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Giant cell bone tumor of the thoracic spine presenting in late pregnancy

BACKGROUND: We report a case of a large giant cell tumor of the thoracic spine presenting with spinal cord compression during pregnancy. CASE: A 24-year-old woman presented at term with lower back pain, bilateral lower extremity weakness, numbness, and bowel and bladder incontinence. Magnetic resonance imaging revealed a spinal soft tissue mass compressing the spinal cord. The patient delivered a healthy girl by cesarean then underwent a T8-T9 laminectomy, posterior spinal decompression, and instrument fusion. Two days later, she had a thoracotomy, corpectomy of the vertebral body, and anterior tumor debulking. Ultimately, the patient was discharged to inpatient rehabilitation with improved lower extremity strength and returned bowel and bladder function. CONCLUSION: Obstetricians should be vigilant regarding progressive neurologic symptoms during pregnancy

Keywords : Back,Back Pain,Bone Neoplasms,Cesarean Section,Decompression,Surgical,diagnosis,Fecal Incontinence,Female,Giant Cell Tumor of Bone,Humans,Infant,Newborn,Laminectomy,Lower Extremity,Magnetic Resonance Imaging,Neurosurgery,Pain,Paresis,Pregnancy,Pregnancy Complications,Neoplastic,rehabilitation,Spinal Cord,Spinal Cord Compression,Spinal Fusion,Spine,surgery,Thoracotomy,Treatment Outcome,Universities,Urinary Incontinence,Young Adult,, Cell,Bone,Tumor, botox neck

Date of Publication : 2011 Aug

Authors : Kathiresan AS;Johnson JN;Hood BJ;Montoya SP;Vanni S;Gonzalez-Quintero VH;

Organisation : Department of Obstetrics and Gynecology and the Department of Neurosurgery, University of Miami, Miller School of Medicine, Miami, Florida 33136, USA. anu.kathiresan@gmail.com

Journal of Publication : Obstet Gynecol

Pubmed Link : https://www.ncbi.nlm.nih.gov/pubmed/21768843

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