Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report

Spinal ganglioneuroma occurs mostly in the thoracic spine causing various manifestations including scoliosis that can be misdiagnosed as idiopathic scoliosis. Few reports exist in the literature on the diagnosis and management of scoliosis secondary to huge ganglioneuroma and usually staged treatmen...

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Main Authors: Elnady Belal, Abdelgawaad Ahmed Shawky, Elkhayat Hussein
Format: Article
Language:English
Published: EDP Sciences 2020-01-01
Series:SICOT-J
Subjects:
Online Access:https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200006/sicotj200006.html
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spelling doaj-373fe7b69a56438d9e3bca6c3c9febd32021-04-02T14:26:15ZengEDP SciencesSICOT-J2426-88872020-01-0161210.1051/sicotj/2020012sicotj200006Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case reportElnady Belal0Abdelgawaad Ahmed ShawkyElkhayat Hussein1Department of Orthopedic and Trauma Surgery, Assiut University HospitalsDepartment of Cardiothoracic surgery, Assiut University HospitalsSpinal ganglioneuroma occurs mostly in the thoracic spine causing various manifestations including scoliosis that can be misdiagnosed as idiopathic scoliosis. Few reports exist in the literature on the diagnosis and management of scoliosis secondary to huge ganglioneuroma and usually staged treatment is preferred. In this report, we present a 17-year-old female patient presented with back pain, lower limbs numbness, spinal deformity, and shortness of breath. Plain X-rays showed a 50° right thoracic scoliotic curve. MRI and chest CT revealed a huge extra pulmonary mass shifting the mediastinum with intra spinal extension through the left neural foramina compressing the spinal cord. Percutaneous US guided needle biopsy confirmed the diagnosis of ganglioneuroma. One-stage posterior instrumented correction of scoliosis, spinal cord decompression, and excision of the whole mass from the mediastinum and the spine through posterior approach was done for the patient with smooth postoperative recovery. Chest CT scan was done 2 years after surgery and excluded any local recurrence.https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200006/sicotj200006.htmlgiant ganglioneuromaganglioneuroma with scoliosisspinal ganglioneuromaposterior approach
collection DOAJ
language English
format Article
sources DOAJ
author Elnady Belal
Abdelgawaad Ahmed Shawky
Elkhayat Hussein
spellingShingle Elnady Belal
Abdelgawaad Ahmed Shawky
Elkhayat Hussein
Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
SICOT-J
giant ganglioneuroma
ganglioneuroma with scoliosis
spinal ganglioneuroma
posterior approach
author_facet Elnady Belal
Abdelgawaad Ahmed Shawky
Elkhayat Hussein
author_sort Elnady Belal
title Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
title_short Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
title_full Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
title_fullStr Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
title_full_unstemmed Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
title_sort giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
publisher EDP Sciences
series SICOT-J
issn 2426-8887
publishDate 2020-01-01
description Spinal ganglioneuroma occurs mostly in the thoracic spine causing various manifestations including scoliosis that can be misdiagnosed as idiopathic scoliosis. Few reports exist in the literature on the diagnosis and management of scoliosis secondary to huge ganglioneuroma and usually staged treatment is preferred. In this report, we present a 17-year-old female patient presented with back pain, lower limbs numbness, spinal deformity, and shortness of breath. Plain X-rays showed a 50° right thoracic scoliotic curve. MRI and chest CT revealed a huge extra pulmonary mass shifting the mediastinum with intra spinal extension through the left neural foramina compressing the spinal cord. Percutaneous US guided needle biopsy confirmed the diagnosis of ganglioneuroma. One-stage posterior instrumented correction of scoliosis, spinal cord decompression, and excision of the whole mass from the mediastinum and the spine through posterior approach was done for the patient with smooth postoperative recovery. Chest CT scan was done 2 years after surgery and excluded any local recurrence.
topic giant ganglioneuroma
ganglioneuroma with scoliosis
spinal ganglioneuroma
posterior approach
url https://www.sicot-j.org/articles/sicotj/full_html/2020/01/sicotj200006/sicotj200006.html
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AT abdelgawaadahmedshawky giantintrathoracicganglioneuromawithscoliosistreatedbyonestageposteriorresectionandscoliosiscorrectionacasereport
AT elkhayathussein giantintrathoracicganglioneuromawithscoliosistreatedbyonestageposteriorresectionandscoliosiscorrectionacasereport
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