Adult Spinal Hamartoma Involving Conus Medullaris: Brief Review About Associated Congenital Abnormalities and Surgical Outcome
Ahmed, N., Khan, S., Islam, K., Dey, A., Chavda, V., Tomasi, O., Scalia, G., Umana, G., Chaurasia, B. (2021). Adult Spinal Hamartoma Involving Conus Medullaris: Brief Review About Associated Congenital Abnormalities and Surgical Outcome. EKB Journal Management System, 3(3), 1556-1561. doi: 10.21608/ijma.2021.66305.1279
Nazmin Ahmed; Shahidul Islam Khan; KM Tarikul Islam; Avijit Dey; Vishal K Chavda; Ottavio Tomasi; Gianluca Scalia; Giuseppe E. Umana; Bipin Chaurasia. "Adult Spinal Hamartoma Involving Conus Medullaris: Brief Review About Associated Congenital Abnormalities and Surgical Outcome". EKB Journal Management System, 3, 3, 2021, 1556-1561. doi: 10.21608/ijma.2021.66305.1279
Ahmed, N., Khan, S., Islam, K., Dey, A., Chavda, V., Tomasi, O., Scalia, G., Umana, G., Chaurasia, B. (2021). 'Adult Spinal Hamartoma Involving Conus Medullaris: Brief Review About Associated Congenital Abnormalities and Surgical Outcome', EKB Journal Management System, 3(3), pp. 1556-1561. doi: 10.21608/ijma.2021.66305.1279
Ahmed, N., Khan, S., Islam, K., Dey, A., Chavda, V., Tomasi, O., Scalia, G., Umana, G., Chaurasia, B. Adult Spinal Hamartoma Involving Conus Medullaris: Brief Review About Associated Congenital Abnormalities and Surgical Outcome. EKB Journal Management System, 2021; 3(3): 1556-1561. doi: 10.21608/ijma.2021.66305.1279

Adult Spinal Hamartoma Involving Conus Medullaris: Brief Review About Associated Congenital Abnormalities and Surgical Outcome

International Journal of Medical Arts
Article 8, Volume 3, Issue 3, July 2021, Page 1556-1561  XML PDF (1.71 MB)
Document Type: Case Report
DOI: 10.21608/ijma.2021.66305.1279
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Authors
Nazmin Ahmed1; Shahidul Islam Khan2; KM Tarikul Islam3; Avijit Dey3; Vishal K Chavda4; Ottavio Tomasi5; Gianluca Scalia6; Giuseppe E. Umana7; Bipin Chaurasia email orcid 8
1Department of Neurosurgery, Ibn Sina Diagnostic and Consultation Center, Lalbag, Dhaka, Bangladesh
2Consultant, Department of Orthopaedic surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
3Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
4Division of Anesthesia,Sardar Womens Hospital, Bapunagar, Ahmedabad, India
5Department of Neurological Surgery,Christian Doppler Medical Centre, Laboratory for Microsurgical Neuroanatomy,Paracelsus Medical University,Salzburg, Austria
6Neurosurgery Unit,Highly specialised Hospital and National importence,Garibaldi,Catania,Italy
7Department of Neurosurgery,Trauma and Gamma Knief Centre,Cannizzaro Hospital,Catania,Italy
8Department of Neurosurgery, Bhawani Hospital, Birgunj, Nepal
Abstract
Background: Spinal hamartoma is an extremely rare lesion for symptomatic spinal cord compression in adult population. Without any association of spinal dysraphism and neurofibromatosis, only 3 cases have been reported in the literature.
Case description: A 40-year-old man presented with lumbago femorica for 6 months. Gradually the symptoms worsened and he developed features of Cauda equina syndrome. Magnetic Resonence Imagimg demonstrated a heterogeneously hyperintense intradural extramedullary mass in both T1 and T2WI, involving conus medullaris and cauda equina, opposite to L1. Patient underwent near total resection of lesion through posterior midline approach. Histopathological features were consistent with hamartoma. Patient neurologically improved and follow up MRI at 6 months showed static small nodular tumor residue.
Conclusion: To the best of our knowledge, current report is the fourth case of spinal hamartoma in adult male, without any association of spinal dysraphism and neurofibromatosis .This may be the first reported case from Bangladesh.
Keywords
hamartoma; neurofibromatosis; spinal dysraphism
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