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Vol. 22. Issue 5.
Pages 434-438 (January 2011)
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Vol. 22. Issue 5.
Pages 434-438 (January 2011)
Ganglioneuroma coincidente con una extrusión discal lumbar
Ganglioneuroma coinciding with a lumbar disk herniation
J.V. Martínez-Quiñones
, F. Consolini, J. Aso-Escario, R. Arregui
Servicio de Neurocirugía. Hospital MAZ. Zaragoza
M. Domínguez-Páez
* Servicio de Neurocirugía. Hospital Regional Universitario Carlos Haya. Málaga
Article information
Abstract
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Resumen
Introducción

Los ganglioneuromas o gangliomas son tumores de los ganglios simpáticos que contienen células de la cresta neural, pudiendo aparecer en cualquier parte del organismo. Son generalmente benignos, más frecuente entre los 10 y los 40 años, pueden secretar hormonas y, en ocasiones, asociarse a trastornos genéticos, como la neurofibromatosis tipo I.

Objetivo

Revisar la literatura científica relacionada con el tema y presentar un caso tratado en nuestro servicio.

Discusión

La sintomatología de estas lesiones depende de su ubicación y de las sustancias vasoactivas que puedan secretar. A pesar de que son tumores benignos en su mayoría, en ocasiones pueden metastatizar. Las pruebas de imagen y de laboratorio son inespecíficas, por lo que el diagnóstico definitivo es anatomopatológico. En los casos sintomáticos el tratamiento de elección es la resección quirúrgica.

Conclusión

La asociación de un ganglioneuroma y de una hernia discal lumbar es algo excepcional. El tratamiento requiere su resección quirúrgica.

Palabras clave:
Ganglioneuroma
Ganglioma
Hernia discal
Summary
Introduction

Ganglioneuromas or gangliomas are tumours of the sympathetic ganglia that contain cells of the neural crest, so they can appear in all body localizations. They are generally benign, more frequent between 10 and 40 years, may secrete hormones and, sometimes, Neurofibromatosis type I and other genetic disorders can be associated.

Objective

To review the scientific literature related to the topic and to present a case treated in our service.

Discussion

The symptoms depend on location and vasoactive secreted hormones. In spite of that, they are generally benign tumours, although sometimes they can spread out. Since laboratory and image test are of limited usefulness, the conclusive diagnosis is anatomopathologic. In symptomatic patients the best procedure is surgical revoming.

Conclusión

Ganglioneuroma and disk herniation association constitute an excepcional disorder. Its treatment implies surgery resection.

Key words:
Ganglioneuroma
Ganglioma
Disk herniation

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