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KMID : 1189320140080010074
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Asian Spine Journal
2014 Volume.8 No. 1 p.74 ~ p.78
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Cervical Symmetric Dumbbell Ganglioneuromas Causing Severe Paresis
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Hioki Akira
Miyamoto Kei
Hirose Yoshinobu
Kito Yusuke
Fushimi Kazunari
Shimizu Katsuji
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Abstract
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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.
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KEYWORD
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Ganglioneuroma, Symmetric, Dumbbell tumor, Cervical spine
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