{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,9]],"date-time":"2024-08-09T01:36:49Z","timestamp":1723167409473},"reference-count":23,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["SPI"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>Primary synovial sarcoma originating from the cauda equina is extremely rare. Only one case, involving an 11-year-old girl, has been reported. The authors describe the case of a 23-year-old woman with a primary synovial sarcoma of the cauda equina.<\/jats:p><jats:p>The patient visited a local hospital and described a 2-month history of low-back pain. She was referred to the authors' hospital for further evaluation. On physical examination, she had a straight\u2013leg raising result of 70\u00b0 bilaterally. Motor examination revealed Grade 4\/5 strength in the bilateral extensor hallux longus muscles. There was normal sensation to light touch and vibration in the lower extremities. Sagittal Gd-enhanced T1-weighted MR imaging demonstrated an intradural, extramedullary, and uniformly enhancing mass that extended from L-3 to L-4. The mass was totally resected and adjuvant local radiation therapy was administered. Reverse transcriptase polymerase chain reaction (RT-PCR) of a paraffin-embedded tissue sample revealed<jats:italic>SYT-SSX<\/jats:italic>fusion transcripts, and the diagnosis of synovial sarcoma was confirmed. Five and a half years after surgery, the patient is free of local recurrence and metastatic disease. The RT-PCR detection of<jats:italic>SYT-SSX<\/jats:italic>fusion transcripts played a key role in establishing the diagnosis of synovial sarcoma of the cauda equina. Complete resection of the mass with adjuvant local radiation therapy proved to be effective.<\/jats:p>","DOI":"10.3171\/2011.10.spine11359","type":"journal-article","created":{"date-parts":[[2011,11,18]],"date-time":"2011-11-18T14:50:03Z","timestamp":1321627803000},"page":"187-190","source":"Crossref","is-referenced-by-count":4,"title":["Synovial sarcoma of the cauda equina"],"prefix":"10.3171","volume":"16","author":[{"given":"Ikuho","family":"Yonezawa","sequence":"first","affiliation":[{"name":"1Departments of Orthopaedic Surgery and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsuyoshi","family":"Saito","sequence":"additional","affiliation":[{"name":"2Human Pathology, Juntendo University School of Medicine, Tokyo; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daishi","family":"Nakahara","sequence":"additional","affiliation":[{"name":"1Departments of Orthopaedic Surgery 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