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Peripheral primitive neuroectodermal tumor causing cauda equina syndrome with destruction of L5 vertebra

Author(s): Dhatt Sarvdeep | Dhillon Mandeep | Tripathy Sujit | Goyal Tarun | Jagadeesh V

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 44;
Issue: 3;
Start page: 339;
Date: 2010;
Original page

Keywords: Cauda equina syndrome | primitive neuro-ectodermal tumor | spinal tumor

A 24-year-old male patient presented with cauda equina lesion symptoms. His clinicoradiological examination including X-rays, CT scan and MRI revealed destruction of L 5 vertebral body, pedicle and a mass extending to lateral recess and left intervertebral foramina causing pressure over the thecal sac. A CT guided FNAC was inconclusive. Open biopsy and hemilaminectomy of L 5 vertebra was performed. Histopathology and immunocytochemical analysis revealed it to be primitive neuroectodermal tumor. Patient was given chemotherapy and radiation therapy. His lower limb power improved by grade I post operatively and at 2 years follow-up bowel/bladder recovery was noticed. Patient died after 2.5 years of surgery because of pulmonary metastasis.
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