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 CASE REPORT
Year : 2021  |  Volume : 69  |  Issue : 5  |  Page : 1405--1408

Primary Spinal Intradural Ewing's Sarcoma: Hemorrhagic Presentation with Acute Neurological Deterioration in Two Pediatric Patients


1 Department of Neurosurgery, PGIMER, Chandigarh, India
2 Department of Neurosurgery, KGMU, Lucknow, Uttar Pradesh, India
3 Department of Pathology, KGMU, Lucknow, Uttar Pradesh, India
4 Department of Pathology, PGIMER, Chandigarh, India

Correspondence Address:
Sushanta K Sahoo
Department of Neurosurgery, PGIMER, Sector 12, Chandigarh - 160 0l2
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.329577

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Extraosseous primary spinal intradural Ewing's sarcoma (ES) is an unusual entity. Bleed within such tumors with acute neurological worsening is extremely rare, especially in the pediatric age. In this article, we present two children with intradural-extramedullary ES who had sudden decline in their neurological status consequent to an intratumoral hemorrhage. We discuss their clinical course and also briefly review the pertinent literature. Spinal intradural Ewing's sarcomas possibly have a tendency to bleed. A short clinical symptomatology along with an acute neurological deterioration and radiologic evidence of intratumoral hemorrhage in a spinal intradural tumor should raise the suspicion of an ES.






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Online since 20th March '04
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