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Updated: Jul 14, 2026
05:53
Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
[Infected cervical epidural Ewing's sarcoma (case report)]
F Lakhdar1, R Gana, M Laghmari
1Service de neurochirurgie, hôpital Ibn-Sina, Rabat, Morocco. faycal_f1@hotmail.com
Journal of Neuroradiology = Journal De Neuroradiologie
|June 19, 2007
Summary
This case study highlights a rare infected epidural Ewing sarcoma in the cervical spine, a condition with few reported instances. Prompt surgical intervention led to a significant recovery in the patient's upper limb function.
Area of Science:
- Oncology
- Neurosurgery
- Radiology
Background:
- Ewing sarcoma is a rare bone cancer typically affecting young individuals.
- Epidural spinal localization of Ewing sarcoma is exceptionally rare, with limited documented cases.
- Infection associated with epidural Ewing sarcoma is exceedingly uncommon in surgical literature.
Observation:
- A 24-year-old patient presented with complete flaccid tetraplegia and a T1 sensory level.
- Spinal MRI revealed a posterior cervical epidural mass with gadolinium enhancement.
- Emergency surgery involving C6-C7 laminectomy achieved complete tumor resection, including an intraoperative purulent collection.
Findings:
- This case represents the second reported instance of infected epidural Ewing sarcoma.
- The tumor presented as an extraosseous spinal lesion without apparent bone involvement on radiography.
- MRI demonstrated typical features of Ewing sarcoma with gadolinium enhancement.
Implications:
- The study underscores the rarity of cervical epidural Ewing sarcoma, particularly when associated with infection.
- Complete surgical resection is crucial for optimal functional and vital outcomes in such rare cases.
- Further research is needed to understand the etiology of infection in spinal epidural Ewing sarcoma.
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