Affiliations: Department of Neurosurgery, University Hospital
Mohammed VI Marrakesh, Marrakesh, Morocco | Department of Anatomic Pathology, University Hospital
Mohammed VI Marrakesh, Marrakesh, Morocco
Note: [] Correspondence: Mohamed Lmejjati, M.D., University Hospital
Mohammed VI Marrakesh, Faculty of Medicine, Department of Neurosurgery,
B.P:7010 sidi Abbad 40000, Marrakesh, Morocco. Tel.: +212 61 30 67 61 and +212
24 34 11 28; E-mail: otalmejjati@yahoo.fr
Abstract: We describe a rare case of the spinal cord compression by a primary
Ewing sarcoma of the thoracolumbar spine. A 16-year-old boy was admitted with
back pain for 2 month and inability to walk for 15 days. At the presentation,
he had paraparesis and bilateral hypoesthesia below the T12 level, without
sphincter dysfunction. Thoracolumbar spine magnetic resonance imaging showed an
involved vertebral body mass of the L1 extending in the epidural space with an
extension into the prevertebral area. The mass was totally removed by the
anterolateral approach. Histopathological examination revealed Ewing sarcoma.
Although his infrequency, such a primary Ewing sarcoma of the vertebral column
should be suspected for lesion causing a spinal cord compression particularly
in the children and adolescent that the treatment protocol included a three
main modalities: surgery, radiotherapy and chemotherapy.
Keywords: Vertebra, Ewing sarcoma, imaging, surgery
