sacral chordoma
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Author(s):  
Amarnath Chellathurai ◽  
Gopinathan Kathirvelu ◽  
Philson J. Mukkada ◽  
Kiruthika Rajendran ◽  
Rajashree Ramani

Abstract Background Spinal dysraphisms refer to the congenital abnormalities of the spine and spinal cord due to aberrations in the processes of gastrulation, primary neurulation, and secondary neurulation. Embryology of many complex spinal dysraphisms are yet poorly understood and there is no agreeable anatomical–clinicoradiological classification with inclusion of recently documented and complex spinal dysraphisms. Aims and Objectives The main objective of this study was to review the imaging features of spinal dysraphisms with a better understanding of embryological abnormalities and propose a new classification inclusive of all complex and unusual dysraphisms based on anatomical and clinicoradiological correlation. Materials and Methods This was a retrospective single institutional observational study of 391 cases of spinal dysraphism for 10 years in our institution. Of 391 cases included in the study, 204 were males and 187 were females. Also, 123 cases belonged to the 0–6 months age group, 38 cases belonged to the 7–12 months age group, 156 belonged to the 1–5 years age group, 39 cases belonged to the 6–10 years age group, and 35 cases belonged to 10–20 years age group. Results An anatomical–clinicoradiological analysis of cases yielded a high proportion of cases of spinal lipomas, including lipomyeloceles and lipomyelomeningoceles (31.3%) and posterior myelomeningocele (14.2%). Anterior myelocoele (0.2%), sacral chordoma(0.2%), and intrasacral meningocele (0.2%) formed the least proportion of cases. A new classification was proposed based on the analysis of acquired data. Conclusion A structured approach in imaging spinal dysraphism is necessary for imaging evaluation in recent years. The proposed new classification based on clinicoradiological correlation and anatomic location is inclusive of unusual and complex dysraphisms.


2022 ◽  
Vol 5 (1) ◽  
pp. e2141927
Author(s):  
Yagiz U. Yolcu ◽  
Jad Zreik ◽  
Waseem Wahood ◽  
Atiq ur Rehman Bhatti ◽  
Mohamad Bydon ◽  
...  

2021 ◽  
Author(s):  
Dr Ahmed
Keyword(s):  

Cureus ◽  
2021 ◽  
Author(s):  
Mauricio Garcia Mora ◽  
Ivan Fernando Mariño ◽  
Leidy Juliana Puerto Horta ◽  
Felipe Gonzalez ◽  
Sandra Diaz Casas

2021 ◽  
Vol 163 ◽  
pp. 209-214
Author(s):  
Silvia Molinelli ◽  
Giuseppe Magro ◽  
Andrea Mairani ◽  
Albina Allajbej ◽  
Alfredo Mirandola ◽  
...  

2021 ◽  
Vol 90 ◽  
pp. 123-133
Author(s):  
R. Ricotti ◽  
A. Pella ◽  
A. Mirandola ◽  
M.R. Fiore ◽  
A. Chalaszczyk ◽  
...  

2021 ◽  
Vol 4 (2) ◽  
Author(s):  
M Solángel Rodríguez ◽  
S Carlos S Montero
Keyword(s):  

2021 ◽  
Vol 8 (3) ◽  
pp. 412-414
Author(s):  
Prachi ◽  
Hema Malini Aiyer

The incidence of double malignancy reported are between 0.3% and 4.3%. The second primary lesion is identified either simultaneously with the primary lesion (synchronous) or after a period of time (metachronous). We report a case in a 63-year-old male presenting with double malignancy with adenocarcinoma of the ascending colon and a pre- sacral Chordoma of which the latter was detected accidentally on imaging. The patient underwent surgical excision of the pre-sacral mass and an exploratory laparotomy with Right Hemicolectomy. The increasing incidence of multiple malignant tumors is a real challenge to both clinicians and pathologists and close attention should be paid to imaging and histologic findings to avoid a misdiagnosis. In addition an early diagnosis is essential to achieve optimal treatment. We believe that the treatment modalities should be carefully tailored for each individual patient diagnosed with a double malignancy.


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