Cervical intramedullary spinal cavernoma in setting of unresolved myelopathy: A case report.

Autor: Nwachuku E; Department of Neurosurgery, University of Pittsburgh Medical Center, Pennsylvania, United States., Duehr J; Department of Neurosurgery, University of Pittsburgh School of Medicine, Pennsylvania, United States., Kulich S; Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States., Marker D; Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States., Moossy J; Department of Neurosurgery, University of Pittsburgh Medical Center, Pennsylvania, United States.
Jazyk: angličtina
Zdroj: Surgical neurology international [Surg Neurol Int] 2020 Jul 04; Vol. 11, pp. 176. Date of Electronic Publication: 2020 Jul 04 (Print Publication: 2020).
DOI: 10.25259/SNI_87_2020
Abstrakt: Background: Spinal cavernous malformations are rare, accounting for approximately 5-12% of all spinal cord vascular lesions. Fortunately, improvements in imaging technologies have made it easier to establish the diagnosis of intramedullary spinal cavernomas (ISCs).
Case Description: Here, we report the case of a 63-year-old male with an >11-year history of left-sided radiculopathy, ataxia, and quadriparesis. Initially, radiographic findings were interpreted as consistent with spondylotic myelopathy with cord signal changes from the C3-C7 levels. The patient underwent a C3-C7 laminectomy/foraminotomy with instrumentation. It was only after several symptomatic recurrences and repeated magnetic resonance images (MRI) that the diagnosis of a ventrally-located intramedullary lesion, concerning for a cavernoma, at the level C6 was established.
Conclusion: Early and repeated enhanced MR studies may be required to correctly establish the diagnosis and determine the optimal surgical management of ISCs.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2020 Surgical Neurology International.)
Databáze: MEDLINE
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