Bilal Bahadır Akbulut, Hüseyin Biçeroğlu, Taner Akalın, Mustafa Serdar Bölük, Taşkın Yurtseven,
Volume 10, Issue 0 (Continuous Publishing 2024)
Abstract
Background and Aim: Intramuscular myxomas are uncommon benign tumors that are rarely seen in the paraspinal musculature. They might present with neurological symptoms if situated near the spinal cord or may present with nonspecific symptoms such as back pain.
Case Presentation: The case of this study was a 46-year-old female presented with back pain that was exacerbated with movement. A thoracolumbar magnetic resonance imaging revealed a T2 hyperintense 35x25x85 mm mass that extends craniocaudally within the right-sided paraspinal muscles with heterogeneous contrast enhancement on T1 sequence images. Using a paramedian incision, paraspinal muscles were dissected, and a rubbery mass was palpated within. The tumor was mobilized in all quadrants and removed with its pseudocapsule. The tumor internally had a gel-like substance with rubbery margins. The patient was discharged without complications.
Conclusion: To our knowledge, this is the 16th case of paraspinal intramuscular myxoma in the literature. Even though it is a rare entity, one must be vigilant for pathologies within the paraspinal muscles in patients with back pain
Bilal Bahadır Akbulut, Mustafa Serdar Bölük, Taşkın Yurtsevewn, Hüseyin Biçeroğlu,
Volume 10, Issue 0 (Continuous Publishing 2024)
Abstract
Background and Aim: Low-grade gliomas (LGGs) in the infratentorial region are rare in adults.
Case Presentation: A 31-year-old man presented with a 2-year history of neck pain and progressive numbness in the face and left arm. Neurological examination upon admission revealed no cranial nerve involvement, motor or sensory deficits, or signs of cerebellar dysfunction. The patient’s medical history was unremarkable. Cranial magnetic resonance imaging (MRI) revealed a 2-cm T2 hyperintense lesion with focal cystic components in the right cerebellar tonsil, suggestive of a LGG.
The lesion was surgically removed without any complications. Post-operative MRI showed total removal of the tumor. Histopathological analysis confirmed the lesion to be a pilocytic astrocytoma. No adjuvant therapy was given, and the patient is recurrence-free at 1-year follow-up.
Conclusion: This case underlines the possibility of such rare diagnoses in adult patients and the effectiveness of the surgical treatment.
