DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20164234

Spinal intradural extramedullary mature cystic teratoma in young adult: a rare tumor with review of literature

Ashuvi Kunjan Agay, Sunil Garg, Ketan Hedaoo

Abstract


Spinal intradural extramedullary teratoma is a rare condition that develops more commonly in children than in adults. 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 20 year young adult male whose chief complaint was back pain and urinary incontinence. X-ray images of the thoraco-lumbar spine showed no abnormalities. Magnetic resonance imagings of spine revealed a well marginated cystic intradural extramedullary mass at the D11 to D12 vertebral levels. The patient was operated and the mass was totally excised. It was histopathologically diagnosed as a mature cystic teratoma. The patient's symptom of back pain and urinary incontinence was improved following the surgery.

 


Keywords


Mature cystic teratoma, Intradural- extramedullary, Young adult

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References


Berlin VR. Germany: A. Hirschwald; The morbid growths. Three Sing lectures held during the fall semester 1862-1867 at the University of Berlin. 2008;1863-5.

Nonomura Y, Miyamoto K, Wada E, Hosoe H, Nishimoto H, Ogura H, et al. Intramedullary teratoma of the spine: Report of two adult cases. Spinal Cord. 2002;40:403.

AlSarraj ST, Parmar D, Dean AF, Phookun G, Bridges LR. Clinicopathological study of seven cases of spinal cord teratoma: A possible germ cell origin. Histopathology. 1998;32:51-6.

Allsopp G, Sgouros S, Barber P, Walsh AR. Spinal teratoma: Is there a place for adjuvant treatment? Two cases and a review of the literature. Br J Neurosurg. 2000;14:4828.

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. 1999;45:379-85.

Stevens QE, Kattner KA, Chen YH, Rahman MA. Intradural extramedullary mature cystic teratoma, not only a childhood disease. J Spinal Disord Tech. 2006;19:213-6.

Ak H, Ulu MO, Sar M, Albayram S, Aydin S, Uzan M. Adult intramedullary mature teratoma of the spinal cord: review of the literature illustrated with an unusual example. Acta Neurochir (Wien). 2006;148:663-9.

Hejazi N, Wizmann A. Spinal intramedullary teratoma with exophytic components: report of two cases and review of the literature. Neurosur Rev. 2003;26:113-6.