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Research ArticleArticles

Rare case of conus medullaris syndrome from a metastatic yolk sac tumor originating from the mediastinum of an adult male: a case report and review of the literature

Remi M. Ajiboye, Scott D. Nelson and Arya N. Shamie
International Journal of Spine Surgery January 2015, 9 59; DOI: https://doi.org/10.14444/2059
Remi M. Ajiboye
UCLA Medical Center, Department of Orthopaedic Surgery, Los Angeles, CA
MD
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Scott D. Nelson
UCLA Medical Center, Department of Orthopaedic Surgery, Los Angeles, CA
MD
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Arya N. Shamie
UCLA Medical Center, Department of Orthopaedic Surgery, Los Angeles, CA
MD
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    Fig. 1

    (A) Sagittal T2 and (B) axial T2 MRI demonstrating a destructive mass involving L1 with epidural involvement resulting in severe spinal canal stenosis. (C) Sagittal CT scan demonstrating a burst fracture of L1.

  • Fig. 2
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    Fig. 2

    (A) Anterior-posterior chest x-ray (B) Coronal T2 MRI and (C) axial CT scan demonstrating a massive lesion in the right hemithorax obliterating the right lung and exerting considerable mass effect on the airway and vascular structures.

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    Fig. 3

    C(A) Anterior-posterior and (B) lateral spine x-ray demonstrating pedicle screw and rod instrumentation at T11, T12, L2 and L3.

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    Fig. 4

    (A) Histopathologic (hematoxylin and eosin) section showing polygonal tumor cells surrounding a small blood vessel (400X magnification). (B) Immunohistochemical study of tumor cells demonstrating strong nuclear positivity for SALL4 (400X magnification).

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    Fig. 5

    Axial CT scan demonstrating an interval decrease of the right chest wall mass.

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International Journal of Spine Surgery
Vol. 9
1 Jan 2015
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Rare case of conus medullaris syndrome from a metastatic yolk sac tumor originating from the mediastinum of an adult male: a case report and review of the literature
Remi M. Ajiboye, Scott D. Nelson, Arya N. Shamie
International Journal of Spine Surgery Jan 2015, 9 59; DOI: 10.14444/2059

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Rare case of conus medullaris syndrome from a metastatic yolk sac tumor originating from the mediastinum of an adult male: a case report and review of the literature
Remi M. Ajiboye, Scott D. Nelson, Arya N. Shamie
International Journal of Spine Surgery Jan 2015, 9 59; DOI: 10.14444/2059
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Keywords

  • Yolk sac tumor
  • Germ cell tumor
  • Conus medullaris syndrome
  • Cord compression
  • Pathologic fractures

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