Acute Isolated Paraplegia Revealing an Ewing Sarcoma of the Thoracic Spine

被引:1
|
作者
Beuriat, Pierre-Aurelien [1 ,3 ,4 ]
Melloul, Sarah [2 ]
Galmiche, Louise [2 ]
Cristofori, Irene [4 ]
Zerah, Michel [1 ]
Beccaria, Kevin [1 ]
机构
[1] Rene Descartes Univ Paris 5, Necker Enfants Malad Hosp, Paris Publ Assistance Paris Hosp APHP, Dept Pediat Neurosurg, Paris, France
[2] Rene Descartes Univ Paris 5, Necker Enfants Malad Hosp, Paris Publ Assistance Paris Hosp APHP, Dept Pathol, Paris, France
[3] Mother & Children Hosp, Dept Pediat Neurosurg, Lyon, France
[4] CNRS, Ctr Cognit Neurosci, UMR 5229, Bron, France
关键词
Ewing sarcoma; spine; acute paraplegia; pediatric; PROGNOSTIC-FACTORS; BONE; TUMORS; CORD; OUTCOMES;
D O I
10.1097/MPH.0000000000000878
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Ewing sarcoma (ES) infrequently affects the spine. Diagnosis is usually made several weeks following growing symptoms. In this report, we present the case of a child with ES localized at the upper thoracic level. ES was revealed by isolated acute complete paraplegia mimicking medullary stroke. The girl was operated for decompressive laminectomy and tumor removal. Afterwards, she received adjuvant therapy. Subsequently, the child showed a slow improvement of her leg sensitivity associated with a partial motor recovery. ES can affect the mobile spine. Acute symptomatology due to intratumoral hemorrhage and sudden spinal cord compression may suggest the diagnosis. Neurological outcomes following ES are generally poor.
引用
收藏
页码:E479 / E482
页数:4
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