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Case Report



Spinal paraganglioma: A case report

Vidyadhar Telang, Praveen Kumar Sinha.




Abstract
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Paraganglioma is a neuroectodermal tumour which originates from the chromaffin cells. Paraganglioma of spinal cord is uncommon lesion and usually presents as intradural tumour within cauda equina. We present a case of 42 year old female having spinal paraganglioma which developed in lumbar segment of spinal cord. The patient complained the pain in lower back and both legs with sensory deficit in left lower limb. Preoperative MRI showed a intradural mass. Patient operated with laminectomy and durotomy with complete excison of mass. Histopathology and Immunihistochemistry study showed the Zellaballen pattern and positive markers for Viamentin, Synaptophysin, Chromogranin A and Neurone specific enolase. Paragamglioma is a rare tumor with recurrence potential so total precision excision is the best option to achieve cure and to reduce the chance of recurrence.

Key words: Paraganglioma, Spinal tumour, Intradural tumour.






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