| CASE REPORT
|Year : 2020 | Volume
| Issue : 1 | Page : 51-53
Reports of a conus cauda tumor with holocord syrinx in an adolescent girl
Smriti Sinha, Prathibha Shankar Ashwini, Pelala Nayan Baba, Rathika Damodar Shenoy
Department of Pediatrics, K. S. Hegde Medical Academy (KSHEMA), Mangaluru, Karnataka, India
Introduction: Spinal cord ependymoma seldom presents with holocord syringomyelia in pediatric age-group. Association of ependymoma with a lipoma is also rare. The child presented critically ill with polymicrobial pneumonia, and the neurologic findings were missed until recovery. We report a case highlighting these findings. Case Report: A 16-year-old adolescent presented critically ill with respiratory failure due to severe pneumonia. Evaluation showed fungal pneumonia with secondary bacterial infection. On recovery, she had nasal regurgitation and required nasogastric tube feeding. Examination showed palatal and left vocal cord palsy. Neuroimaging of brain showed conus cauda tumor with syringobulbia and holocord multiseptate syrinx extending from medulla to filum terminale with lipoma. Histopathology examination showed myxopapillary ependymoma. She improved with excision and postoperative radiotherapy. Discussion: Our case is a rare report of an adolescent girl with conus cauda tumor and holocord syrinx.
Dr. Prathibha Shankar Ashwini
Department of Pediatrics, K. S. Hedge Medical Academy (KSHEMA), Deralakatte, Mangaluru 575018, Karnataka.
Source of Support: None, Conflict of Interest: None
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