Primary Epidural Peripheral Primitive Neuroectodermal Tumor of the Thoracic Spine -Case Report-

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  • KIATSOONTORN Kraiyot
    Department of Neurosurgery, Osaka City University Graduate School of Medicine
  • TAKAMI Toshihiro
    Department of Neurosurgery, Osaka City University Graduate School of Medicine
  • ICHINOSE Tsutomu
    Department of Neurosurgery, Osaka City University Graduate School of Medicine
  • CHOKYU Isao
    Department of Neurosurgery, Osaka City University Graduate School of Medicine
  • TSUYUGUCHI Naohiro
    Department of Neurosurgery, Osaka City University Graduate School of Medicine
  • OHSAWA Masahiko
    Department of Diagnostic Pathology, Osaka City University Graduate School of Medicine
  • OHATA Kenji
    Department of Neurosurgery, Osaka City University Graduate School of Medicine

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  • —Case Report—

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A 25-year-old male patient presented with an extremely rare primary spinal peripheral primitive neuroectodermal tumor (pPNET) manifesting as acutely progressive paraparesis and back pain. Neuroimaging and intraoperative examination showed that the tumor was confined to the epidural space of the thoracic spine. The patient was treated successfully by gross total resection of the tumor followed by chemotherapy and local radiotherapy. The present case illustrates the unexpected occurrence and important differential diagnosis of primary epidural pPNET of the thoracic spine in young patients presenting with progressive paraparesis and back pain.<br>

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