Primary Intramedullary Spinal Sarcoma : A Case Report and Review of the Current Literatures.
10.3340/jkns.2010.48.5.448
- Author:
Su Hyeong KIM
1
;
Koang Hum BAK
;
Dong Won KIM
;
Tae Hoon KANG
Author Information
1. Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea. pkh2325@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Central nervous system;
Intramedullary;
Primary;
Sarcoma
- MeSH:
Central Nervous System;
Humans;
Low Back Pain;
Lower Extremity;
Magnetic Resonance Spectroscopy;
Prognosis;
Radiculopathy;
Radiotherapy, Adjuvant;
Sarcoma;
Spinal Cord
- From:Journal of Korean Neurosurgical Society
2010;48(5):448-451
- CountryRepublic of Korea
- Language:English
-
Abstract:
Primary central nervous system (CNS) sarcomas are exceedingly rare, and, to the best of our knowledge, there has not yet been a report of intramedullary sarcoma. Here, we report a primary intradural intramedullary sarcoma of the spinal cord in a four-year-old boy who presented with low back pain and a radiculopathy involving both lower extremities. The tumor showed significant enhancement on magnetic resonance (MR) images due to its extreme vascularity. Gross total tumor removal was performed with microelectrical pulse recording, and the patient also received adjuvant radiotherapy and chemotherapy. After the operation, the patient's sensory deficits were improved. Because CNS dissemination is common, entire neuraxis evaluation is essential, although there was no evidence of dissemination in this case. The prognosis of primary CNS sarcoma is poor due to infiltrative nature and early CNS dissemination is common, and the treatment of choice is radical surgical resection. Adjuvant therapy is also beneficial with radiotherapy and chemotherapy.
