Cugati Goutham, Singh Manish, Symss Nigel Peter, Pande Anil, Vasudevan M C, Ramamurthi Ravi
Department of Neurosurgery, Narayana Hrudayalaya Multispeciality Hospitals, Mysore, Karnataka, India.
J Craniovertebr Junction Spine. 2012 Jul;3(2):58-61. doi: 10.4103/0974-8237.116538.
We report a case of lumbar intradural extramedullary lesion in an 11-year-old boy who presented with cauda equina syndrome and acute bladder disturbance. He underwent emergency surgical resection of the lesion, which was proved to be a lymphoma by histopathology and immunohistochemistry. He has improved neurologically and after 1 year, he is leading a normal life with near normal neurological functions. This is the second case of primary spinal intradural extramedullary lymphoma. This is the first such case in the pediatric age group and causing cauda equina syndrome. We describe the characteristics of such tumors along with pathogenesis and management.
我们报告一例11岁男孩的腰椎硬膜内髓外病变,该男孩表现为马尾神经综合征和急性膀胱功能障碍。他接受了病变的紧急手术切除,经组织病理学和免疫组织化学证实为淋巴瘤。他的神经功能已有所改善,1年后,他过着正常生活,神经功能接近正常。这是第二例原发性脊髓硬膜内髓外淋巴瘤。这是小儿年龄组中的首例此类病例,并导致了马尾神经综合征。我们描述了此类肿瘤的特征以及发病机制和治疗方法。