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Anavi K, Daya R, Daya S, Purbhoo K, Profyris C, Mpanza MN, Nel CE, Bayat Z. Paravertebral paraganglioma with spinal extension: a case report. J Med Case Rep 2023; 17:234. [PMID: 37287034 DOI: 10.1186/s13256-023-03971-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2023] [Accepted: 05/04/2023] [Indexed: 06/09/2023] Open
Abstract
BACKGROUND Paragangliomas are rare neuroendocrine tumors. While paragangliomas of the spine are rare, those located in non-cauda equina areas with spinal canal extension are even rarer. CASE PRESENTATION We present a case of a 23-year-old female of African descent with a primary thoracic paraganglioma with intervertebral extension resulting in displacement and compression of the spinal cord and extensive local invasion of the surrounding structures. This paraganglioma was functional with typical symptoms of catecholamine excess. Despite the aggressive nature of the paraganglioma, the patient only had isolated sensory symptoms in the left shoulder. Adequate alpha and beta-blockade were instituted prior to her undergoing surgery with near-total resection and complete preserved neurology. There was no underlying pathogenic genetic mutation found. CONCLUSIONS Even though rare, paraganglioma should be considered in the differential diagnosis of spinal tumors. Genetic testing should be performed in patients with paragangliomas. One should exercise extreme caution in treating such rare tumors that may cause neurological deficits and careful surgical planning should be undertaken to avoid possible catastrophic complications.
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Affiliation(s)
- K Anavi
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South Africa.
| | - R Daya
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South Africa
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
| | - S Daya
- Department of Radiology, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa
| | - K Purbhoo
- Department of Nuclear Medicine and Molecular Imaging, Chris Hani Baragwanath Academic Hospital and Charlotte Maxeke Johannesburg Academic Hospital, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - C Profyris
- Department of Neurosurgery, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa
| | - M N Mpanza
- Department of Neurosurgery, Helen Joseph Hospital, University of the Witwatersrand, Johannesburg, South Africa
| | - C E Nel
- Department of Anatomical Pathology, National Health Laboratory Services, University of the Witwatersrand, 7 York Road, Parktown, Johannesburg, South Africa
| | - Z Bayat
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Helen Joseph Hospital, 1 Perth Road, Rossmore, Johannesburg, South Africa
- Division of Endocrinology and Metabolism, Department of Internal Medicine, Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, South Africa
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Purbhoo K, Young B, Vangu MDT. P122Cost benefit implication for normal stress myocardial perfusion imaging in a resource limited setting. Eur Heart J Cardiovasc Imaging 2019. [DOI: 10.1093/ehjci/jez147.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- K Purbhoo
- Chris Hani Baragwanth Hospital, Nuclear medicine, Johannesburg, South Africa
| | - B Young
- Chris Hani Baragwanth Hospital, Nuclear medicine, Johannesburg, South Africa
| | - M D T Vangu
- Charlotte Maxeke Johannesburg Academic Hospital, Nuclear Medicine, Johannesburg, South Africa
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Evbuomwan O, Ayeni O, Purbhoo K, Vangu M. P3.13-005 Characteristics of Primary Lung Cancer on PET/CT Imaging in the South African Population. J Thorac Oncol 2017. [DOI: 10.1016/j.jtho.2017.09.1739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Van Wyk B, Vangu M, Purbhoo K, Africa L, Mosley R. Lutetium-177 (177Lu) dosimetry in patients treated for neuroendocrine tumours (NETs) in Johannesburg, South Africa. Phys Med 2015. [DOI: 10.1016/j.ejmp.2015.07.080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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