Benign sacrococcygeal teratoma with spinal canal invasion and paraplegia

Shaun Kunisaki, Cormac O. Maher, Ian Powelson, Joseph J. Gemmete, Ronald B. Hirschl, George B. Mychaliska

Research output: Contribution to journalArticle

Abstract

Sacrococcygeal teratomas can have a wide variety of clinical presentations depending on their size, vascularity, and degree of mass effect upon adjacent structures. Intradural invasion of a sacrococcygeal teratoma is a rare variant that has generally been associated with a favorable neurologic outcome. In this report, we present the case of a neonate with paraplegia secondary to a large Altman type III sacrococcygeal teratoma with extension into the spinal canal. The neoplasm was completely removed using a combined anterior and posterior approach after preoperative embolization of the lateral sacral arteries. Pathology showed a mature teratoma. The patient remains paraplegic without evidence of tumor recurrence at 1 year of age.

Original languageEnglish (US)
Pages (from-to)e1
JournalJournal of pediatric surgery
Volume46
Issue number9
DOIs
Publication statusPublished - Jan 1 2011
Externally publishedYes

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Keywords

  • Angiography
  • Embolization
  • Paraplegia
  • Sacrococcygeal teratoma
  • Spinal cord

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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