The Experts below are selected from a list of 309 Experts worldwide ranked by ideXlab platform
Moon Kyu Kim - One of the best experts on this subject based on the ideXlab platform.
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extragonadal germ cell Tumor of the posterior mediastinum in a child complicated with spinal cord compression a case report
BMC Pediatrics, 2018Co-Authors: Dong Keon Yon, Tae Keun Ahn, Dong Eun Shin, Gwang Il Kim, Moon Kyu KimAbstract:Germ cell Tumors (GCTs) in children are rare neoplasms with diverse pathological findings according to the site and age of presentation. The most common symptoms in children with mediastinal GCTs, which are nonspecific, are dyspnea, chest pain, cough, hemoptysis, vena cava occlusion syndrome, and fatigue/weakness. Because of these nonspecific symptoms, it is difficult to suspect a mediastinal mass. A posterior mediastinal Tumor causing spinal cord compression is an important example of an oncologic emergency arising from a Neurogenic Tumor. Children with posterior mediastinum GCTs can be easily mistaken as having a Neurogenic Tumor because of site of Tumor origin. We treated our 7-year-old patient with emergency decompression surgery and high-dose steroid pulse therapy to prevent secondary injury to the spinal cord. Primary injury was a result of spinal cord compression due to the initial manifestation of GCT in the posterior mediastinum. Cisplatin-based chemotherapy was also administered. The patient was followed up regularly for 3 years and is undergoing rehabilitation without any signs of recurrence. We present an extremely rare case of a child with paraparesis caused by extradural spinal cord compression as the initial manifestation of GCT in the posterior mediastinum. The child was treated with emergency decompression surgery and high-dose pulse steroid therapy to prevent secondary injury to the spinal cord.
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Extragonadal germ cell Tumor of the posterior mediastinum in a child complicated with spinal cord compression: a case report
BMC, 2018Co-Authors: Dong Keon Yon, Tae Keun Ahn, Dong Eun Shin, Gwang Il Kim, Moon Kyu KimAbstract:Abstract Background Germ cell Tumors (GCTs) in children are rare neoplasms with diverse pathological findings according to the site and age of presentation. The most common symptoms in children with mediastinal GCTs, which are nonspecific, are dyspnea, chest pain, cough, hemoptysis, vena cava occlusion syndrome, and fatigue/weakness. Because of these nonspecific symptoms, it is difficult to suspect a mediastinal mass. A posterior mediastinal Tumor causing spinal cord compression is an important example of an oncologic emergency arising from a Neurogenic Tumor. Case presentation Children with posterior mediastinum GCTs can be easily mistaken as having a Neurogenic Tumor because of site of Tumor origin. We treated our 7-year-old patient with emergency decompression surgery and high-dose steroid pulse therapy to prevent secondary injury to the spinal cord. Primary injury was a result of spinal cord compression due to the initial manifestation of GCT in the posterior mediastinum. Cisplatin-based chemotherapy was also administered. The patient was followed up regularly for 3 years and is undergoing rehabilitation without any signs of recurrence. Conclusions We present an extremely rare case of a child with paraparesis caused by extradural spinal cord compression as the initial manifestation of GCT in the posterior mediastinum. The child was treated with emergency decompression surgery and high-dose pulse steroid therapy to prevent secondary injury to the spinal cord
Ivo A. M. J. Broeders - One of the best experts on this subject based on the ideXlab platform.
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Robot-assisted Thoracoscopic Resection of a Benign Mediastinal Neurogenic Tumor: Technical Note
Neurosurgery, 2003Co-Authors: Jelle P. Ruurda, Patrick W. Hanlo, Adriaan Hennipman, Ivo A. M. J. BroedersAbstract:OBJECTIVE: Robotic surgery systems were introduced recently with the objective of enhancing the dexterity and view during procedures that use a videoscope. The first case report of robot-assisted thoracoscopic removal of a benign Neurogenic Tumor in the thorax is presented. METHODS: A 46-year-old woman presented with a history of paravertebral pain. A chest x-ray revealed a left paravertebrai mass. A magnetic resonance imaging scan revealed a well-encapsulated mass that was suspected to be a neuroma at the level of T8-T9, separate from vascular structures, without extension in the foramina, and without a spinal canal component. RESULTS: A left robot-assisted thoracoscopic resection of the Tumor was performed. After placement of six trocars, the Tumor was carefully dissected and removed through one of the trocar openings. The histopathological findings revealed an ancient schwannoma. CONCLUSION: This case report demonstrates the feasibility of robot-assisted thoracoscopic extirpation of a thoracic Neurogenic Tumor. Robot-assisted surgery may prove to be of additional value in challenging thoracoscopic surgery, such as the delicate surgical removal of benign Neurogenic Tumors, because of the support in manipulation and visualization during videoscopic interventions.
Lawrence R Glassman - One of the best experts on this subject based on the ideXlab platform.
