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Sudden onset of paraplegia secondary to an unusual presentation of pediatric synovial sarcoma

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Abstract

Introduction

Spinal synovial sarcoma (SS) is an extremely rare malignant tumor in children.

Case report

We report an unusual pediatric synovial sarcoma located in the thoracic spine at T9–T10 levels. A 10-year-old boy was admitted with a 1-month history of progressive back pain and low fever for 7 days as well as sudden onset of paraplegia for 1 day. The primary diagnosis was considered for spinal inflammatory abscess; subsequently, the patient underwent total resection with a good recovery and confirmed SS by SYT-SSX gene translocation.

Conclusion

The possibility of sudden paraplegia caused by unusual SS involved in the spine should be highlighted.

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Acknowledgments

This study was supported in part by the Natural Scientific Foundation of China (U1204807), the Henan Academy of Medical science and Technological Project (No: 201304013).

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Authors and Affiliations

  1. Department of Neurosurgery, The First Affiliated Hospital of ZhengZhou University, Zhengzhou, 450052, Henan Province, People’s Republic of China

    Ailing Guo & Fuyou Guo

  2. Key Laboratory of Neurosurgical Diseases, The First Affiliated Hospital of Zhengzhou University, Jianshe East Road, No 1, ZhengZhou, HeNan Province, 450052, People’s Republic of China

    Fuyou Guo

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  1. Ailing Guo
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  2. Fuyou Guo
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Correspondence to Fuyou Guo.

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Guo, A., Guo, F. Sudden onset of paraplegia secondary to an unusual presentation of pediatric synovial sarcoma. Childs Nerv Syst 32, 2465–2469 (2016). https://doi.org/10.1007/s00381-016-3176-1

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  • DOI: https://doi.org/10.1007/s00381-016-3176-1

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