Teratoma del rafe bulbar / Teratoma of the medial rafe

ABSTRACT

Objective: to describe the case of a medulla oblongata benign teratoma associated with endocrinological disorders. Description a 23 years old female patient presented with headache, vomiting, dizzines, ataxia, amenorrhea and galactorrhea, progressive during the last 5 years. MRI showed a fourth ventricle tumoral lesion that involved the medulla oblongata with hydrocephalus. Intervention first a ventriculo peritoneal shunting was performed. One week later through a midline approach a microsurgical complete removal was done. Postoperative outcome was good. MRI 6 months later was free of tumor. After one year the neurological examination was normal. Conclusion: teratomas of the medulla oblongata are rare lesions. Surgery is the treatment of choice (AU)