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thoracic splenosis mimicry of a Neurogenic Tumor
The Journal of Thoracic and Cardiovascular Surgery, 2003Co-Authors: Costas S Bizekis, Bradley B Pua, Lawrence R GlassmanAbstract:Thoracic splenosis refers to a rare condition of ectopic splenic tissue in the left hemithorax. Patients with this condition are often asymptomatic, with a history of thoracoabdominal trauma to the spleen and left hemidiaphragm. Nodules are usually an incidental finding on chest radiography or computed tomography (CT). Most often, thoracic splenosis is diagnosed intraoperatively. When splenosis is suspected, nuclear scanning methods might aid in preoperative diagnoses, thus avoiding the resection of the benign mass and its operative risks. To date, only 26 cases of thoracic splenosis have been reported in the literature.1 The following is a case report of thoracic splenosis mimicking a Neurogenic Tumor.
Dong Keon Yon - One of the best experts on this subject based on the ideXlab platform.
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extragonadal germ cell Tumor of the posterior mediastinum in a child complicated with spinal cord compression a case report
BMC Pediatrics, 2018Co-Authors: Dong Keon Yon, Tae Keun Ahn, Dong Eun Shin, Gwang Il Kim, Moon Kyu KimAbstract:Germ cell Tumors (GCTs) in children are rare neoplasms with diverse pathological findings according to the site and age of presentation. The most common symptoms in children with mediastinal GCTs, which are nonspecific, are dyspnea, chest pain, cough, hemoptysis, vena cava occlusion syndrome, and fatigue/weakness. Because of these nonspecific symptoms, it is difficult to suspect a mediastinal mass. A posterior mediastinal Tumor causing spinal cord compression is an important example of an oncologic emergency arising from a Neurogenic Tumor. Children with posterior mediastinum GCTs can be easily mistaken as having a Neurogenic Tumor because of site of Tumor origin. We treated our 7-year-old patient with emergency decompression surgery and high-dose steroid pulse therapy to prevent secondary injury to the spinal cord. Primary injury was a result of spinal cord compression due to the initial manifestation of GCT in the posterior mediastinum. Cisplatin-based chemotherapy was also administered. The patient was followed up regularly for 3 years and is undergoing rehabilitation without any signs of recurrence. We present an extremely rare case of a child with paraparesis caused by extradural spinal cord compression as the initial manifestation of GCT in the posterior mediastinum. The child was treated with emergency decompression surgery and high-dose pulse steroid therapy to prevent secondary injury to the spinal cord.
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Extragonadal germ cell Tumor of the posterior mediastinum in a child complicated with spinal cord compression: a case report
BMC, 2018Co-Authors: Dong Keon Yon, Tae Keun Ahn, Dong Eun Shin, Gwang Il Kim, Moon Kyu KimAbstract:Abstract Background Germ cell Tumors (GCTs) in children are rare neoplasms with diverse pathological findings according to the site and age of presentation. The most common symptoms in children with mediastinal GCTs, which are nonspecific, are dyspnea, chest pain, cough, hemoptysis, vena cava occlusion syndrome, and fatigue/weakness. Because of these nonspecific symptoms, it is difficult to suspect a mediastinal mass. A posterior mediastinal Tumor causing spinal cord compression is an important example of an oncologic emergency arising from a Neurogenic Tumor. Case presentation Children with posterior mediastinum GCTs can be easily mistaken as having a Neurogenic Tumor because of site of Tumor origin. We treated our 7-year-old patient with emergency decompression surgery and high-dose steroid pulse therapy to prevent secondary injury to the spinal cord. Primary injury was a result of spinal cord compression due to the initial manifestation of GCT in the posterior mediastinum. Cisplatin-based chemotherapy was also administered. The patient was followed up regularly for 3 years and is undergoing rehabilitation without any signs of recurrence. Conclusions We present an extremely rare case of a child with paraparesis caused by extradural spinal cord compression as the initial manifestation of GCT in the posterior mediastinum. The child was treated with emergency decompression surgery and high-dose pulse steroid therapy to prevent secondary injury to the spinal cord
Jelle P. Ruurda - One of the best experts on this subject based on the ideXlab platform.
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Robot-assisted Thoracoscopic Resection of a Benign Mediastinal Neurogenic Tumor: Technical Note
Neurosurgery, 2003Co-Authors: Jelle P. Ruurda, Patrick W. Hanlo, Adriaan Hennipman, Ivo A. M. J. BroedersAbstract:OBJECTIVE: Robotic surgery systems were introduced recently with the objective of enhancing the dexterity and view during procedures that use a videoscope. The first case report of robot-assisted thoracoscopic removal of a benign Neurogenic Tumor in the thorax is presented. METHODS: A 46-year-old woman presented with a history of paravertebral pain. A chest x-ray revealed a left paravertebrai mass. A magnetic resonance imaging scan revealed a well-encapsulated mass that was suspected to be a neuroma at the level of T8-T9, separate from vascular structures, without extension in the foramina, and without a spinal canal component. RESULTS: A left robot-assisted thoracoscopic resection of the Tumor was performed. After placement of six trocars, the Tumor was carefully dissected and removed through one of the trocar openings. The histopathological findings revealed an ancient schwannoma. CONCLUSION: This case report demonstrates the feasibility of robot-assisted thoracoscopic extirpation of a thoracic Neurogenic Tumor. Robot-assisted surgery may prove to be of additional value in challenging thoracoscopic surgery, such as the delicate surgical removal of benign Neurogenic Tumors, because of the support in manipulation and visualization during videoscopic interventions.