Benign sacrococcygeal teratoma with spinal canal invasion and paraplegia

Sacrococcygeal teratomas can have a wide variety of clinical presentations depending on their size, vascularity, and degree of mass effect upon adjacent structures. Intradural invasion of a sacrococcygeal teratoma is a rare variant that has generally been associated with a favorable neurologic outcome. In this report, we present the case of a neonate with paraplegia secondary to a large Altman type III sacrococcygeal teratoma with extension into the spinal canal. The neoplasm was completely removed using a combined anterior and posterior approach after preoperative embolization of the lateral sacral arteries. Pathology showed a mature teratoma. The patient remains paraplegic without evidence of tumor recurrence at 1 year of age

Keywords : Arteries,Coccyx,complications,etiology,Female,Humans,Infant,Newborn,Neoplasm Invasiveness,Paraplegia,pathology,Recurrence,Sacrum,secondary,Spinal Canal,Spinal Cord Neoplasms,Spinal Neoplasms,surgery,Teratoma,Universities,, Sacrococcygeal,Teratoma,With,Spinal,Canal, diaphragmatic breathing benefits

Date of Publication : 2011 Sep

Authors : Kunisaki SM;Maher CO;Powelson I;Gemmete JJ;Hirschl RB;Mychaliska GB;

Organisation : Department of Surgery, University of Michigan Health System, Ann Arbor, MI 48109, USA. shaunkun@umich.edu

Journal of Publication : J Pediatr Surg

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21929968

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