Intradural Extramedullary Nonconus Nonfilum Spinal Ependymomas: Report of a Rare Variant and Newer Insights into Their Histogenesis with Proposal of a Classification Scheme and a Management Algorithm Based on a Review of Literature

2020 ◽  
Vol 134 ◽  
pp. 323-336 ◽  
Author(s):  
Kuntal Kanti Das ◽  
Gagandeep Attri ◽  
Suyash Singh ◽  
Kamlesh Singh Bhaisora ◽  
Pawan Verma ◽  
...  
2011 ◽  
Vol 02 (01) ◽  
pp. 093-096 ◽  
Author(s):  
Subhas K Konar ◽  
KVL Narasinga Rao ◽  
Anita Mahadevan ◽  
B Indira Devi

ABSTRACTTuberculous spinal arachnoiditis involving cauda equina is rare. A patient with lumbar tuberculous arachnoiditis in the absence of both vertebral and meningeal tuberculosis, which was mimicking spinal intradural extramedullary tumor is described here. Diagnosis was made based on intraoperative fi ndings and was confi rmed by histopathology. Surgical decompression along with a combination of steroid and antitubercular therapy resulted in a good outcome. At 3 months follow-up, the patient regained bladder control and was able to walk with support. Clinical features, magnetic resonance imaging, and intraoperative fi ndings are described. Pathology and the relevant literature are discussed. Based on the patient’s clinical and radiologic fi ndings, it was believed that the patient had a conus cauda tumor and was operated on. Histologic examination of the mass revealed tuberculoma. Surgical decompression followed by antituberculosis medication resulted in good outcome. Hence tuberculous arachnoiditis should be considered in diff erential diagnosis of conus cauda tumors.


2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Charles F. Land ◽  
Blake D. Bowden ◽  
Brice G. Morpeth ◽  
John G. DeVine

2016 ◽  
Vol 06 (01) ◽  
pp. 067-071
Author(s):  
Partha Ghosh ◽  
Kaushik Roy ◽  
Sneha Bothra ◽  
Sandeep B.V

Primary spinal cord presentation of primitive neuroectodermal tumors (PNET) is a rare occurrence and carries a poor prognosis. A 20-year-old female patient presented with pain in the neck region, bilateral upper and lower limb weakness, and bladder and bowel dysfunction. Neurological examination revealed the marked paresis with hyporeflexia of both the upper and hyperreflexia of lower extremities. Preoperative magnetic resonance imaging of the spine revealed an intradural mass at the C6–D1 level. A laminectomy of C5 to upper half D1 vertebra level and near-total removal of the tumor was performed. Pathological findings were consistent with PNET. The clinical, histopathological, and radiological findings of the patient are presented.


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