Journal Information
Vol. 32. Issue 5.
Pages 241-246 (September - October 2021)
Share
Share
Download PDF
More article options
Vol. 32. Issue 5.
Pages 241-246 (September - October 2021)
Caso clínico
Teratoma maduro del filum terminale. Extirpación guiada por estimulación directa de raíces nerviosas
Mature filum terminale teratoma. Excision guided by direct stimulation of nerve roots
Fernando García Péreza,
Corresponding author
fegaperez@hotmail.com

Autor para correspondencia.
, Antonio José Vargas Lópeza, Francisco Javier Velasco Albendeab, José María Narro Donatea, Paloma Villalobos Lópezc, José Masegosa Gonzáleza
a Servicio de Neurocirugía, Hospital Universitario Torrecárdenas, Almería, España
b Servicio de Anatomía Patológica, Hospital Universitario Torrecárdenas, Almería, España
c Servicio de Neurofisiología, Hospital Universitario Torrecárdenas, Almería, España
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (3)
Show moreShow less
Resumen

Varón de 45 años, sin antecedentes de interés, que acudió a urgencias con cuadro progresivo de pérdida de fuerza en miembros inferiores a nivel distal con imposibilidad para la flexión dorsal del pie izquierdo, acompañado de disfunción neurógena de vejiga. En la RM se objetivó una lesión a nivel del filum terminale que interesaba completamente el diámetro transversal del saco dural, siendo la impresión diagnóstica radiológica de lipoma del filum terminale. Se llevó a cabo cirugía con monitorización neurofisiológica intraoperatoria empleando estimulación directa de raíces nerviosas, lo que permitió la extirpación de una tumoración compuesta por material sebáceo, grasa y pelo. El diagnóstico anatomopatológico fue de teratoma quístico maduro. El paciente presentó evolución postoperatoria favorable.

Palabras clave:
Teratoma espinal
Teratoma quístico maduro
Filum terminale
Monitorización neurofisiológica intraoperatoria
Abstract

A 45-year-old male patient, with no history of interest, consulted in emergency department due to a progressive loss of strength in the lower limbs at the distal level with impossibility for dorsal flexion of the left foot, as well as neurogenic bladder. The MRI revealed a mass at the filum terminale with completed occupation of transverse diameter of the dural sac. The radiological diagnosis was lipoma of filum terminale. The patient underwent surgery with intraoperative neurophysiological monitoring using direct stimulation of nerve roots, which allowed the removal of a tumour composed of sebaceous material, fat and hair. The anatomopathological study classified it as a mature cystic teratoma. Postoperative evolution was favorable.

Keywords:
Spinal teratoma
Mature cystic teratoma
Filum terminale
Intraoperative neurophysiological monitoring

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?