{"id":"ed137df1-9f1c-4e76-8ce6-4c0a19b93de3","slug":"primary-spinal-epidural-rhabdomyosarcoma-a-case-report","title":"Primary spinal epidural rhabdomyosarcoma: A case report","authors":["Fahad Mahmood Okal","Abdulaziz Hamzah","Adnan Boubaker","Mohammed H. Aref"],"abstract":"Background: Rhabdomyosarcoma (RMS) is a malignant childhood tumor that most commonly involves the skeletal muscles of the head and neck, genitourinary tract, limbs, and, rarely, the spine. Case Description: A 19-year-old male presented with cauda equina symptoms. Magnetic resonance imaging showed a C7/T1 homogeneously enhancing lesion, causing pathological fracture of the T1. Similar lesions were found on T3 and S1-S2 levels. CT-guided biopsy and immunohistochemistry confirmed the diagnosis of highly malignant alveolar RMS. He underwent multi-level laminectomies with partial tumor debulking but was paraplegic postoperatively. Conclusion: Spinal RMS rarely involves the soft tissues of the spine and should be surgically resected if feasible. Nevertheless, the long-term prognosis is poor regarding tumor recurrence and metastases.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/ed137df1-9f1c-4e76-8ce6-4c0a19b93de3/featured/hero-1781560430621.png","publishDate":"2023-03-24T00:00:00.000Z","doi":"10.25259/SNI_185_2023","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2023/03/12214/SNI-14-99.pdf"}