Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing
Cauda equina syndrome (CES) in children is very rare and can permanently disable. A remitted intracranial germinoma depositing on the spinal cord, leading to CES, has never been reported. We discuss the case of a 10-year-old girl who presented with sudden ataxia, low back pain, sensory deficits of t...
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| Format: | Article |
| Language: | English |
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Elsevier
2012-10-01
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| Series: | Pediatrics and Neonatology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1875957212001003 |
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| author | Ying-Chun Lu Hueng-Chuen Fan Hong-Wei Gao Chang-Ming Chen Yee-Min Jen Shin-Nan Cheng Shyi-Jou Chen |
| author_facet | Ying-Chun Lu Hueng-Chuen Fan Hong-Wei Gao Chang-Ming Chen Yee-Min Jen Shin-Nan Cheng Shyi-Jou Chen |
| author_sort | Ying-Chun Lu |
| collection | DOAJ |
| description | Cauda equina syndrome (CES) in children is very rare and can permanently disable. A remitted intracranial germinoma depositing on the spinal cord, leading to CES, has never been reported. We discuss the case of a 10-year-old girl who presented with sudden ataxia, low back pain, sensory deficits of the left lower extremity, and difficulty urinating and defecating 7 months after totally remitted intracranial germinoma postintracranial surgery and cranial irradiation. Magnetic resonance imaging (MRI) of the brain and spine showed multiple intradural extramedullary homogeneous masses from the cervical to lumbar levels, compressing the conus medullaris and cauda equina. After emergent craniospinal irradiation, the patient's neurologic symptoms dramatically subsided. A remitted intracranial germinoma depositing on her spinal cord could be the cause of CES. Early identification and a proper craniospinal irradiation may halt the progression of symptoms. |
| format | Article |
| id | doaj-art-68d2736e47ff40dbb1730dbd824c3e35 |
| institution | DOAJ |
| issn | 1875-9572 |
| language | English |
| publishDate | 2012-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Pediatrics and Neonatology |
| spelling | doaj-art-68d2736e47ff40dbb1730dbd824c3e352025-08-20T03:18:19ZengElsevierPediatrics and Neonatology1875-95722012-10-0153531531910.1016/j.pedneo.2012.07.007Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma DepositingYing-Chun Lu0Hueng-Chuen Fan1Hong-Wei Gao2Chang-Ming Chen3Yee-Min Jen4Shin-Nan Cheng5Shyi-Jou Chen6Department of Pediatrics, Tri-Service General Hospital, Taipei, TaiwanDepartment of Pediatrics, Tri-Service General Hospital, Taipei, TaiwanDepartment of Pathology, Tri-Service General Hospital, Taipei, TaiwanDepartment of Radiation Oncology, Tri-Service General Hospital, Taipei, TaiwanDepartment of Radiation Oncology, Tri-Service General Hospital, Taipei, TaiwanDepartment of Pediatrics, Tri-Service General Hospital, Taipei, TaiwanDepartment of Pediatrics, Tri-Service General Hospital, Taipei, TaiwanCauda equina syndrome (CES) in children is very rare and can permanently disable. A remitted intracranial germinoma depositing on the spinal cord, leading to CES, has never been reported. We discuss the case of a 10-year-old girl who presented with sudden ataxia, low back pain, sensory deficits of the left lower extremity, and difficulty urinating and defecating 7 months after totally remitted intracranial germinoma postintracranial surgery and cranial irradiation. Magnetic resonance imaging (MRI) of the brain and spine showed multiple intradural extramedullary homogeneous masses from the cervical to lumbar levels, compressing the conus medullaris and cauda equina. After emergent craniospinal irradiation, the patient's neurologic symptoms dramatically subsided. A remitted intracranial germinoma depositing on her spinal cord could be the cause of CES. Early identification and a proper craniospinal irradiation may halt the progression of symptoms.http://www.sciencedirect.com/science/article/pii/S1875957212001003cauda equina syndromecraniospinal irradiationgerminomametastasis |
| spellingShingle | Ying-Chun Lu Hueng-Chuen Fan Hong-Wei Gao Chang-Ming Chen Yee-Min Jen Shin-Nan Cheng Shyi-Jou Chen Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing Pediatrics and Neonatology cauda equina syndrome craniospinal irradiation germinoma metastasis |
| title | Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing |
| title_full | Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing |
| title_fullStr | Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing |
| title_full_unstemmed | Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing |
| title_short | Effective Radiotherapy Cured Cauda Equina Syndrome Caused by Remitted Intracranial Germinoma Depositing |
| title_sort | effective radiotherapy cured cauda equina syndrome caused by remitted intracranial germinoma depositing |
| topic | cauda equina syndrome craniospinal irradiation germinoma metastasis |
| url | http://www.sciencedirect.com/science/article/pii/S1875957212001003 |
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