[A huge intraspinal teratocarcinoma associated with an @entity145 in a XXXX ].

@entity1 @entity1183 @entity41 @entity5 @entity51 @entity145 @entity158 @entity1499 @entity44
The authors report a 11-year-old @entity1 with a huge intraspinal malignant @entity44 associated with spinal @entity145 . At seven year of age, @entity5 was diagnosed and the @entity1 received radiation therapy for @entity5 bed with total dose of 4,225 rads. As the result, marked decrease of the size of @entity5 was seen by follow-up CT scan. Serum alphafetoprotein (AFP) and @entity1 chorionic gonadotropin (HCG) level were at 51ng/ml and 31IU/l when total dose of 2,000 rads were over, and they decreased to 3ng/ml and 6.6IU/l at the dose of 4,225 rads respectively. The histology of the @entity5 was unverified. She was discharged without any @entity51 . For next 24 months, she received intrathecal administration of @entity1499 by repeated lumber puncture in 14 times. She remained intact neurologically. At eleven years of age, four years later, she started complaining of the right leg @entity158 . On the examination, @entity1183 in the L distribution and stiff neck with positive straight leg raising test were observed. Urinary and bowel function were intact. CT scan of the head revealed @entity41 but the size of the @entity5 was unchanged. Myelography showed complete block at the level of L. Laminectomy at L was performed and brownish cyst was found in the intradural space. Aspiration of cyst content and cyst wall resection were carried out. Histology of the cyst membrane was arachnoid and spinal @entity145 was diagnosed. The postoperative course was uneventful until 13th postoperative day, when acute progressive paraparesis and @entity1183 were seen.(ABSTRACT TRUNCATED AT 250 WORDS)
