Neurol. praxi. 2011;12(4):286-289

Paraganglioma of the cauda equina and the filum terminale

MUDr.Pavel Buchvald1, MUDr.Lubomír Jurák1, MUDr.Josef Mikuláštík2, MUDr.Vladimír Beneš; Ph.D.III1, doc.MUDr.Petr Suchomel, Ph.D.1
1 Neurochirurgické oddělení Krajské nemocnice Liberec, a. s.
2 Oddělení patologické anatomie Krajské nemocnice Liberec, a. s.

Paragangliomas are benign neuroepithelial tumours typically localized in glomus caroticum and jugulare. Their spinal localization is

very rare, entirely in the area of cauda equina and filum terminale. We present a case report of 33-year old woman. Her initial symptom

was low back pain irradiating into lower limbs without neurological deficit. Magnetic resonance showed tumour expansion filling the

whole spinal canal in the range from L4 to S1. Peroperatively we found a well circumscribed intramural tumour which clearly originated

from filum terminale interconnected by a vascular pedicle. The tumour was radically resected. The histopathological and imunohistochemical

exam classified the tumour as paraganglioma. Six months after the surgery the magnetic resonance is without any evidence

of the tumour recurence. The general analysis of the available literature concerning paraganglioma of cauda equina and filum terminale

is present in the discussion.

Keywords: paraganglioma, filum terminale, cauda equina, spinal tumours

Published: July 29, 2011  Show citation

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Buchvald P, Jurák L, Mikuláštík J, Beneš; III V, Suchomel P. Paraganglioma of the cauda equina and the filum terminale. Neurol. praxi. 2011;12(4):286-289.
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    References

