Journal of Clinical Orthopaedics | Vol 5 | Issue 2 |  July-Dec 2020 | page:49-52 | Sapan Kumar, Sanjeev kumar, Mohit Kumar Patralekh, Ramesh Kumar

Author: Sapan Kumar [1], Sanjeev kumar [1], Mohit Kumar Patralekh [1], Ramesh Kumar [1]

[1] Department of Orthopaedics, VMMC & Safdarjung Hospital, Delhi-110029, India

Address of Correspondence
Dr. Sapan Kumar,
Department of Orthopaedics, VMMC & Safdarjung Hospital, Delhi-110029, India
E-mail:- sapan2576@gmail.com

Abstract

Background: Teratoma is a germ cell tumour that is composed of a variety of parenchymal cell types derived from all three germinal layers (ectoderm, mesoderm, and endoderm). Spinal teratomas are very rare. Only 0.15-0.18% of spinal tumours have been classified as teratomas. We report two cases of spinal cord teratoma managed surgically, with good outcome.
Case reports: A 23 year old female presented with back pain and right lower limb weakness. She was evaluated by blood and radiological investigation. T12 through L2-3 flip laminoplasty with fixation was performed and the tumour was totally removed. The postoperative course was excellent, and histopathologically, numerous fatty cysts consisting of neuroepithelial and epithelial tissues were observed. The final diagnosis was that of a mature cystic teratoma.
Another 22 year old male, was presented with back pain for six months. He was evaluated by blood and radiological investigation. Total resection of the tumour by means of L2 – L3 laminectomy was done. Ectodermal, mesodermal and endodermal
elements were revealed. The final histopathological diagnosis was that of a mature cystic teratoma.
Conclusion: Although intramedullary teratomas are very rare in adults, they need to be considered in differential diagnosis. The present study also compares the literature
concerning adult intradural mature teratoma, summarises the basic clinical characteristics and theory of origin of adult intradural mature teratoma and reviews the available treatment options for this disease.
Key words: Intradural; Intramedullary; Spinal Cord; Teratoma; Adult.

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