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Spinal cord hamartoma with pseudopancreatic cyst
Shalu Gupta1, Ashok Kumar, A N Gangopadhyay
1Department of Pediatrics, Institute of Medical Sciences, Banaras Hindu University, Varanasi (U.P.), India. drshalugupta@yahoo.co.in
Indian Journal of Pediatrics
|April 1, 2008
Summary
A pediatric spinal epidural hamartoma caused lower limb weakness and neurological deficits in a 2-year-old boy. This rare tumor required surgical intervention and highlights the importance of early diagnosis for spinal cord compression.
Area of Science:
- Neuroscience
- Pediatric Oncology
- Pathology
Background:
- Spinal epidural hamartomas are rare benign tumors that can cause significant neurological deficits in children.
- Early diagnosis and intervention are crucial to prevent irreversible spinal cord damage.
Observation:
- A 2-year-old boy presented with progressive lower limb weakness, bladder/bowel dysfunction, and falls.
- Spinal MRI revealed a large, enhancing epidural mass from C6 to T4, compressing the spinal cord.
Findings:
- Histopathology confirmed the lesion as a spinal epidural hamartoma.
- The child developed pseudopancreatic cysts, potentially due to abdominal trauma from falls.
Implications:
- This case underscores the importance of considering rare spinal tumors in pediatric neurology evaluations.
- Understanding the embryogenesis of hamartomas may offer insights into their development and treatment.