    1. Araki Y, Ishida T, Ootani M, Yamamoto H, Yamamoto T, Tsukaguchi I, Nakamura H. MRI of paraganglioma of the cauda equina. Neuroradiology 1993; 35(3): 232-233. Go to original source... Go to PubMed...
    2. Boukobza M, Foncin JF, Dowling-Carter D. Paraganglioma of the cauda equina: magnetic resonance imaging. Neuroradiology 1993; 35(6): 459-460. Go to original source... Go to PubMed...
    3. Caruso R, Wierzbicki V, Marrocco L, Salvati M. Paragangliomas of the cauda equina. Report of one case and review of the literature. J Exp Clin Cancer Res. 2006; 25(2): 269-275.
    4. George B. So-called glomus jugulare tumors. General report. Neurochirurgie 1985; 31(5): 333-341. Go to PubMed...
    5. Heřman M, Pozzi-Mucelli RS, Skrap M. Paraganglioma of the cauda equina: case report and review of the MRI features. Acta Univ Palacki Olomuc Fac Med 1998; 141: 27-30. Go to PubMed...
    6. Ironside JW. Paraganglioma of the cauda equina. J Neurol Neurosurg Psychiatry 1988; 51(5): 740. Go to original source... Go to PubMed...
    7. Kliewer KE, Cochran AJ. A review of the histology, ultrastructure, immunohistology, and molecular biology of extra-adrenal paragangliomas. Arch Pathol Lab Med 1989; 113(11): 1209-1218.
    8. Labrousse F, Leboutet MJ, Petit B, Paraf F, Boncoeur-Martel MP, Moreau JJ, Catanzano G. Cytokeratins expression in paragangliomas of the cauda equina. Clin Neuropathol 1999; 18(4): 208-213. Go to PubMed...
    9. Landi A, Tarantino R, Marotta N, Rocco P, Antonelli M, Salvati M, Delfini R. Paraganglioma of the filum terminale: case report. World Journal of Surgical Oncology 2009; 7: 95-101. Go to original source... Go to PubMed...
    10. Lapierre F, Bataille B, Vandermarcq P, Goujon JM, Wager M, Page P. Cauda equina tumors in adults. Neurochirurgie 1999; 45(1): 29-38. Go to PubMed...
    11. Lerman RI, Kaplan ES, Daman L. Ganglioneuroma-paraganglioma of the intradural filum terminale. Case report. J Neurosurg 1972; 36(5): 652-658. Go to original source... Go to PubMed...
    12. Levy RA. Paraganglioma of the filum terminale: MR findings. AJR Am J Roentgenol 1993; 160(4): 851-852. Go to original source... Go to PubMed...
    13. Marcol W, Kiwic G, Malinowska-Kolodziej I, Kotulska K, Kotas A, Adamek D, Wisokinski T. Paraganglioma of the cauda equina presenting with erectile and sphincter dysfunction. J Chin Med Assoc. 2009; 72(6): 328-331. Go to original source... Go to PubMed...
    14. Masuoka J, Brandner S, Paulus W, Soffer D, Vital A, Chimelli L, Jouvet A, Yonekawa Y, Kleihues P, Ohgaki H. Germline SDHD mutation in paraganglioma of the spinal cord. Oncogene 2001; 20(36): 5084-5086. Go to original source... Go to PubMed...
    15. Miliaras GC, Kyritsis AP, Polyzoidis KS. Cauda equina paraganglioma: a review. J Neurooncol 2003; 65(2): 177-190. Go to original source... Go to PubMed...
    16. Miller CA, Torack RM. Secretory ependymoma of the filum terminale. Acta Neuropathol 1970; 15(3): 240-250. Go to original source... Go to PubMed...
    17. Moran CA, Rush W, Mena H. Primary spinal paragangliomas: a clinicopathological and immunohistochemical study of 30 cases. Histopathology 1997; 31(2): 167-173. Go to original source... Go to PubMed...
    18. Paleologos TS, Gouliamos AD, Kourousis DD, Papanicolaou P, Vlahos C, Kyriakou T. Paraganglioma of the cauda equina: a case presenting features of increased intracranial pressure. J Spinal Disord 1998; 11(4): 362-365. Go to original source...
    19. Park DH, Park YK, Oh JI, Kwon TH, Chung HS, Cho HD, Suh YL. Oncocytic paraganglioma of the cauda equina in a child. Case report and review of the literature. Pediatr Neurosurg 2002; 36(5): 260-265. Go to original source... Go to PubMed...
    20. Pigott TJ, Lowe JS, Morrell K, Kerslake RW. Paraganglioma of the cauda equina. Report of three cases. J Neurosurg 1990; 73(3): 455-458. Go to original source... Go to PubMed...
    21. Roche PH, Figarella-Branger D, Regis J, Peragut JC. Cauda equina paraganglioma with subsequent intracranial and intraspinal metastases. Acta Neurochir (Wien) 1996; 138(4): 475-479. Go to original source... Go to PubMed...
    22. Russell DS, Rubinstein LJ. Pathology of Tumors of the Nervous System. Williams and Wilkins, London: 1989.
    23. Singh RV, Yeh JS, Broome JC. Paraganglioma of the cauda equina: a case report and review of the literature. Clin Neurol Neurosurg 1993; 95(2): 109-113. Go to original source... Go to PubMed...
    24. Say CC, Hori J, Spratt J Jr. Chemodectoma with distant metastasis: case report and review of the literature. Am Surg 1973; 39(6): 333-341. Go to PubMed...
    25. Sonneland PR, Scheithauer BW, LeChago J, Crawford BG, Onofrio BM. Paraganglioma of the cauda equina region. Clinicopathologic study of 31 cases with special reference to immunocytology and ultrastructure. Cancer 1986 15; 58(8): 1720-1735. Go to original source...
    26. Steel TR, Botterill P, Sheehy JP. Paraganglioma of the cauda equina with associated syringomyelia: case report. Surg Neurol 1994; 42(6): 489-493. Go to original source... Go to PubMed...
    27. Strommer KN, Brandner S, Sarioglu AC, Sure U, Yonekawa Y. Symptomatic cerebellar metastasis and late local recurrence of a cauda equina paraganglioma. Case report. J Neurosurg 1995; 83(1): 166-169. Go to original source... Go to PubMed...
    28. Sundgren P, Annertz M, Englund E, Strömblad LG, Holt?s S. Paragangliomas of the spinal canal. Neuroradiology 1999; 41(10): 788-794. Go to original source... Go to PubMed...
    29. Vachata P, Julišová I, Sameš M, Bartoš R. Paragangliom filum terminale. Cs Neurol Neurochir 2004; 4: 283-287.
    30. Warrier S, Owler BK, Besser M. Paraganglioma and paragangliomatosis of the cauda equina. ANZ J Surg. 2006; 76(11): 1033-1037. Go to original source... Go to PubMed...
    31. Webster K, Louis DN. WHO classification of tumors of the central nervous system. WHO Press Geneva: 2007.
    32. Wolansky LJ, Stewart VA, Pramanik BK, Heary RF, Cho ES, Schulder M, Pak J. Giant paraganglioma of the cauda equina in adolescence: magnetic resonance imaging demonstration. J Neuroimaging 1996; 6(1): 54-56. Go to original source... Go to PubMed...
    33. Yang SY, Jin YJ, Park SH, Jahng TA, Kim HJ, Chung CK. Paragangliomas in the cauda equina region: clinicopathoradiologic findings in four cases. J Neurooncol 2005; 72(1): 49-55. Go to original source... Go to PubMed...

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