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伴有皮样窦道的颈段髓内囊性畸胎瘤:一例报告并文献复习

Cervical Intramedullary Cystic Teratoma with Dermal Sinus Tract: A Case Report and Review of Literature.

作者信息

Diyora Batuk, Kukreja Sanjay, Mulla Mazhar, Bhende Bhagyashri, Nayak Naren

机构信息

Department of Neurosurgery, LTMMC and LTMG Hospital, Sion, Mumbai, Maharashtra, India.

出版信息

J Neurosci Rural Pract. 2018 Oct-Dec;9(4):631-635. doi: 10.4103/jnrp.jnrp_30_18.

DOI:10.4103/jnrp.jnrp_30_18
PMID:30271065
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6126304/
Abstract

Intramedullary spinal teratomas are rare. We report a case in a 40-year-male who presented with progressive weakness over the right side of the body and gait imbalance. He had dermal sinus with hair patch over nape of the neck. Magnetic resonance imaging revealed cervical (C4-C7) intramedullary tumor with dermal sinus tract. C3-C7 laminectomy was performed and tumor excised along with the sinus tract. Histopathological examination revealed mature cystic teratoma. Gait ataxia was improved immediately while near complete recovery in motor power was achieved over a period of 2-3 weeks.

摘要

脊髓髓内畸胎瘤很罕见。我们报告一例40岁男性病例,该患者出现身体右侧进行性无力和步态失衡。他在颈后部有伴有毛发斑块的皮样窦道。磁共振成像显示颈椎(C4 - C7)髓内肿瘤伴有皮样窦道。进行了C3 - C7椎板切除术,并连同窦道一起切除肿瘤。组织病理学检查显示为成熟囊性畸胎瘤。步态共济失调立即得到改善,而运动力量在2至3周内接近完全恢复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080b/6126304/450a5a4e85b3/JNRP-9-631-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080b/6126304/54222b9dc02f/JNRP-9-631-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080b/6126304/450a5a4e85b3/JNRP-9-631-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080b/6126304/54222b9dc02f/JNRP-9-631-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/080b/6126304/450a5a4e85b3/JNRP-9-631-g002.jpg

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本文引用的文献

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Adult cervical intramedullary teratoma: first reported immature case.成人颈髓内畸胎瘤:首例报道的未成熟病例。
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Intramedullary cervical teratoma in an adult.成人颈椎髓内畸胎瘤
Spine J. 2009 May;9(5):e14-8. doi: 10.1016/j.spinee.2008.09.001. Epub 2008 Dec 6.
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Intramedullary mature teratoma of the cervical spinal cord at C1-2 associated with occult spinal dysraphism in an adult. Case report and review of the literature.成人C1 - 2节段颈髓髓内成熟畸胎瘤合并隐匿性脊柱裂。病例报告及文献复习。
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Diastematomyelia associated with teratomas. Report of two cases.与畸胎瘤相关的脊髓纵裂。两例报告。
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