Intramedullary subependymoma of the thoracic spinal cord.
We report a rare case of a thoracic intramedullary subependymoma in a 37-year-old woman. The patient developed a monoparesis of the right leg after a subtotal resection of the tumor. During the 30 months of follow-up the neurological deficit improved and the patient remained symptom free without progression of the remnant tumor. A complete resection of the tumor is usually curative with improved function. However, aggressive surgery may cause either worsening of an existing deficit or the development of new deficits. In patients with poor delineation between the tumor and the spinal cord, subtotal removal and close follow-up should be considered.
Jang
Woo-Youl
WY
Department of Neurosurgery, Chonnam National University Hospital, 8 Hak-dong, Dong-ku, Gwangju 501-757, Korea.
Lee
Jung-Kil
JK
Lee
Jae-Hyun
JH
Kim
Jae-Hyoo
JH
Kim
Soo-Han
SH
Lee
Kyung-Hwa
KH
Lee
Min-Cheol
MC
D000328:Adult; D005260:Female; D018315:Glioma, Subependymal / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D017116:Low Back Pain / Q000209:etiology; D008279:Magnetic Resonance Imaging; D009434:Neural Pathways / Q000293:injuries / Q000601:surgery; D019635:Neurosurgical Procedures / Q000379:methods; D010291:Paresis / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control; D011878:Radiotherapy; D013116:Spinal Cord / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D013904:Thoracic Vertebrae; D016896:Treatment Outcome