Thoracic intramedullary chordoma without bone involvement: a rare clinical entity.

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Thoracic intramedullary chordoma without bone involvement: a rare clinical entity.

BMJ Case Rep. 2016 Jul 28;2016:

Authors: Faheem M, Zeeshan Q, Ojha B, Agrawal P

Abstract
An 8-year-old boy presented with a 1-year history of low backache, followed by paraparesis and urinary incontinence. MRI of the thoracic spine revealed an intramedullary, intensely contrast-enhancing lesion extending from T11 to L1 vertebral level, consistent with astrocytoma, ependymoma or haemangioblastoma. A diagnosis of intramedullary chordoma was made on tissue biopsy and immunohistochemical study. This is the second report of an intramedullary chordoma without bone involvement in English literature. After 6 months of follow-up, patient showed good clinical outcome in terms of improvement in power in lower limbs and backache.

PMID: 27469385 [PubMed - indexed for MEDLINE]

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