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Journal of Spine & NeurosurgeryISSN: 2325-9701

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Case Report, J Spine Neurosurg Vol: 5 Issue: 2

Paraganglioma of the Filum Terminale- A Case Report

Roger Schmidt Brock1, Gustavo Noleto1, Matheus Fernandes de Oliveira2* and Manoel Jacobsen Teixeira3
1Department of Spinal Surgery, Division of Neurological Surgery, Hospital das Clinicas, University of Sao Paulo School of Medicine, Sao Paulo, Brazil
2Department of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, Universidade de São Paulo, São Paulo, Brazil
3Department of Neurological Surgery, Hospital das Clinicas, University of Sao Paulo School of Medicine, Sao Paulo, Brazil
Corresponding author : Matheus Fernandes de Oliveira
Department of Functional Neurosurgery, Institute of Psychiatry, Hospital das Clínicas, Universidade de São Paulo, São Paulo, Brazil
Tel: 55 11 45738996, Fax: 55 11 45738379
E-mail: [email protected]
Received: February 11, 2016 Accepted: February 18, 2016 Published: February 25, 2016
Citation: Brock RS, Noleto G, Oliveira MF, Teixeira MJ (2016) Paraganglioma of the Filum Terminale- A Case Report. J Spine Neurosurg 5:1. doi:10.4172/2325-9701.1000211

Abstract

Paragangliomas are rare lesions, and in filum terminale region they account for only 3.3 to 3.5% of tumors. We report the case of a patient with history of progressive low back pain at night with altered sensitivity in the lower limbs and neurogenic bladder. Magnetic resonance imaging (MRI) revealed a mass lesion in the conus medullaris region. The patient underwent complete microsurgical resection and experienced improvement of his symptoms. Histologic evaluation was consistent with a paraganglioma of the filum terminale. We provide a brief review of the epidemiology and clinical and radiological features of this condition. Prognosis is associated with the ability to achieve total surgical resection. In the event of partial removal, longer follow-up is required.

Keywords: Paraganglioma; Filum terminale; Cauda equine; Low back pain

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