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Updated: May 11, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Unusual giant intraspinal teratoma in an infant
Yueh-Hsun Lu1, Hseuh-Han Wang, Jiing-Feng Lirng
1Department of Radiology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Insights
Giant pediatric intraspinal teratoma is rare. This case highlights a large tumor in a 4-month-old, diagnosed via MRI and partially resected, revealing a mature cystic teratoma.
Area of Science:
- Pediatric Neurosurgery
- Oncology
- Radiology
Background:
- Giant pediatric intraspinal teratomas are exceptionally rare, posing diagnostic and surgical challenges.
- Early diagnosis and characterization are crucial for effective management.
Abstract:
There are few cases of giant pediatric intraspinal teratoma. We report a case of a 4-month-old female baby with giant intraspinal teratoma. Magnetic resonance imaging (MRI) of the spine revealed a large intradural tumor from the C7 to S2 level, with solid, cystic, and fatty components. Partial surgical removal of the tumor showed pathology of a mature cystic teratoma. The imaging diagnosis of intraspinal teratoma included the location, solid and cystic component, and fatty content. The MR techniques adopted included gradient echo sequences as used to detect teeth or calcification. The difficulties in surgical resection of this case are also presented.

