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Split cord malformation concomitant with spinal teratoma without open spinal dysraphism.
Jülide Hazneci1, Feryal Bastacı1, Ali Börekci1
1FSM Training and Research Hospital, Neurosurgery Clinic, Istanbul, Turkey.
Summary
Split cord malformation (SCM) with spinal teratoma, a rare condition, was reviewed. Early surgical intervention in children improves outcomes for this rare spinal malformation.
Area of Science:
- Neuroscience
- Developmental Biology
- Oncology
Background:
- Split cord malformation (SCM) concomitant with spinal teratoma without open spinal dysraphism is exceptionally rare.
- This study systematically reviews the literature and presents a unique case.
Observation:
- A total of 30 patients (15 pediatric, 15 adult) were analyzed.
- Common symptoms include back pain and lower limb weakness.
- SCM and spinal teratoma occur more frequently in the thoracic/thoracolumbar region in children and the lumbar region in adults.
Findings:
- Surgical outcomes are significantly better in pediatric patients compared to adults.
- The presented case highlights a spinal teratoma with a papillary thyroid carcinoma component.
Implications:
- Early surgical resection under neuromonitorization is recommended for optimal outcomes.
- Thorough pathological evaluation of resected tissue is crucial to detect any malignant components.
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