Intramedullary teratoma.

Adilson José Manuel De Oliveira,Vitor Nagai Yamaki,Vinicius Monteiro De Paula Guirado,Fernando Pereira Frasseto

doi:10.4322/acr.2019.105

Abstract

Intramedullary teratoma.

Highlights

We present a case of a young woman with an intramedullary lesion and symptoms of spinal cord compression
We present the case of a 35-year-old female, who was referred to our emergency department with a 3-month history of intense low back pain radiating to the lower limbs without any specific dermatome distribution, followed by a progressive loss of the lower limbs’ muscular strength, and urinary retention over the last month
From our case, the teratomas are three times more frequent in men than in women often associated with spinal disorders including spina bifida, split cord malformation, meningomyelocele and lipomeningomyelocele.[3]

Summary

Introduction

We present a case of a young woman with an intramedullary lesion and symptoms of spinal cord compression (lower limbs weakness and urinary retention). We present the case of a 35-year-old female, who was referred to our emergency department with a 3-month history of intense low back pain radiating to the lower limbs without any specific dermatome distribution, followed by a progressive loss of the lower limbs’ muscular strength, and urinary retention over the last month. The patient presented a grade-III muscular strength for the hip flexion and extension on de right side, and grade-IV on the left side; foot drop on the right side, bilateral L1 to L5 hypoesthesia, bilateral exaggerated patellar reflex, and bilateral Babinski sign.

Results

Conclusion