Cervicomedullary junction mature teratoma with pulmonary differentiation and diastematomyelia in an adult - A rare case

Sophie M Peeters; Lauren Uhr; Srinivas Chivukula; Duncan McBride; Richard Everson; Duc Duong; Isaac Yang; Marcia Cornford; Anton Mlikotic; William Yong; Won Kim

doi:10.25259/SNI_633_2023

Cervicomedullary junction mature teratoma with pulmonary differentiation and diastematomyelia in an adult - A rare case

Surg Neurol Int. 2023 Sep 15:14:334. doi: 10.25259/SNI_633_2023. eCollection 2023.

Authors

Affiliations

¹ Department of Neurosurgery, University of California Los Angeles (UCLA), Los Angeles, California, United States.
² Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas, Texas, United States.
³ Department of Neurosurgery, Harbor UCLA Medical Center, Torrance, United States.
⁴ Department of Pathology, Harbor UCLA Medical Center, Torrance, United States.
⁵ Department of Radiology, Harbor UCLA Medical Center, Torrance, United States.
⁶ Department of Pathology, UCLA, Los Angeles, California, United States.

Abstract

Background: Intradural extramedullary teratomas in the cervical or cervicomedullary region are rare in adults.

Case description: We report a symptomatic, mature teratoma at the cervicomedullary junction in a 52-year-old Hispanic female who also has a type I diastematomyelia in the thoracolumbar spine. The patient underwent surgical resection of the lesion with the resolution of presenting symptoms. Histopathology of the lesion revealed a mature cystic teratoma with pulmonary differentiation.

Conclusion: We discuss the case along with a review of pertinent literature and considerations with regard to the diagnosis, etiology, prognosis, and management of this unusual pathology.

Keywords: Cervicomedullary; Diastematomyelia; Mature; Teratoma.

Publication types

Case Reports