Chronic Back Pain in a Young Female Patient: A Case of Ependymoma Originating from the Conus Medullaris.
作者： Siti Fairus Asahar , Khasnur Abd Malek , Wan Najwa Wan Mohd Zohdi , Alan Basil Peter
DOI: 10.4082/KJFM.18.0157
关键词:
摘要: We present the case of a 14-year-old Malay girl with an ependymoma conus medullaris who presented to multiple general practitioner clinics 24-month history chronic low back pain. The pain was symptomatically managed as simple musculoskeletal and sciatica. Further imaging aid diagnosis delayed until appearance severe neurological deficits. Magnetic resonance revealed enhancing spinal mass at L1 through L3, histopathological investigations confirmed grade II according World Health Organization classification. She underwent gross resection tumor. After surgery, she developed neurogenic urinary bladder bowel, which required intermittent self-catheterization, enema use, intensive physical therapy.
sci-hub.st 参考文章(9)
Michael Safaee, Michael C. Oh, Praveen V. Mummaneni, Philip R. Weinstein, Christopher P. Ames, Dean Chou, Mitchel S. Berger, Andrew T. Parsa, Nalin Gupta, Surgical outcomes in spinal cord ependymomas and the importance of extent of resection in children and young adults. Journal of Neurosurgery. ,vol. 13, pp. 393- 399 ,(2014) , 10.3171/2013.12.PEDS13383
AwadheshKumar Jaiswal, RajniKant Sahu, KuntalKanti Das, KamleshSingh Bhaisora, AmitKumar Singh, Anant Mehrotra, ArunKumar Srivastava, RabiNarayan Sahu, Sanjay Behari, Pediatric intramedullary spinal cord lesions: Pathological spectrum and outcome of surgery Journal of Pediatric Neurosciences. ,vol. 10, pp. 214- 221 ,(2015) , 10.4103/1817-1745.165660
Diane Sacks, Michael Westwood, An approach to interviewing adolescents. Paediatrics and Child Health. ,vol. 8, pp. 554- 556 ,(2003) , 10.1093/PCH/8.9.554
Omar Islam, Paula J Stern, Trung P Ngo, John Dufton, Myxopapillary ependymoma as a cause of back pain in a young male - A case report. Journal of the Canadian Chiropractic Association. ,vol. 57, pp. 150- 155 ,(2013)
Andrew A. Fanous, Gregory F. Jost, Meic H. Schmidt, A Nonenhancing World Health Organization Grade II Intramedullary Spinal Ependymoma in the Conus: Case Illustration and Review of Imaging Characteristics. Global Spine Journal. ,vol. 2, pp. 57- 64 ,(2012) , 10.1055/S-0032-1307260
Mahmoud G. Nagib, Therese O’Fallon, Myxopapillary Ependymoma of the Conus medullaris and Filum terminale in the Pediatric Age Group Pediatric Neurosurgery. ,vol. 26, pp. 2- 7 ,(1997) , 10.1159/000121154
S-J Oh, H-I Shin, N-J Paik, T Yoo, J H Ku, Depressive symptoms of patients using clean intermittent catheterization for neurogenic bladder secondary to spinal cord injury. Spinal Cord. ,vol. 44, pp. 757- 762 ,(2006) , 10.1038/SJ.SC.3101903
Melinda Edwards, Malgorzata Borzyskowski, Antony Cox, Janet Badcock, Neuropathic bladder and intermittent catheterization: social and psychological impact on children and adolescents Developmental Medicine & Child Neurology. ,vol. 46, pp. 168- 177 ,(2004) , 10.1017/S0012162204000301
Jing Wu, Terri S. Armstrong, Mark R. Gilbert, Biology and management of ependymomas Neuro-oncology. ,vol. 18, pp. 902- 913 ,(2016) , 10.1093/NEUONC/NOW016