ABSTRACT
STUDY DESIGN: Case report with comprehensive review of literature. SETTINGS: Department of Neurosurgery, Shohada Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Daneshgah Street, Tabriz, East Azerbayjan, Iran. REPORT: A 22-year-old female presented with neck pain, which was worse at night and recumbency, and intermittent paresthesia in upper limbs. MRI revealed an intramedullary cervical tumour with a syrinx within the upper cervical cord and medulla. Total resection of tumour with laminoplasty and duraplasty was done. Pathology confirmed ganglioglioma of the spinal cord. A year after surgery, the patient has no complaint. Physical exam reveals no abnormality. MRI with contrast reveals no recurrence. CONCLUSION: No general consensus exists on the management of intramedullary spinal ganglioglioma. MRI might be non-specific; however, some may be characteristic to differentiate it from other intramedullary tumours. The tumour responds optimally to resection, and every attempt should be made to perform a total surgical resection. The role of adjuvant therapy remains controversial.
Subject(s)
Brain Neoplasms/diagnosis , Cervical Vertebrae/pathology , Ganglioglioma/diagnosis , Spinal Cord Neoplasms/diagnosis , Brain Neoplasms/complications , Diagnosis, Differential , Female , Ganglioglioma/complications , Humans , Magnetic Resonance Imaging/methods , Neck Pain/diagnosis , Neck Pain/etiology , Spinal Cord Neoplasms/complications , Young AdultABSTRACT
STUDY DESIGN: Case report. SETTINGS: Department of Neurosurgery, Imam Hospital, Faculty of Medicine, Tabriz University of Medical Sciences, Daneshgah Street, Tabriz, East Azerbayjan, Iran. REPORT: A 21-year-old man presented with progressive paraesthesia and weakness in the four limbs, with disturbances in the vibration and positional senses. Magnetic resonance imaging revealed a cervical intramedullary tumour from the cervicomedullary junction to C3. Radical resection of the tumour was performed and histology revealed a meningioma. His clinical outcome after a 3-year follow-up is relatively good. CONCLUSION: Intramedullary cervical meningiomas are very rare and have been reported only five times before. Because of its tendency to recur after surgery and because of a possible aggressive behaviour, meticulous histopathological examination is mandatory to predict the evolution and plan the follow-up. Outcome is mainly related to the type of tumour and the complete removal.
