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Sarcoma de Ewing en la columna cervical que causa hemiparesia de la extremidad inferior izquierda y hemiplejia de la
Alexander Adler1, Anne Messman1
1Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan.
Clinical practice and cases in emergency medicine
|February 10, 2026
Resumen
El sarcoma de Ewing en la columna cervical es raro, pero puede causar graves déficits neurológicos. El diagnóstico y el tratamiento rápidos llevaron a una recuperación completa en un paciente varón de 19 años.
Área de la Ciencia:
- Oncología Oncología.
- Neurología Neurología.
- Cirugía de columna vertebral cirugía de la columna vertebral.
Sus antecedentes:
- El sarcoma de Ewing afecta típicamente a pacientes pediátricos (10-20 años) que se presentan con dolor óseo, fractura o hinchazón.
- Este caso destaca una presentación inusual del sarcoma de Ewing en la columna cervical.
Objetivo del estudio:
- Para informar de un raro caso de sarcoma de Ewing de la columna cervical.
- Para enfatizar la importancia de considerar las imágenes de la columna vertebral en el diagnóstico de déficit neurológico.
Principales métodos:
- Un varón de 19 años con hemiparesia progresiva y hemiplejia se sometió a imágenes de la columna cervical.
- La TC y la IRM revelaron una masa extradural que comprime la médula espinal.
- Se realizaron la descompresión quirúrgica (laminectomía C3-C7) y la fusión, seguidas de quimioterapia.
Principales resultados:
- La patología quirúrgica confirmó el sarcoma de Ewing.
- El paciente experimentó una recuperación completa de la función motora y sensorial en las extremidades afectadas después del tratamiento.
Conclusiones:
- El sarcoma de Ewing de la columna cervical puede imitar otras afecciones neurológicas.
- Los médicos de urgencias deben incluir imágenes de la columna vertebral en el diagnóstico diferencial de déficits neurológicos inexplicables para evitar retrasos en el diagnóstico.
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