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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Arq. Neuro-Psiquiatr. vol.53 no.4 São Paulo Dec. 1995

https://doi.org/10.1590/S0004-282X1995000500024 

Fibroma condromixóide da coluna torácica. Relato de caso e revisão da literatura

 

Chondromyxoid fibroma compressing the spinal cord: case report and review of the literature

 

 

Manoel Baldoino Leal FilhoI; Aldo Pereira NetoI; Luís Cláudio Modesto PereiraI; Paulo Saide FrancoI; Kunio SuzukiI; Paulo Andrade De MelloI; José Cláudio B. BurnettII; Moema Gonçalves P. VelosoIII

INeurocirurgião. Unidade de Neurocirurgia do Hospital de Base do Distrito Federal (HBDF)
IINeuroradiologista;Unidade de Neurocirurgia do Hospital de Base do Distrito Federal (HBDF)
IIIPatologista. Unidade de Neurocirurgia do Hospital de Base do Distrito Federal (HBDF)

 

 


RESUMO

Os autores relatam caso de compressão medular torácica por lesão da quinta articulação costovertebral à direita. O diagnóstico pré-operatório, com mielotomografia, foi de processo expansivo intrarraquidiano extradural ao nível de T5. Feita a abordagem cirúrgica por laminectomia, com ressecção apenas da lesão intrarraquidiana. O diagnóstico de fibroma condromixóide somente foi definido com o estudo histopatológico. A paciente teve importante melhora neurológica. Decidiu-se pelo acompanhamento clínico e radiológico. Após dois anos houve recidiva do processo para dentro do canal raquidiano. Desta vez, foi realizada abordagem posterolateral à direita, por costotransversectomia e retirada da lesão. O diagnóstico histopatológico foi o mesmo. A paciente evoluiu com melhora neurológica e está sendo feito o seguimento há dois anos. Chamamos a atenção para a raridade do caso e discutimos a conduta.

Palavras-chave:fibroma condromixóide, tumor intrarraquidiano, laminectomia, costotransversectomia.


SUMMARY

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.

Key words:chondromyxoid fibroma, spinal cord compression, laminectomy, costotransversectomy.


 

 

Texto completo disponível apenas em PDF.

Full text available only in PDF format.

 

 

REFERÊNCIAS

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11.  Standefer M, Hardy RWJr, Marks K, Cosgrove MD. Chondromyxoid fibroma of the cervical spine: a case report with a review of the literature and a description of an operative approach to the lower anterior cervical spine. Neurosurgery 1982, 11:288-292.         [ Links ]

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Aceite: 7-agosto-1995.

 

 

Dr. Manoel Baldoino Leal Filho - Rua 7 de Setembro 526/Sul - 64001-210 Teresina PI - Brasil

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