Surgical findings of a lumbar mature teratoma accompanying the preoperative intracranial dissemination of Fatty droplets.
There are several mechanisms for the dissemination of lipid material from a mature teratoma into the subarachnoid space or ventricles, including iatrogenic or traumatic rupture, but spontaneous rupture of a mature teratoma is rare. We report the spontaneous rupture of a spinal mature teratoma into the subarachnoid space and ventricles. However, at surgery, there was no definite evidence of rupture into the perimedullary cerebrospinal fluid. We postulate that the central canal could be a migration pathway for ruptured material into the brain.
Oh
Jae Sang
JS
Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
Im
Soo Bin
SB
Kim
Bum Tae
BT
Shin
Won Han
WH