A Case of Spinal Cord Compression Caused by Rhabdomyosarcoma of the Mediastinum Associated with Type I Neurofibromatosis(NF Type I).

Kim, Sei Yoon; Whang, Kum; Hong, Soon Ki; Pyen, Jhin Soo; Hu, Chul; Kim, Hun Joo; Han, Young Pyo; Lee, Myoung Sup; Lee, Chong Kook; Cho, Mee Yon

Case Report

Journal of Korean Neurosurgical Society 2001;30(5): 642-646.

Sei Yoon Kim, Kum Whang, Soon Ki Hong, Jhin Soo Pyen, Chul Hu, Hun Joo Kim, Young Pyo Han, Myoung Sup Lee, Chong Kook Lee, Mee Yon Cho

¹Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
²Department of Diagnostic Radiology, Wonju College of Medicine, Yonsei University, Wonju, Korea.
³Department of Cardiothoracic Surgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
⁴Department of Pathology, Wonju College of Medicine, Yonsei University, Wonju, Korea.

ABSTRACT

A 12-years-old female admitted to the hospital with the complaint of pain on the right upper chest area which persisted about 1 month prior to admission. Cafe-au-lait spots of various size laying on a whole body and freckling on the axilla were found on physical examination. A huge mass was found on the plain chest X-ray and on chest MRI. The mass encroached thoracic spine, posterior rib, back muscles, and then into the neural canal and compressed thoracic spinal cord. On the 5th day of hospitalization, the patient complained tingling on the both legs and 2 days later, monoparesis on the right leg. Open thoracotomy and decompressive laminectomy was done to remove mass. Pathologic reports confirmed rhabdomyosarcoma, embryonal type.

Key Words: Type I neurofibromatosis; Rhabdomyosarcoma; Mediastinum