Discover the rare and intriguing case of primary extraskeletal intradural Ewing sarcoma with acute hemorrhage, shedding light on its diagnosis, treatment, and implications for functional neurosurgery.
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Primary extraskeletal intradural Ewing sarcoma with acute hemorrhage: a case report and review of the literature.
Salama et al., J Med Case Rep 2024
<!– DOI: 10.1186/s13256-024-04384-8 //–>
https://doi.org/10.1186/s13256-024-04384-8
In a notable case, a 58-year-old Palestinian male was diagnosed with a rare intradural extraskeletal lumbar Ewing sarcoma, initially presenting with lower back pain and bilateral S1 radiculopathy. MRI scans revealed a 7 cm mass in the spinal canal, initially suspected to be a myxopapillary ependymoma. However, the patient’s condition worsened rapidly, leading to an emergency surgery that confirmed the diagnosis of Ewing sarcoma through histopathological and immunohistochemical analyses. This case underscores the challenge in diagnosing spinal cord tumors due to their varied presentations and the critical need for surgeons to recognize such rare entities for timely and effective treatment. The inclusion of intradural extraskeletal Ewing sarcoma in the differential diagnosis of spinal tumors is crucial for improving patient outcomes through early intervention. This case contributes to the literature by highlighting the importance of considering rare diagnoses in complex spinal tumor cases.