Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review

Paragangliomas are neuroendocrine tumors originating from specialized cells of neural crest derivative. They are mostly found in the carotid and jugulotympanic region. Paragangliomas are extremely rare in the spine, and in literature, most cases are described as intradural extramedullary lesion in t...

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Main Authors: Mukesh K. Bhaskar, R. Kumar, Sunil K. Singh, Mukta Meel
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2017-09-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603810
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author Mukesh K. Bhaskar
R. Kumar
Sunil K. Singh
Mukta Meel
author_facet Mukesh K. Bhaskar
R. Kumar
Sunil K. Singh
Mukta Meel
author_sort Mukesh K. Bhaskar
collection DOAJ
description Paragangliomas are neuroendocrine tumors originating from specialized cells of neural crest derivative. They are mostly found in the carotid and jugulotympanic region. Paragangliomas are extremely rare in the spine, and in literature, most cases are described as intradural extramedullary lesion in the cauda equine or filum terminale region. Extradural dorsal spine paragangliomas are even rarer, and till date, only 11 cases are reported in available literature. We describe a case of an adult woman who presented with mid dorsal region pain and sensory-motor spastic paraplegia. Imaging features were suggestive of D5 Pott's spine with epidural granulation tissue. Perioperatively, the tumor was moderately vascular and complete excision done. On HPE and IHC, diagnosis of paraganglioma was made. There was no evidence of clinical recurrence of the lesion at 6 months follow-up.
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2277-9167
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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spelling doaj-art-ae470b30637b4e43912aaef8157c8e862025-08-20T01:59:53ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672017-09-01070321621910.1055/s-0037-1603810Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature ReviewMukesh K. Bhaskar0R. Kumar1Sunil K. Singh2Mukta Meel3Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, IndiaDepartment of Pathology, RNT Medical College, Udaipur, Rajasthan, IndiaParagangliomas are neuroendocrine tumors originating from specialized cells of neural crest derivative. They are mostly found in the carotid and jugulotympanic region. Paragangliomas are extremely rare in the spine, and in literature, most cases are described as intradural extramedullary lesion in the cauda equine or filum terminale region. Extradural dorsal spine paragangliomas are even rarer, and till date, only 11 cases are reported in available literature. We describe a case of an adult woman who presented with mid dorsal region pain and sensory-motor spastic paraplegia. Imaging features were suggestive of D5 Pott's spine with epidural granulation tissue. Perioperatively, the tumor was moderately vascular and complete excision done. On HPE and IHC, diagnosis of paraganglioma was made. There was no evidence of clinical recurrence of the lesion at 6 months follow-up.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603810paragangliomadorsal spinezellballen's patternimmunohisto chemistry
spellingShingle Mukesh K. Bhaskar
R. Kumar
Sunil K. Singh
Mukta Meel
Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review
Indian Journal of Neurosurgery
paraganglioma
dorsal spine
zellballen's pattern
immunohisto chemistry
title Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review
title_full Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review
title_fullStr Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review
title_full_unstemmed Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review
title_short Extradural Dorsal Spinal Paraganglioma: A Rare Case Report and Literature Review
title_sort extradural dorsal spinal paraganglioma a rare case report and literature review
topic paraganglioma
dorsal spine
zellballen's pattern
immunohisto chemistry
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0037-1603810
work_keys_str_mv AT mukeshkbhaskar extraduraldorsalspinalparagangliomaararecasereportandliteraturereview
AT rkumar extraduraldorsalspinalparagangliomaararecasereportandliteraturereview
AT sunilksingh extraduraldorsalspinalparagangliomaararecasereportandliteraturereview
AT muktameel extraduraldorsalspinalparagangliomaararecasereportandliteraturereview