Paraganglioma of Cauda Equina – Case Report

What to Learn from this Article?

 1. Paraganglioma is one of the differentials of intradural extramedullary spinal masses. 

2.Presentation and management of a paraganglioma lesion of the cauda? 


Case Report | Volume 3 | Issue 1 | JOCR Jan – March 2013 | Page 29-31


Authors: Sushrut M.Fulare [1], Jagannath L[1], Lingaraj[1], Udit Mishra[1]

[1] P.E.S. Institute of Medical Sciences & Research Kuppam, Dist. Chittoor, Andhra Pradesh, India.

Address of Correspondence: Dr Sushrut M.Fulare. AssociateProfessor of Surgery, Consultant Neurosurgeon, P.E.S. Institute of Medical Sciences & Research,,Kuppam, Dist. Chittoor, Andhra Pradesh – 517425.India. Email: drsmfulare@rediffmail.com


Abstract

Introduction: Paraganglioma is benign and slow growing neuroectodermal tumor commonly found in the adrenal medulla, carotid body and glomus-jugulare. Paraganglioma of cauda equina is relatively rare.

Case Report: We report a case of paraganglioma of the cauda equina region in 60 year lady who underwent successful surgical resection. Clinical presentation and imaging appearances of paraganglioma involving the spine is nonspecific and most of the time diagnosis is on post operative histopathology. Few MRI features and contrast MRI  can be helpful if paraganglioma is suspected.

Conclusion: Paraganglioma should be kept in mind as the differential diagnosis of extra medullary tumor contracted in the cauda equina region. Catecholamine secretory paraganglioma is uncommon but preoperative screening for hyper adrenergic state is necessary to prevent hypertensive crises during tumor removal.

Keywords: Paraganglioma, cauda equina, Zellballen

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How to Cite This Article: Fulare SN, Jagannath L , Lingaraj N, Mishra U. Paraganglioma of Cauda Equina- a case report. Journal of Orthopaedic Case Reports 2013 Jan-March;3(1):29-31. Available fromhttp://www.jocr.co.in/wp/wp-content/uploads/Jan-March-2013-Article-9.pdf 


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