CC-BY-NC-ND 4.0 · IJNS 2017; 06(03): 223-227
DOI: 10.1055/s-0036-1596041
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Spinal Canal Involvement in Solitary Infantile Myofibromatosis: Case Report

S.N. Gautam
1  Department of Neurosurgery, Government Medical College, Kota, Rajasthan, India
,
Siddharth Mittal
2  Department of General Surgery, Government Medical College, Kota, Rajasthan, India
› Author Affiliations
Further Information

Publication History

09 April 2015

17 September 2016

Publication Date:
29 August 2017 (eFirst)

Abstract

Infantile myofibromatosis involving the spinal canal is very rare; only 11 cases have been reported so far in the literature. The authors present a case of an 18-month-old male child who presented with the history of dribbling of urine and weakness in bilateral lower limbs since 2 months. MRI of spine revealed single intramedullary intradural space-occupying lesion (SOL) at D1 to D2.

The patient underwent laminectomy with excision of SOL with biopsy report suggestive of benign nerve sheath tumor, and immunohistochemistry report revealed desmin negative, smooth muscle actin positive, and S-100 focally positive infantile myofibromatosis. The patient gradually recovered and had a clear stream of urine with improved movements and tone of bilateral lower limbs at the time of discharge.