Lumbar paraganglioma.
Publication/Presentation Date
8-1-2016
Abstract
Spinal paragangliomas (SP) are benign and overall rare extra-adrenal neuroendocrine tumors often diagnosed during workup for lower back pain. Complete surgical resection achieves both symptomatic relief and cure. We present a 32-year-old man with a longstanding history of lumbago and bilateral lower extremity pain found to have a lumbar paraganglioma at the level of the L3 vertebrae. The clinical, histopathological, and radiological characteristics are described, including the rare finding of superficial siderosis on MRI of the brain. A laminectomy with microscopic dissection of the intradural mass achieved complete debulking without evidence of residual tumor. Excellent prognosis can be achieved with complete surgical resection of SP without the need for adjuvant therapy. Therefore, care should be taken to distinguish these spinal tumors from those that appear similar but are more aggressive. As such, the radiological finding of superficial siderosis should raise the suspicion for SP when a vascular intradural extramedullary spinal tumor is observed.
Volume
30
First Page
149
Last Page
151
ISSN
1532-2653
Published In/Presented At
Dillard-Cannon, E., Atsina, K. B., Ghobrial, G., Gnass, E., Curtis, M. T., & Heller, J. (2016). Lumbar paraganglioma. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia, 30, 149–151. https://doi.org/10.1016/j.jocn.2016.01.019
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
27032749
Department(s)
Administration and Leadership
Document Type
Article