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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X


LEAL FILHO, Manoel Baldoino et al. Chondromyxoid fibroma compressing the spinal cord: case report and review of the literature. Arq. Neuro-Psiquiatr. [online]. 1995, vol.53, n.4, pp.837-840. ISSN 0004-282X.

A case of chondromyxoid fibroma (CMF) arising from the Sth right costovertebral junction and spreading into spinal canal causing spinal cord compression is presented. A myelotomography revealed a complete block at T5 level. The patient underwent a decompressive laminectomy with removal of an epidural tumor. This specimen was sent for pathological examination and interpreted as a CMF. The patient had a neurological improvement, post operative MRI revealed a spinal cord free of compression, and we decided on the follow up of the case. Two years later there was reccurrence of the tumor. A posterolateral access by costotransversectomy was made and the lesion was resected. The patient had a neurological improvement which persists on the follow up (two years, at present). Clinical, radiologic and histologic findings, surgical management and recurrence are discussed. The pertinent literature is reviewed.

Keywords : chondromyxoid fibroma; spinal cord compression; laminectomy; costotransversectomy.

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