title: Thoracic intramedullary chordoma without bone involvement: a rare clinical entity.
abstract: An 8-year-old boy presented with a 1-year history of low backache, followed by paraparesis and urinary incontinence. MRI of the thoracic spine revealed an intramedullary, intensely contrast-enhancing lesion extending from T11 to L1 vertebral level, consistent with astrocytoma, ependymoma or haemangioblastoma. A diagnosis of intramedullary chordoma was made on tissue biopsy and immunohistochemical study. This is the second report of an intramedullary chordoma without bone involvement in English literature. After 6 months of follow-up, patient showed good clinical outcome in terms of improvement in power in lower limbs and backache.
authors.affiliation: Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Mohd
authors.initials: M
authors.lastname: Faheem
authors.affiliation: Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Qazi
authors.initials: Q
authors.lastname: Zeeshan
authors.affiliation: Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Balkrishna
authors.initials: B
authors.lastname: Ojha
authors.affiliation: Department of Pathology, King George's Medical University, Lucknow, Uttar Pradesh, India.
authors.forename: Preeti
authors.initials: P
authors.lastname: Agrawal
mesh_terms: D002648:Child; D002817:Chordoma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D003287:Contrast Media; D003937:Diagnosis, Differential; D006801:Humans; D007089:Image Enhancement; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D013120:Spinal Cord Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D013904:Thoracic Vertebrae / Q000000981:diagnostic imaging
chemical_list: D003287:Contrast Media