William Munna, Ahmed Shahroze, Habib Mudasira, Fatima Noor, Jamal Ayesha, Anjum Abdul Sattar
Department of Diagnostic Radiology and Imaging, Nishtar Medical University, Multan, Pakistan.
Department of Neurosurgery, Nishtar Medical University, Multan, Pakistan.
Clin Med Insights Case Rep. 2025 May 14;18:11795476251341070. doi: 10.1177/11795476251341070. eCollection 2025.
Spinal teratomas, though rare among spinal tumors, should be considered in the differential diagnosis of intradural-intramedullary lesions, especially in children presenting with urinary and fecal symptoms. Comprehensive imaging evaluation, including CT and MRI with characteristic findings such as cystic and solid components, the presence of fatty tissue, and associated spinal cord abnormalities like syrinx formation, can aid in early diagnosis. Surgical resection remains the mainstay of treatment, and prompt intervention is crucial to prevent progression and alleviate symptoms in affected patients. Here, we discuss a case of an intradural-intramedullary teratoma in a 6-year-old child who was timely diagnosed using CT and MRI and treated with total surgical resection.
脊髓畸胎瘤在脊髓肿瘤中虽较为罕见，但在硬膜内髓内病变的鉴别诊断中应予以考虑，尤其是对于出现泌尿和粪便症状的儿童。综合影像学评估，包括CT和MRI，其具有如囊性和实性成分、脂肪组织的存在以及诸如空洞形成等相关脊髓异常等特征性表现，有助于早期诊断。手术切除仍然是主要的治疗方法，及时干预对于防止病情进展和缓解受影响患者的症状至关重要。在此，我们讨论一例6岁儿童硬膜内髓内畸胎瘤病例，该患儿通过CT和MRI得以及时诊断，并接受了全手术切除治疗。
