A case of conus medullaris teratoma

Ernest Lekgabe; Te Whiti Rogers; John Laidlaw; Elaine Lui; Frank Gaillard

doi:10.1016/j.jocn.2017.09.025

A case of conus medullaris teratoma

J Clin Neurosci. 2018 Jan:47:123-126. doi: 10.1016/j.jocn.2017.09.025. Epub 2017 Oct 16.

Authors

Ernest Lekgabe¹, Te Whiti Rogers², John Laidlaw³, Elaine Lui⁴, Frank Gaillard⁴

Affiliations

¹ Department of Radiology, The Royal Melbourne Hospital, Parkville, VIC, Australia. Electronic address: ernest.lekgabe@mh.org.au.
² Department of Pathology, The Royal Melbourne Hospital, Parkville, VIC, Australia.
³ Department of Neurosurgery, The Royal Melbourne Hospital, Parkville, VIC, Australia; Department of Surgery, The University of Melbourne, Parkville, VIC, Australia.
⁴ Department of Radiology, The Royal Melbourne Hospital, Parkville, VIC, Australia; Department of Radiology, The University of Melbourne, Parkville, VIC, Australia.

PMID: 29050890
DOI: 10.1016/j.jocn.2017.09.025

Abstract

In this report, we present a case of an adult patient with a mature teratoma of the conus medullaris. The patient was a 29-year-old postpartum female patient who developed unexplained urinary retention. Lumbar spine magnetic resonance imaging (MRI) examination revealed an intradural partly enhancing mixed cystic and solid lesion with intralesional intrinsic T1 hyperintense components that were suppressed on fat suppressed sequences, inseparable from the conus medullaris. Surgical resection was performed and histopathology findings were consistent with a mature teratoma. The patient made a complete recovery.

Keywords: Conus medullaris tumour; Intradural spinal tumour; Spinal teratoma.

Publication types

Case Reports

MeSH terms

Adult
Female
Humans
Lumbar Vertebrae
Magnetic Resonance Imaging
Postpartum Period
Spinal Cord Neoplasms / diagnosis*
Spinal Cord Neoplasms / surgery
Teratoma / diagnosis*
Teratoma / surgery