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Year : 2017  |  Volume : 4  |  Issue : 1  |  Page : 22-25

Silent spinal cord tumor

1 Resident, Department of Neurosurgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India
2 Senior Consultant, Department of Neurospinal Surgery, Lilavati Hospital and Research Centre, Mumbai, Maharashtra, India

Correspondence Address:
Apurva Prasad
Resident, Department of Neurospinal Surgery, Lilavati Hospital & Research Centre, Mumbai, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.5005/jp-journals-10039-1120

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Introduction: Intramedullary spinal cord tumors are rare, representing 4 to 10% of all central nervous system tumors. They account for 20% of all intraspinal tumors in adults and 35% of all intraspinal tumors in children. Study design: Observational study. Purpose: Understanding the natural progression of an intramedullary spinal cord tumor. Materials and methods: To report a case of silent intradural intramedullary spinal cord tumor in a 38-year-old patient, on regular follow-up in the outpatient department since 6 years. Investigations: Magnetic resonance imaging thoracic spine revealing intramedullary tumor which is localized, central, uniformly enhancing on contrast and is associated with syrinx formation from D1 to D7. Management: Conservative. Conclusion: The rare incidence of intradural tumors commonly results in misdiagnosis and improper diagnostic workup, resulting in delayed diagnosis and treatment. Dilemma exists in the management of clinically silent intramedullary tumors as no specific guidelines have been formulated.

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