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Title: Secondary tetraplegia due to giant-cell tumors of the cervical spine
Authors: García-Bravo, A.
Sánchez-Enríquez, J. 
Méndez-Suárez, J. L.
Melián-Suárez, A.
Miranda-Calderín, G.
Keywords: Surgical-Treatment
Issue Date: 2002
Publisher: 0028-3770
Journal: Neurochirurgie 
Abstract: Background and purpose. - Giant-cell tumor of the bone is a neoplasm which rarely affects the spine, and occurs even more infrequently above the sacrum. The symptomatology depends on the tumor site, and may be attributable to a compression mechanism. Spinal cord injury is seldom a complication and tetraplegia is even more infrequent. In this paper, we present an unusual case involving a giant cell tumor. We also review its possible diagnoses and treatments.Clinical case. - We present the case of giant-cell tumors in the cervical spine affecting C6 and C7, in a young woman who suffered tetraplegia due to spinal cord compression. After surgery and radiotherapy, the tumor reappeared, requiring a second operation.Conclusion. - Early clinical diagnosis of giant-cell tumors of the spine is difficult because their development tends to go unnoticed. Imaging techniques, especially MRI, help identify them; but their diagnosis still requires histopathologic tests. Resection of the neoplasm is recommended, when possible. Curettage may allow recurrence and radiotherapy may lead to sarcomatous degeneration of the tumor.
ISSN: 0028-3770
Source: Neurochirurgie[ISSN 0028-3770],v. 48, p. 527-532
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