Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis.
- Author:
Akira HIOKI
1
;
Kei MIYAMOTO
;
Yoshinobu HIROSE
;
Yusuke KITO
;
Kazunari FUSHIMI
;
Katsuji SHIMIZU
Author Information
- Publication Type:Case Report
- Keywords: Ganglioneuroma; Symmetric; Dumbbell tumor; Cervical spine
- MeSH: Aged; Ambulances; Decompression; Diagnosis; Ganglion Cysts; Ganglioneuroma*; Humans; Magnetic Resonance Imaging; Paraplegia; Paresis*; Spinal Cord; Spine
- From:Asian Spine Journal 2014;8(1):74-78
- CountryRepublic of Korea
- Language:English
- Abstract: We report an extremely rare case with bilateral and symmetric dumbbell ganglioneuromas of the cervical spine in an elderly patient. A 72-year-old man came by ambulance to our hospital due to progressive incomplete paraplegia. Magnetic resonance imaging demonstrated bilateral symmetric dumbbell tumors at the C1/2 level. We performed total resection of the intracanalar tumor, aiming at complete decompression of the spinal cord, and partial and subtotal resection of foraminal outside portions. Histopathological examination of the surgical specimen indicated the tumor cells to be spindle cells with the presence of ganglion cells and no cellular pleomorphism, suggesting a diagnosis of ganglioneuroma. Although the surgery was not curative, the postoperative course was uneventful and provided a satisfactory outcome. This is the fourth known case of cervical ganglioneuromas of the bilateral symmetric dumbbell type.
