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Updated: Mar 23, 2026

Intraoperative Ultrasound in Spinal Surgery
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Lumbar paraganglioma.

Erika Dillard-Cannon1, Kofi-Buaku Atsina1, George Ghobrial1

  • 1Thomas Jefferson University, Department of Neurosurgery, 909 Walnut Street, Philadelphia, PA 19107, USA.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|April 2, 2016
PubMed
Summary
This summary is machine-generated.

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Spinal paragangliomas (SP) are rare neuroendocrine tumors. Complete surgical removal offers cure and symptom relief for patients with this benign spinal tumor.

Area of Science:

  • Neuroendocrinology
  • Neurosurgery
  • Oncology

Background:

  • Spinal paragangliomas (SP) are rare, benign, extra-adrenal neuroendocrine tumors.
  • Often diagnosed during investigations for lower back pain, they can cause significant discomfort.

Observation:

  • A case of a 32-year-old man with a lumbar SP at L3 is presented.
  • The patient experienced chronic lumbago and bilateral lower extremity pain.
  • Radiological findings included superficial siderosis on brain MRI, a rare association.

Findings:

  • Surgical resection via laminectomy and microscopic dissection achieved complete tumor debulking.
  • Histopathological and radiological characteristics of the lumbar SP were detailed.
  • No residual tumor was detected post-operatively.
Keywords:
Cauda equinaParagangliomaSuperficial siderosis

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Implications:

  • Complete surgical resection provides excellent prognosis and cure for spinal paragangliomas.
  • Distinguishing SP from more aggressive spinal tumors is crucial for appropriate management.
  • Superficial siderosis on MRI may indicate SP in cases of vascular intradural extramedullary spinal tumors.