Department of Pathology, University of Oklahoma Health Sciences Center
A 4 year-old girl with a rapidly expanding cervical intradural, extramedullary mass
Clinical information: The patient was a 4 year-old girl who was in good health. She had difficulties with her left upper extremity for about a week. The problem progressed to her right upper extremity and later to her lower extremities. In a few days, she became quadriplegic. Her sensory functions remained intact. MRI imaging revealed a large intradural, extramedullary contrast enhancing mass that extended from cervical spine C2 to C6 in the anterior aspect of her spinal canal. The tumor also extended through and expanded the foramen on the left nerve roots. Systemic investigation did not reveal any neoplastic disease in other system. The tumor was excised. The followings are representative images of this case.
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CK: cytokeratin; SMA: smooth muscle actin
Cases of the Month Evaluation Coordinator: KarMing-Fung@ouhsc.edu