Intradural extramedullary ganglioneuroma associated with multiple hamartoma syndrome.

A 51-year-old woman presented with a rare completely intradural and extramedullary spinal ganglioneuroma associated with multiple hamartoma syndrome and manifesting as complaints of neck pain and dizziness persisting for 8 months. Magnetic resonance imaging of the spinal cord revealed an intradural extramedullary lesion at the C1 level. She underwent right suboccipital craniectomy and C1-2 hemilaminectomy to remove the tumor. Histological examination confirmed ganglioneuroma. She also suffered from multiple facial trichilemmomas, thyroid goiter, multiple polyposis of the gastrointestinal tract, and pulmonary hamartoma indicating multiple hamartoma syndrome. These benign neoplasms were treated conservatively.

[1]  A. A. Bhand Ganglioneuroma of the cervical spine. , 2005, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP.

[2]  J. Nakayama,et al.  Symmetric dumbbell ganglioneuromas of bilateral C2 and C3 roots with intradural extension associated with von Recklinghausen's disease: case report. , 2004, Surgical neurology.

[3]  C. Gambini,et al.  Diagnostic and therapeutic approach to multiple endocrine neoplasia type 2B in pediatric patients , 2002, Pediatric Surgery International.

[4]  L. Califano,et al.  Cervical Ganglioneuroma: Report of a Case , 2001, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[5]  E. Mariman,et al.  Localization of the gene for Cowden disease to chromosome 10q22–23 , 1996, Nature Genetics.

[6]  A. Catania,et al.  Scintigraphic Study of Extra-adrenal Ganglioneuroma in a Patient with Overlap between Multiple Endocrine Neoplasia Types 1 and 2 , 1992, Clinical nuclear medicine.

[7]  D. Levy,et al.  Intradural extramedullary ganglioneuroma: case report and review of the literature. , 1992, Surgical neurology.

[8]  J. Garcìa,et al.  Tumors of the Central Nervous System (II) , 1988 .

[9]  J. Oró,et al.  Dumbbell ganglioneuroma of the lumbar spine associated with a herniated intervertebral disc: case report. , 1983, Neurosurgery.

[10]  J. P. Henderson,et al.  Intramedullary ganglioneuroma of spinal cord: a clinicopathologic study. , 1982, Human pathology.

[11]  L. J. Rubinstein,et al.  Tumors of the central nervous system , 1972 .

[12]  F. Vogel,et al.  CENTRAL GANGLIONEUROMA: A CASE STUDY USING ELECTRON MICROSCOPY. , 1964, Journal of neuropathology and experimental neurology.

[13]  J. Sinclair,et al.  Ganglioneuromata of the Spine Associated with von Recklinghausen's Disease , 1961 .

[14]  D. Sutton,et al.  Dumb‐bell ganglioneuromata of the spine with a report of four cases , 1958, The British journal of surgery.

[15]  W. Scoville,et al.  SPINAL GANGLIONEUROMA*: END RESULTS AND DIFFERENTIAL DIAGNOSIS , 1956, Journal of neuropathology and experimental neurology.

[16]  A. Stout Ganglioneuroma of the sympathetic nervous system. , 1947, Surgery, gynecology & obstetrics.

[17]  A. Adson,et al.  PATHOLOGIC CLASSIFICATION, WITH SURGICAL CONSIDERATION, OF INTRASPINAL TUMORS , 1940, Annals of surgery.