Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report

BAŞARAN, Pınar; Sarp, Ümit; Arslan, Ayşe; YAVUZER, MELEK GÜNEŞ

Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report

Ayşe ARSLAN, (Kırıkkale Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırıkkale, Türkiye)

Ümit SARP, (Ankara Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

Pınar BAŞARAN, (Ankara Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Ankara, Türkiye)

MELEK GÜNEŞ YAVUZER (Haliç Üniversitesi, Tıp Fakültesi, Fiziksel Tıp Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi

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Yıl: 2011 Cilt: 14 Sayı: 2 Sayfa Aralığı: 48 - 50 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report

Öz:

Doğumdan 2 hafta sonra dev hücreli tümör nedeni ile oluşan akut spinal kord travmalı nadir bir vaka raporu.Yirmialtı yaşında bayan hasta flask parapleji ve üriner inkontinans nedeniyle rehabilitasyon kliniğimizekabul edildi. Hastanın hikayesinde yaklaşık 6 ay önce gebeliğinin 21. haftasından itibaren progresif olarakartan bel ağrısı şikayeti vardı. Torasik manyetik rezonans görüntülemede T12 vertebra korpusunda kompresyon/çökme ve spinal kordu basılayan geniş paraspinal ve intraspinal tümör görüldü. Acil cerrahidekompresyon ve tümör dokusu eksizyonu yapıldı. Materyalin histopatolojik incelemesinde dev hücrelitümör olduğu ortaya çıktı. Hasta cerrahiden 10 gün sonra rehabilitasyon ünitemize başvurdu. On haftalıkyatarak rehabilitasyon programı sonrası ASIA motor skorunda 50/100'den 100/100'e, FIM skorunda54/128'den 111/128'e, ASIA impairment skalada ASIA B'den ASIA E'ye iyileşme gözlendi. Gebeliksüresince herhangi bir spinal ağrı veya uyuşukluğun kemik tümörü sonucu olabileceği akılda tutulmalıdır

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon

Hamilelikte T12 Vertebrada Gelişen Dev Hücreli Tümöre BağlıDoğum Sonrası Gelişen Akut Spinal Kord Hasarı: Olgu Sunumu

Öz:

This is a case report of a rare incident of acute spinal cord injury induced by a giant cell tumor (GCT) of theT12 vertebrae diagnosed two weeks after delivery. A 26- years- old woman was admitted to our rehabilitationward with flask paraplegia and urinary incontinence. Her medical history revealed that she had progressivelyincreasing back pain since 21st week of her pregnancy that was nearly 6 months ago. MRI of the thoracicspine showed a collapsed T12 vertebral body and a large paraspinal and intraspinal tumor compressing onthe spinal cord. Emergent surgical decompression and removal of the tumor mass was performed.Histopathologic examination of the specimen revealed a GCT. After 10 weeks of inpatient rehabilitation program, ASIA Motor scores improved from 50/100 to 100/100, FIM scores from 54/128 to 111/128 and ASIAImpairment Scale from ASIA B to ASIA E. Bone tumor should be kept in mind in a pregnant woman who hasspinal cord compression symptoms like pain or numbness

Anahtar Kelime:

Konular: Genel ve Dahili Tıp Rehabilitasyon

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	Arslan A, Sarp Ü, BAŞARAN P, YAVUZER M (2011). Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. , 48 - 50.
Chicago	Arslan Ayşe,Sarp Ümit,BAŞARAN Pınar,YAVUZER MELEK GÜNEŞ Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. (2011): 48 - 50.
MLA	Arslan Ayşe,Sarp Ümit,BAŞARAN Pınar,YAVUZER MELEK GÜNEŞ Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. , 2011, ss.48 - 50.
AMA	Arslan A,Sarp Ü,BAŞARAN P,YAVUZER M Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. . 2011; 48 - 50.
Vancouver	Arslan A,Sarp Ü,BAŞARAN P,YAVUZER M Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. . 2011; 48 - 50.
IEEE	Arslan A,Sarp Ü,BAŞARAN P,YAVUZER M "Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report." , ss.48 - 50, 2011.
ISNAD	Arslan, Ayşe vd. "Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report". (2011), 48-50.

APA	Arslan A, Sarp Ü, BAŞARAN P, YAVUZER M (2011). Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 14(2), 48 - 50.
Chicago	Arslan Ayşe,Sarp Ümit,BAŞARAN Pınar,YAVUZER MELEK GÜNEŞ Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 14, no.2 (2011): 48 - 50.
MLA	Arslan Ayşe,Sarp Ümit,BAŞARAN Pınar,YAVUZER MELEK GÜNEŞ Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.14, no.2, 2011, ss.48 - 50.
AMA	Arslan A,Sarp Ü,BAŞARAN P,YAVUZER M Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2011; 14(2): 48 - 50.
Vancouver	Arslan A,Sarp Ü,BAŞARAN P,YAVUZER M Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2011; 14(2): 48 - 50.
IEEE	Arslan A,Sarp Ü,BAŞARAN P,YAVUZER M "Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 14, ss.48 - 50, 2011.
ISNAD	Arslan, Ayşe vd. "Acute Spinal Cord Injury After Delivery Induced byGiant Cell Tumor of T12 Vertebrae DuringPregnancy: A Case Report". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 14/2 (2011), 48-50.