Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 3 Issue 6

Equine Cauda Syndrome Secondary to Spinal Choristoma

Antonio Sosa Najera, Saul Solorio Pineda*, Ricardo Ortega Valencia, Milton Inocencio Ruiz Flores and Raul Huato Reyes

Neurosurgery Department, Centro Médico “Lic. Adolfo López Mateos”, Instituto de Salud del Estado de México, Estado de México, México

*Corresponding Author: Saul Solorio Pineda, Neurosurgery Department, Centro Médico “Lic. Adolfo López Mateos”, Instituto de Salud del Estado de México, Estado de México, México. https://orcid.org/0000-0002-3782-6944

Received: April 29, 2020; Published: May 21, 2020

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Abstract

Introduction: Choristomas are benign tumors of histologically normal tissue in an abnormal location. The histological classification is not well established at present. If tissues of 3 germ layers are identified in the lesion, a teratoma with malignant potential should be considered [1].

 In benign spinal lesions with slow growth pattern, the gold standard treatment is complete surgical resection. The surgical approach to achieve this objective has been discussed in the literature describing from laminectomy of more than one level to minimally invasive endoscopic procedures [2].

 When faced with a complete or incomplete cauda equina syndrome, we suggest carrying out a lumbosacral spine magnetic resonance imaging (MRI) as part of the diagnosis approach to reach the etiology and perform surgical planning.

Case Report: Male of 22 years of age, 3 years of evolution characterized by paresthesias and dysesthesias in pelvic limbs, absence of cremasteric and bulbocavernosus reflex and urinary incontinence. The diagnosis of cauda equina syndrome was made. MRI shows intraspinal intradural lesion, extra-axial level of L2. It was managed by microsurgical resection and short arthrodesis, reporting the histopathological study as Choristoma.

Conclusion: When the diagnosis cauda equina syndrome is made, we suggest carrying out an MRI study without delay to search for possible etiology and direct the treatment. The histopathological study of a tumor lesion is vital for the postoperative follow-up and to regulate an adequate behavior to avoid tumor recurrence and surgical reinterventions.

Keywords: Anxiety; Subjective Lived Experience; Coronavirus; Phenomenological Interpretative Analysis; Health Crisis; Psychological Weakening

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Citation

Citation: Saul Solorio Pineda., et al. “Equine Cauda Syndrome Secondary to Spinal Choristoma".Acta Scientific Neurology 3.6 (2020): 33-36.



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