Download PDF
Indian Journal of Neurosurgery 2016; 05(03): 189-192
DOI: 10.1055/s-0036-1581988
Case Report
Thieme

Cauda Equina Paraganglioma: A Report of a Rare Case and Review of Literature

Mukesh Shukla
1   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Jayesh Sardhara
1   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Kuntal Kanti Das
1   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Chaitanya Godbole
1   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Sushila Jaiswal
2   Department of Pathology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Awadhesh Jaiswal
1   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Sanjay Behari
1   Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
› Author Affiliations
Further Information

Publication History

29 December 2015

18 January 2016

Publication Date:
24 June 2016 (online)

   Permissions and Reprints

Abstract

Extra-adrenal paragangliomas (EAPs) are benign tumors of neuroendocrine origin. These tumors mostly arise from the carotid body and the jugular bulb area. EAP affecting the spine and filum terminale, known as cauda equine paraganglioma is rarely encountered in clinical practice. In this report, we present a case of a 28-year-old lady with paraganglioma at L2/3 level who presented with low back pain with radiation of pain to both legs for 4 year duration. The patient underwent L2/3 laminoplasty with total excision of tumor. Following surgery, backache and radicular pain subsided completely. We discuss the case and present a review of other cases reported in the literature.

Keywords

paraganglioma - lumbar - surgery - pathology - Extra-adrenal
 

  • References

  • 1 Faro SH, Turtz AR, Koenigsberg RA, Mohamed FB, Chen C-Y, Stein H. Paraganglioma of the cauda equina with associated intramedullary cyst: MR findings. AJNR Am J Neuroradiol 1997; 18 (8) 1588-1590
    PubMedGoogle Scholar
  • 2 Singh RV, Yeh JS, Broome JC. Paraganglioma of the cauda equina: a case report and review of the literature. Clin Neurol Neurosurg 1993; 95 (2) 109-113
    PubMedGoogle Scholar
  • 3 Steel TR, Botterill P, Sheehy JP. Paraganglioma of the cauda equina with associated syringomyelia: case report. Surg Neurol 1994; 42 (6) 489-493
    CrossrefPubMedGoogle Scholar
  • 4 Lerman RI, Kaplan ES, Daman L. Ganglioneuroma-paraganglioma of the intradural filum terminale. Case report. J Neurosurg 1972; 36 (5) 652-658
    CrossrefPubMedGoogle Scholar
  • 5 Fitzgerald LF, Cech DA, Goodman JC. Paraganglioma of the thoracic spinal cord. Clin Neurol Neurosurg 1996; 98 (2) 183-185
    CrossrefPubMedGoogle Scholar
  • 6 Kruse Jr F. Petrous ridge chemodectoma (nonchromaffin paraganglioma) simulating meningioma. Case report. J Neurosurg 1960; 17: 1108-1111
    CrossrefPubMedGoogle Scholar
  • 7 Yang SY, Jin YJ, Park SH, Jahng TA, Kim HJ, Chung CK. Paragangliomas in the cauda equina region: clinicopathoradiologic findings in four cases. J Neurooncol 2005; 72 (1) 49-55
    CrossrefPubMedGoogle Scholar
  • 8 Sonneland PR, Scheithauer BW, LeChago J, Crawford BG, Onofrio BM. Paraganglioma of the cauda equina region. Clinicopathologic study of 31 cases with special reference to immunocytology and ultrastructure. Cancer 1986; 58 (8) 1720-1735
    CrossrefPubMedGoogle Scholar
  • 9 Miller CA, Torack RM. Secretory ependymoma of the filum terminale. Acta Neuropathol 1970; 15 (3) 240-250
    CrossrefPubMedGoogle Scholar
  • 10 Levy RA. Paraganglioma of the filum terminale: MR findings. Am J Roentgenol 1993; 160 (4) 851-852
    CrossrefPubMedGoogle Scholar
  • 11 van Gils AP, van den Berg R, Falke TH , et al. MR diagnosis of paraganglioma of the head and neck: value of contrast enhancement. AJR Am J Roentgenol 1994; 162 (1) 147-153
    CrossrefPubMedGoogle Scholar
  • 12 Kliewer KE, Cochran AJ. A review of the histology, ultrastructure, immunohistology, and molecular biology of extra-adrenal paragangliomas. Arch Pathol Lab Med 1989; 113 (11) 1209-1218
    PubMedGoogle Scholar
  • 13 Yang SY, Jin YJ, Park SH, Jahng TA, Kim HJ, Chung CK. Paragangliomas in the cauda equina region: clinicopathoradiologic findings in four cases. J Neurooncol 2005; 72 (1) 49-55
    CrossrefPubMedGoogle Scholar
  • 14 Say CC, Hori J, Spratt Jr J. Chemodectoma with distant metastasis: case report and review of the literature. Am Surg 1973; 39 (6) 333-341
    PubMedGoogle Scholar