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Paraganglioma of Cauda Equina – Case Report

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Author(s): Sushrut M.Fulare | Jagannath L | Lingaraj Narasimhaiah | Udit Mishra

Journal: Journal of Orthopaedic Case Reports
ISSN 2250-0685

Volume: 3;
Issue: 1;
Start page: 29;
Date: 2013;
Original page

Keywords: Paraganglioma | cauda equina | Zellballen

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.

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