Gusmão Maurício Santos, Gomes Eduardo Gil França, Fernandes Rony Brito, de Amorim Junior Djalma Castro, Simōes Marcus Thadeu Venãncio, Gomes Joilda Fontes, Freire Jayme Batista, Matos Marcos Almeida, Azulay Joseph
Orthopedist and Specialist in Spinal Surgery; Attending Physician at the TRM Service, State General Hospital; Coordinator and Preceptor of Fourth-year Residence relating to the Spine, Hospital of Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.
Orthopedist and Specialist in Spinal Surgery; Attending Physician at the TRM Service, State General Hospital; Preceptor of Fourth-year Residence relating to the Spine, Hospital of Santa Casa de Misericórdia da Bahia, Salvador, BA, Brazil.
Rev Bras Ortop. 2015 Dec 6;47(2):263-6. doi: 10.1016/S2255-4971(15)30098-7. eCollection 2012 Mar-Apr.
Paragangliomas are rare neuroendocrine tumors that originate in specialized cells derived from neural crest cells, affecting the region of the carotid or jugular-tympanic artery. They are rare within the spinal canal and, when they occur, they are normally found in the extramedullary intradural compartment of the lumbosacral region. This report presents the case of a 26-year-old male patient who was diagnosed with pathological fracture of the thoracic spine (T10), secondary to paraganglioma, thus causing complete spinal cord injury. Surgical treatment was performed at the General Hospital of the State of Bahia and the complication of excessive bleeding occurred, which indicated that there had been a need for prior embolization. Because of this, the authors recommend caution when evaluating and treating this rare lesion that causes neurological deficits, with careful surgical planning in order to catastrophic complications.
副神经节瘤是一种罕见的神经内分泌肿瘤，起源于神经嵴细胞衍生的特殊细胞，影响颈动脉或颈静脉 - 鼓室动脉区域。它们在椎管内很少见，一旦发生，通常位于腰骶部的髓外硬膜内间隙。本报告介绍了一名26岁男性患者的病例，该患者被诊断为继发于副神经节瘤的胸椎（T10）病理性骨折，从而导致完全性脊髓损伤。在巴伊亚州总医院进行了手术治疗，出现了出血过多的并发症，这表明之前需要进行栓塞治疗。因此，作者建议在评估和治疗这种导致神经功能缺损的罕见病变时要谨慎，进行仔细的手术规划以避免灾难性并发症。
