Dorsal Spine Giant Cell Tumor with paraplegia: A Case Report

Md. Atikur Rahman, Mohammad Hossain, A. Hossain
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Abstract

Patients of Giant cell tumors (GCT) of the spine is rarely seen . We reported a case of GCT of the eleventh dorsal vertebra presented by severe backache with paraplegia in a 30 year old woman. Imaging showed an osteolytic lesion invading the vertebral body, the posterior arch and compression of the spinal cord. Neurological decompression was performed but pain recurred after 2 months. The MRI of spine revealed recurrence of tumor and again surgical decompressions was done along with long segment transpedicular fixation and patient was significantly improved. A surgical biopsy was obtained at the same time to confirm the diagnosis. Giant cell tumor is not so common in thoracic region. We believe that the gross removal of tumor provide good outcome for the patient. Bangladesh Journal of Neuroscience 2015; Vol. 31 (1): 45-49
脊柱背侧巨细胞瘤伴截瘫1例
脊柱巨细胞瘤(GCT)是一种罕见的肿瘤。我们报告了一位30岁的女性,第11背椎的GCT表现为严重的腰酸背痛并截瘫。影像学显示溶骨性病变侵入椎体、后弓并压迫脊髓。行神经减压术,2个月后疼痛复发。脊柱MRI显示肿瘤复发,再次行手术减压术并行长节段经椎弓根固定,病情明显好转。同时进行手术活检以确认诊断。巨细胞瘤在胸部并不常见。我们相信大体切除肿瘤对患者有良好的预后。孟加拉国神经科学杂志2015;Vol. 31 (1): 45-49
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