Functional Paraganglioma: A Rare Conus-cauda Lesion

Conus-cauda syndrome is caused due to involvement of the lower end of the spinal cord and arising bunch of nerve roots. It is caused commonly due to traumatic injury, spinal stenosis, spinal tumors, inflammatory, and infectious conditions, but paraganglioma is a rare cause. These tumors are rarely f...

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Main Authors:	Agrawal, Vivek, Rahul, Mally, Khan, Shadma, Vernon, Velho, Rachana, Binayke
Format:	Online
Language:	English
Published:	Medknow Publications & Media Pvt Ltd 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461779/

id	pubmed-3461779
recordtype	oai_dc
spelling	pubmed-34617792012-10-12 Functional Paraganglioma: A Rare Conus-cauda Lesion Agrawal, Vivek Rahul, Mally Khan, Shadma Vernon, Velho Rachana, Binayke Case Report Conus-cauda syndrome is caused due to involvement of the lower end of the spinal cord and arising bunch of nerve roots. It is caused commonly due to traumatic injury, spinal stenosis, spinal tumors, inflammatory, and infectious conditions, but paraganglioma is a rare cause. These tumors are rarely functional and secrete catecholamine. Till now only five case reports of functional spinal paragangliomas are available to the best of our knowledge. We report a 50-year-old hypertensive male patient with a lobulated lesion extending from lower border of D12 to L2, which was reported as ependymoma on imaging studies done preoperatively. This lesion was confirmed to be a functional paraganglioma postoperatively after the patient died because of its furious complication, thus highlighting the importance of its preoperative diagnosis and management. In conclusion conus-cauda functional paragangliomas are very rare entity. Diagnosing them in preoperative condition is critical from the therapeutic point of view, both medical and surgical. During surgery these tumors should be handled very gently to avoid spillage of catecholamines into blood. These tumors require assistance of expert anesthetist and endocrinologist in the perioperative period. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3461779/ /pubmed/23066465 http://dx.doi.org/10.4103/2006-8808.100355 Text en Copyright: © Journal of Surgical Technique and Case Report http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Agrawal, Vivek Rahul, Mally Khan, Shadma Vernon, Velho Rachana, Binayke
spellingShingle	Agrawal, Vivek Rahul, Mally Khan, Shadma Vernon, Velho Rachana, Binayke Functional Paraganglioma: A Rare Conus-cauda Lesion
author_facet	Agrawal, Vivek Rahul, Mally Khan, Shadma Vernon, Velho Rachana, Binayke
author_sort	Agrawal, Vivek
title	Functional Paraganglioma: A Rare Conus-cauda Lesion
title_short	Functional Paraganglioma: A Rare Conus-cauda Lesion
title_full	Functional Paraganglioma: A Rare Conus-cauda Lesion
title_fullStr	Functional Paraganglioma: A Rare Conus-cauda Lesion
title_full_unstemmed	Functional Paraganglioma: A Rare Conus-cauda Lesion
title_sort	functional paraganglioma: a rare conus-cauda lesion
description	Conus-cauda syndrome is caused due to involvement of the lower end of the spinal cord and arising bunch of nerve roots. It is caused commonly due to traumatic injury, spinal stenosis, spinal tumors, inflammatory, and infectious conditions, but paraganglioma is a rare cause. These tumors are rarely functional and secrete catecholamine. Till now only five case reports of functional spinal paragangliomas are available to the best of our knowledge. We report a 50-year-old hypertensive male patient with a lobulated lesion extending from lower border of D12 to L2, which was reported as ependymoma on imaging studies done preoperatively. This lesion was confirmed to be a functional paraganglioma postoperatively after the patient died because of its furious complication, thus highlighting the importance of its preoperative diagnosis and management. In conclusion conus-cauda functional paragangliomas are very rare entity. Diagnosing them in preoperative condition is critical from the therapeutic point of view, both medical and surgical. During surgery these tumors should be handled very gently to avoid spillage of catecholamines into blood. These tumors require assistance of expert anesthetist and endocrinologist in the perioperative period.
publisher	Medknow Publications & Media Pvt Ltd
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3461779/
_version_	1611913073909563392

Functional Paraganglioma: A Rare Conus-cauda Lesion

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