Locally invasive giant spinal paraganglioma

Bi Yi Chen; Cezar Jose Mizrahi; Yi Yang; Bhadrakant Kavar

doi:10.1016/j.jocn.2020.03.034

Locally invasive giant spinal paraganglioma

J Clin Neurosci. 2020 Aug:78:430-432. doi: 10.1016/j.jocn.2020.03.034. Epub 2020 Apr 22.

Authors

Bi Yi Chen¹, Cezar Jose Mizrahi¹, Yi Yang², Bhadrakant Kavar³

Affiliations

¹ Department of Neurosurgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3000, Australia.
² Department of Orthopaedics, Royal Melbourne Hospital, Melbourne, Australia; University of Melbourne, Melbourne, Australia.
³ Department of Neurosurgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, VIC 3000, Australia; Department of Surgery, University of Melbourne, Parkville, VIC 3000, Australia. Electronic address: Bhadu.Kavar@mh.org.au.

PMID: 32334958
DOI: 10.1016/j.jocn.2020.03.034

Abstract

Cauda equina paragangliomas are neuroendocrine tumours rarely encountered in neurosurgical practice. Large cauda equina paragangliomas with an intradural and extradural component, dense adhesion to nerve roots and high vascularity are surgically challenging and mandate meticulous operative dissection. The presence of extensive bony erosion can lead to spinal instability requiring solid instrumentation and fixation. We recommend resection of large cauda equina paragangliomas in a staged fashion with the aim of gross total resection and spinal stabilisation.

Keywords: Cauda equina; Paraganglioma; Surgical resection.

Publication types

Case Reports

MeSH terms

Cauda Equina / pathology*
Cauda Equina / surgery
Central Nervous System Neoplasms / pathology
Central Nervous System Neoplasms / surgery
Diagnosis, Differential
Humans
Male
Neuroendocrine Tumors* / pathology
Neuroendocrine Tumors* / surgery
Paraganglioma / pathology*
Paraganglioma / surgery
Radiculopathy / pathology
Spinal Neoplasms / pathology
Spinal Neoplasms / surgery