-198309000-00016
  22. Ugarte N, Gonzalez-Crussi F, Sotelo-Avila C : Diastematomyelia associated with teratomas. J Neurosurg 53: 720-725, 1980 https://doi.org/10.3171/jns.1980.53.5.0720
  23. Wakhlu A Misra S, Tandon RK, Wakhlu AK: Sactococcygeal teratoma. Pediatric Surg Int 18 : 384-387, 2002 https://doi.org/10.1007/s00383-002-0729-z