title: Sudden onset of paraplegia secondary to an unusual presentation of pediatric synovial sarcoma.
abstract: BACKGROUND
  Spinal synovial sarcoma (SS) is an extremely rare malignant tumor in children.
  
  
  METHODS
  We report an unusual pediatric synovial sarcoma located in the thoracic spine at T9-T10 levels. A 10-year-old boy was admitted with a 1-month history of progressive back pain and low fever for 7 days as well as sudden onset of paraplegia for 1 day. The primary diagnosis was considered for spinal inflammatory abscess; subsequently, the patient underwent total resection with a good recovery and confirmed SS by SYT-SSX gene translocation.
  
  
  CONCLUSIONS
  The possibility of sudden paraplegia caused by unusual SS involved in the spine should be highlighted.
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of ZhengZhou University, Zhengzhou, 450052, Henan Province, People's Republic of China.
authors.forename: Ailing
authors.initials: A
authors.lastname: Guo
authors.affiliation: Department of Neurosurgery, The First Affiliated Hospital of ZhengZhou University, Zhengzhou, 450052, Henan Province, People's Republic of China. chyou666@hotmail.com.|Key Laboratory of Neurosurgical Diseases, The First Affiliated Hospital of Zhengzhou University, Jianshe East Road, No 1, ZhengZhou, HeNan Province, 450052, People's Republic of China. chyou666@hotmail.com.
authors.forename: Fuyou
authors.initials: F
authors.lastname: Guo
mesh_terms: D014408:Biomarkers, Tumor / Q000032:analysis; D002648:Child; D006801:Humans; D007150:Immunohistochemistry; D017404:In Situ Hybridization, Fluorescence; D008297:Male; D015514:Oncogene Proteins, Fusion / Q000235:genetics; D010264:Paraplegia / Q000209:etiology*; D013584:Sarcoma, Synovial / Q000150:complications / Q000473:pathology*; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000473:pathology*
chemical_list: D014408:Biomarkers, Tumor; D015514:Oncogene Proteins, Fusion; C116512:SYT-SSX fusion protein
keywords: Acute paraplegia; Inflammation abscess; Pediatric; Spinal; Synovial sarcoma