Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Spinal Intradural Extramedullary Mature Cystic Teratoma in an Adult

  • Sung, Kyung-Soo (Department of Neurosurgery, College of Medicine, Dong-A University) ;
  • Sung, Soon-Ki (Department of Neurosurgery, College of Medicine, Dong-A University) ;
  • Choi, Hyu-Jin (Department of Neurosurgery, College of Medicine, Dong-A University) ;
  • Song, Young-Jin (Department of Neurosurgery, College of Medicine, Dong-A University)
  • Published : 2008.11.28
Download PDF
⟨ Previous Next ⟩

Abstract

Spinal intradural extramedullary teratoma is a rare condition that develops more commonly in children than in adults and may be associated with spinal dysraphism. We report a rare case of adult-onset intradural extramedullary teratoma in the thoracolumbar spinal cord with no evidence of spinal dysraphism and without the history of prior spinal surgery. The patient was a 38-year-old male whose chief complaint was urinary incontinence. X-ray images of the thoracolumbar spine showed the widening of the interpedicular distance and posterior marginal erosion of the vertebral bodies and pedicles at the T11, T12, and L1 level. Magnetic resonance imagings of the lumbar spine showed a lobulated inhomogeneous high signal intradural mass ($87{\times}29{\times}20mm$) between T11 and L1 and a high signal fluid collection at the T11 level. Laminectomy of the T11- L1 region was performed, and the mass was subtotally excised. The resected tumor was histopathologically diagnosed as a mature cystic teratoma. The patient's symptom of urinary incontinence was improved following the surgery.

Keywords

References

  1. Ak H, Ulu MO, Sar M, Albayram S, Aydin S, Uzan M : Adult intra-medullary mature teratoma of the spinal cord : review of the literature illustrated with an unusual example. Acta Neurochir (Wien) 148 : 663-669; discussion 669, 2006 https://doi.org/10.1007/s00701-006-0755-z
  2. Allsopp G, Sgouros S, Barber P, Walsh AR : Spinal teratoma : is there a place for adjuvant treatment? Two case and a review of the literature. Br J Neurosurg 14 : 482-488, 2000 https://doi.org/10.1080/02688690050175364
  3. Cavazzani P, Ruelle A, Michelozzi G, Andrioli G : Spinal dermoid cysts originating intracranial fat drop causing obstructive hydrocephalus : case report. Surg Neurol 43 : 466-469; discussion 469- 470, 1995
  4. Cybulski GR, Von Roenn KA, Bailey OT : Intramedullary cystic teratoma associated with teratoma of the ovary. Surg Neurol 22 : 267-272, 1984 https://doi.org/10.1016/0090-3019(84)90012-0
  5. Fernandez-Cornejo VJ, Martinez-Perez M, Polo-Garcia LA, Martinez- Lage JF, et al : Cystic mature teratoma of the filum terminale in an adult. Case report and review of the literature. Neurocirugia (Astur) 15 : 290-293, 2004 https://doi.org/10.1016/S1130-1473(04)70486-8
  6. Hejazi N, Wizmann A : Spinal intramedullary teratoma with exophytic components : report of two cases and review of the literature. Neurosur Rev 26 : 113-116, 2003 https://doi.org/10.1007/s10143-002-0243-8
  7. Koen JL, McLendon RE, George TM : Intradural spinal teratoma : evidence for a dysembryogenic origin. J Neurosurg 89 : 844-851, 1998 https://doi.org/10.3171/jns.1998.89.5.0844
  8. Makary R, Wolfson D, Dasilva V, Mohammadi A, Shuja S : Intramedullary mature teratoma of the cervical spinal cord at C1-2 associated with occult spinal dysraphism in an adult. J Neurosurg Spine 6 : 579-584, 2007 https://doi.org/10.3171/spi.2007.6.6.12
  9. Nonomura Y, Miyamoto K, Wada E, Hosoe H, Nishimoto H, Ogura H, et al : Intramedullary teratoma of the spine: report of two adult case. Spinal Cord 40 : 40-43, 2002 https://doi.org/10.1038/sj.sc.3101247
  10. Poeze M, Herpers M, Tjandra B, Freling G, Beuls E : Intramedullary spinal teratoma presenting with urinary retension : case report and review of the literature. Neurosurgery 45 : 379-385, 1999 https://doi.org/10.1097/00006123-199908000-00038
  11. Stevens QE, Kattner KA, Chen YH, Rahman MA : Intradural extramedullary mature cystic teratoma, not only a childhood disease. J Spinal Disord Tech 19 : 213-216, 2006 https://doi.org/10.1097/01.bsd.0000188664.54014.c4

Cited by

  1. Spinal intradural teratomas: developmental programs gone awry? vol.33, pp.4, 2008, https://doi.org/10.3171/2012.8.focus12230
  2. Mature teratoma of the spinal cord in adults: An unusual case vol.6, pp.4, 2013, https://doi.org/10.3892/ol.2013.1519
  3. Synovial cysts of the cervicothoracic junction causing myelopathy: report of 3 cases and review of the literature vol.35, pp.1, 2008, https://doi.org/10.3171/2013.3.focus1385
  4. Subtotal resection of an intradural mature teratoma in an adult presenting with difficulty initiating micturition vol.5, pp.1, 2014, https://doi.org/10.4103/2152-7806.127759
  5. Spinal Teratoma Concomitant with Intracranial Lipid Droplet Dissemination vol.12, pp.1, 2008, https://doi.org/10.14245/kjs.2015.12.1.15
  6. Spinal intradural extramedullary mature cystic teratoma in an adult: A rare tumor with review of literature vol.10, pp.3, 2008, https://doi.org/10.4103/1793-5482.161181
  7. Lumbar Spine Extramedullary Mature Cystic Teratoma Presenting With Neurogenic Claudication and Urinary Incontinence: Case Report and Review of Literature vol.25, pp.4, 2015, https://doi.org/10.1097/wnq.0000000000000087
  8. Adult-onset intradural spinal teratoma: report of 18 consecutive cases and outcomes in a single center vol.26, pp.7, 2008, https://doi.org/10.1007/s00586-016-4939-9
  9. A comprehensive review of adult onset spinal teratomas: analysis of factors related to outcomes and recurrences vol.29, pp.2, 2008, https://doi.org/10.1007/s00586-019-06037-7
  10. Mature Cystic Teratoma of Spinal Cord in a 16-Year-Old Male: A Case Report vol.15, pp.1, 2008, https://doi.org/10.30699/ijp.2019.89854.1849