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一名青春期女孩马尾神经肿瘤合并全脊髓空洞症的病例报告。

Reports of a Conus Cauda Tumor with Holocord Syrinx in an Adolescent Girl.

作者信息

Sinha Smriti, Ashwini Prathibha Shankar, Baba Pelala Nayan, Shenoy Rathika Damodar

机构信息

Department of Pediatrics, K. S. Hegde Medical Academy (KSHEMA), Mangaluru, Karnataka, India.

出版信息

J Pediatr Neurosci. 2020 Jan-Mar;15(1):51-53. doi: 10.4103/JPN.JPN_96_19. Epub 2020 Mar 18.

DOI:10.4103/JPN.JPN_96_19
PMID:32435308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7227757/
Abstract

INTRODUCTION

Spinal cord ependymoma seldom presents with holocord syringomyelia in pediatric age-group. Association of ependymoma with a lipoma is also rare. The child presented critically ill with polymicrobial pneumonia, and the neurologic findings were missed until recovery. We report a case highlighting these findings.

CASE REPORT

A 16-year-old adolescent presented critically ill with respiratory failure due to severe pneumonia. Evaluation showed fungal pneumonia with secondary bacterial infection. On recovery, she had nasal regurgitation and required nasogastric tube feeding. Examination showed palatal and left vocal cord palsy. Neuroimaging of brain showed conus cauda tumor with syringobulbia and holocord multiseptate syrinx extending from medulla to filum terminale with lipoma. Histopathology examination showed myxopapillary ependymoma. She improved with excision and postoperative radiotherapy.

DISCUSSION

Our case is a rare report of an adolescent girl with conus cauda tumor and holocord syrinx.

摘要

引言

脊髓室管膜瘤在儿童年龄组中很少伴有全脊髓空洞症。室管膜瘤与脂肪瘤同时存在的情况也很罕见。该患儿因患有多种微生物感染的肺炎而病情危急，直到康复后才发现神经系统症状。我们报告此病例以突出这些发现。

病例报告

一名16岁青少年因严重肺炎导致呼吸衰竭而病情危急。评估显示为真菌性肺炎继发细菌感染。康复后，她出现鼻反流，需要鼻饲管喂养。检查发现腭部和左侧声带麻痹。脑部神经影像学检查显示圆锥马尾肿瘤，伴有延髓空洞症和从延髓至终丝的全脊髓多房性空洞，并伴有脂肪瘤。组织病理学检查显示为黏液乳头型室管膜瘤。经手术切除和术后放疗后病情好转。

讨论

我们的病例是一名患有圆锥马尾肿瘤和全脊髓空洞症的青春期女孩的罕见报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/687b84af4b59/JPN-15-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/77385913620e/JPN-15-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/e5e6dbc856cd/JPN-15-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/687b84af4b59/JPN-15-51-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/77385913620e/JPN-15-51-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/e5e6dbc856cd/JPN-15-51-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66c2/7227757/687b84af4b59/JPN-15-51-g003.jpg

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Reports of a Conus Cauda Tumor with Holocord Syrinx in an Adolescent Girl.一名青春期女孩马尾神经肿瘤合并全脊髓空洞症的病例报告。
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