Vural M, Arslantas A, Isiksoy S, Adapinar B, Atasoy M, Soylemezoglu F
Department of Neurosurgery, School of Medicine, Eskisehir Osmangazi University, Eskisehir, Turkey.
Zentralbl Neurochir. 2008 Feb;69(1):47-50. doi: 10.1055/s-2007-985162.
A 17-year-old boy was referred with a 2-month history of low back pain and bilateral sciatica and difficulty in ambulation. Neurological examination found mild muscle weakness and diminished deep tendon reflexes in his right leg. Lumbar magnetic resonance imaging revealed an intradural-extramedullary tumor at the level of the L4, exiting through the right L4-L5 intervertebral foramen into the right psoas muscle. After total resection of the tumor, histopathological diagnosis revealed a gangliocytic paraganglioma. There are 184 paraganglioma cases reported at the lumbar region to date, and only 4 of them were in the pediatric age group. This report is the fifth paraganglioma case in the lumbar region and the first gangliocytic paraganglioma case in the pediatric age population.
一名17岁男孩因下背部疼痛、双侧坐骨神经痛及行走困难2个月前来就诊。神经系统检查发现其右腿轻度肌无力，跟腱反射减弱。腰椎磁共振成像显示L4水平有一硬膜内髓外肿瘤，经右侧L4-L5椎间孔穿出进入右侧腰大肌。肿瘤全切术后，组织病理学诊断为神经节细胞型副神经节瘤。迄今为止，文献报道的腰椎区副神经节瘤病例有184例，其中仅4例为儿童年龄组。本报告是腰椎区第5例副神经节瘤病例，也是儿童年龄组首例神经节细胞型副神经节瘤病例。
