SPINAL EXTRADURAL LEIOMYOMA IN A PEDIATRIC-PATIENT WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME - CASE-REPORT

OBJECTIVE AND IMPORTANCE: We report a case of two separate cervicothor acic, extradural leiomyomas occurring in a male pediatric patient with acquired immunodeficiency syndrome (AIDS). To our knowledge, such a c ase has never been reported in the literature. CLINICAL PRESENTATION: A 9-year-old male patient with AIDS presented with progressive leg wea kness. At examination, he was myelopathic with paraparesis and a T4 se nsory level to pinprick. A magnetic resonance image revealed two separ ate cervicothoracic lesions causing cord compression. INTERVENTION: Th e patient underwent resection of both lesions. Postoperatively, he reg ained normal strength in his legs and was discharged home after 2 week s. CONCLUSION: With the ever-growing number of pediatric patients with AIDS, this entity will likely be encountered with increasing frequenc y in the future. Because of the potential for neurological recovery an d cure, the neurosurgeon should be cognizant of this entity.