gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

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Intradural nodular fasciitis mimicking spinal glioblastoma metastasis

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  • Felix Behling - Eberhard-Karls Universität Tübingen, Universitätsklinik Tübingen, Klinik für Neurochirurgie, Tübingen, Deutschland
  • Carl Zipser - Eberhard-Karls Universität Tübingen, Universitätsklinik Tübingen, Abteilung für Neurologie, Tübingen, Deutschland
  • Rudi Beschorner - Eberhard-Karls Universität Tübingen, Universitätsklinik Tübingen, Abteilung für Neuropathologie, Tübingen, Deutschland
  • Lars Füllbier - Eberhard-Karls Universität Tübingen, Univesitätsklinik Tübingen, Klinik für Neurochirurgie, Tübingen, Deutschland
  • Marco Skardelly - Eberhard-Karls Universität Tübingen, Universitätsklinik Tübingen, Klinik für Neurochirurgie, Tübingen, Deutschland
  • Ulf Ziehmann - Eberhard-Karls Universität Tübingen, Universitätsklink Tübingen, Abteilung für Neurologie, Tübingen, Deutschland
  • Marcos Tatagiba - Eberhard-Karls Universität Tübingen, Universitätsklink Tübingen, Klinik für Neurochirurgie, Tübingen, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocP 020

doi: 10.3205/17dgnc583, urn:nbn:de:0183-17dgnc5839

Published: June 9, 2017

© 2017 Behling et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: We report the case of a 78 year old male patient who was diagnosed with a rightsided temporal glioblastoma with extensive meningeal spread at the time of diagnosis. Two months later he developed sudden onset paraplegia. An MRI scan showed a ventral space occupying lesion within the spinal canal of the thoracic segment 8 and 9 with myelon compression. An emergency decompression and resection of the alleged intradural glioblastoma metastasis was done. Surprisingly, the histopathological analysis revealed a nodular fasciitis, a reactive benign lesion typically found in soft tissue.

Methods: A clinical and histopathological description of the case ist done and compared with the current findings in the literature.

Results: Only one case of a spinal and one case of an intracranial nodular fasciitis have been reported. Both lesions were extradurally and diagnosed in otherwise young healthy individuals. This case report is the first description of an intradural nodular fasciitis. The spatio-temporal and histopathological correlation with meningeal spread of a glioblastoma are discussed.

Conclusion: This is the first description of a spinal intradural nodular fasciits. The spatiotemporal correlation suggests that the lesion may have occurred as a reaction tot he meningeal dissemination of glioblastoma cells.