Volume 6, 2020
|Number of page(s)
|07 May 2020
Giant intrathoracic ganglioneuroma with scoliosis treated by one-stage posterior resection and scoliosis correction: a case report
Department of Orthopedic and Trauma Surgery, Assiut University Hospitals, 71111 Assiut, Egypt
2 Department of Spine Surgery, Helios Klinikum Erfurt, 99089 Erfurt, Germany
3 Department of Cardiothoracic surgery, Assiut University Hospitals, 71111 Assiut, Egypt
* Corresponding author: email@example.com
Accepted: 17 April 2020
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.
Key words: Giant ganglioneuroma / Ganglioneuroma with scoliosis / Spinal ganglioneuroma / Posterior approach
© The Authors, published by EDP Sciences, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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