DOI QR코드

DOI QR Code

Surgical Findings of a Lumbar Mature Teratoma Accompanying the Preoperative Intracranial Dissemination of Fatty Droplets

  • Oh, Jae-Sang (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital) ;
  • Im, Soo-Bin (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital) ;
  • Kim, Bum-Tae (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital) ;
  • Shin, Won-Han (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital)
  • Published : 2009.10.28

Abstract

There are several mechanisms for the dissemination of lipid material from a mature teratoma into the subarachnoid space or ventricles, including iatrogenic or traumatic rupture, but spontaneous rupture of a mature teratoma is rare We report the spontaneous rupture of a spinal mature teratoma into the subarachnoid space and ventricles. However, at surgery, there was no definite evidence of rupture into the perimedullary cerebrospinal fluid. We postulate that the central canal could be a migration pathway for ruptured material into the brain.

Keywords

References

  1. Amirjamshidi A, Ghodsi M, Edraki K : Teeth in the cerebellopontine angle : an unusual dermoid tumour. Br J Neurosurg 9 : 679-682, 1995 https://doi.org/10.1080/02688699550040981
  2. Calabr$\grave{o}$ F, Capellini C, Jinkins JR : Rupture of spinal dermoid tumors with spread of fatty droplets in the cerebrospinal fluid pathways. Neuroradiology 42 : 572-579, 2000 https://doi.org/10.1007/s002340000345
  3. Choremis C, Economos D, Gargoulas A, Papadatos C : Intraspinal epidermoid tumours (cholesteatomas) in patients treated for tuberculous meningitis. Lancet 271 : 437-439, 1956
  4. Funke M : [Ruptured intracranial dermoid as an incidental finding.] Aktuelle Radiol 5 : 232-234, 1995
  5. Garg A, Gupta V, Gaikwad S, Deol P, Mishra NK, Suri A, et al. : Isolated central canal rupture of spinal dermoid : report of two cases. Australas Radiol 47 : 194-197, 2003 https://doi.org/10.1046/j.0004-8461.2003.01152.x
  6. Goyal A, Singh D, Singh AK, Gupta V, Sinha S : Spontaneous rupture of spinal dermoid cyst with disseminated lipid droplets in central canal and ventricles. J Neurosurg Sci 48 : 63-65, 2004
  7. Graham DV, Tampieri D, Villemure JG : Intramedullary dermoid tumor diagnosed with the assistance of magnetic resonance imaging. Neurosurgery 23 : 765-767, 1988 https://doi.org/10.1227/00006123-198812000-00016
  8. Karadag D, Karag$\ddot{u}$lle AT, Erden A, Erden I : MR imaging of a ruptured intraspinal dermoid tumour with fat droplets in the central spinal canal. Australas Radiol 46 : 444-446, 2002 https://doi.org/10.1046/j.1440-1673.2002.01103.x
  9. Koen JL, McLendon RE, George TM : Intradural spinal teratoma : evidence for a dysembryogenic origin. Report of four cases. J Neurosurg 89 : 844-851, 1998 https://doi.org/10.3171/jns.1998.89.5.0844
  10. Lunardi P, Missori P, Gagliardi FM, Fortuna A : Long-term results of the surgical treatment of spinal dermoid and epidermoid tumors. Neurosurgery 25 : 860-864, 1989 https://doi.org/10.1227/00006123-198912000-00002
  11. Makary R, Wolfson D, Dasilva V, Mohammadi A, Shuja S : Intramedullary mature teratoma of the cervical spinal cord at C1-2 associated with occult spinal dysraphism in an adult. Case report and review of the literature. J Neurosurg Spine 6 : 579-584, 2007 https://doi.org/10.3171/spi.2007.6.6.12
  12. Netsky MG : Epidermoid tumors. Review of the literature. Surg Neurol 29 : 477-483, 1988 https://doi.org/10.1016/0090-3019(88)90144-9
  13. Quigley MR, Schinco F, Brown JT : Anterior sacral meningocele with an unusual presentation. Case report. J Neurosurg 61 : 790-792, 1984 https://doi.org/10.3171/jns.1984.61.4.0790
  14. Scearce TA, Shaw CM, Bronstein AD, Swanson PD : Intraventricular fat from a ruptured sacral dermoid cyst : clinical, radiographic, and pathological correlation. Case report. J Neurosurg 78 : 666-668, 1993 https://doi.org/10.3171/jns.1993.78.4.0666
  15. Scott RM, Wolpert SM, Bartoshesky LE, Zimbler S, Klauber GT : Dermoid tumors occurring at the site of previous myelomeningocele repair. J Neurosurg 65 : 779-783, 1986 https://doi.org/10.3171/jns.1986.65.6.0779
  16. Stephenson TF, Spitzer RM : MR and CT appearance of ruptured intracranial dermoid tumors. Comput Radiol 11 : 249-251, 1987 https://doi.org/10.1016/0730-4862(87)90007-2

Cited by

  1. Spinal Teratoma Concomitant with Intracranial Lipid Droplet Dissemination vol.12, pp.1, 2009, https://doi.org/10.14245/kjs.2015.12.1.15
  2. Adult-onset intradural spinal teratoma: report of 18 consecutive cases and outcomes in a single center vol.26, pp.7, 2009, https://doi.org/10.1007/s00586-016-4939-9
  3. Ruptured Intracranial Cystic Mature Teratoma with the Disseminated Fatty Droplets vol.28, pp.2, 2009, https://doi.org/10.7887/jcns.28.98
  4. A comprehensive review of adult onset spinal teratomas: analysis of factors related to outcomes and recurrences vol.29, pp.2, 2009, https://doi.org/10.1007/s00586-019-06037-7