Intramedullary histoplasmosis of the thoracic cord as an isolated lesion: A rare case report and literature review.

Autor: Piovesan EC; Department of Neurosurgery, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil., Silva WP; Department of Neurosurgery, São Vicente de Paulo Hospital, Passo Fundo, Rio Grande do Sul, Brazil., Mallmann AB; Department of Neurosurgery, São Vicente de Paulo Hospital, Passo Fundo, Rio Grande do Sul, Brazil., Guiroy AJ; Department of Spine Surgery, Clínica de Cuyo, Mendoza, Argentina., Carazzo CA; Department of Neurosurgery, University of Passo Fundo, Passo Fundo, Rio Grande do Sul, Brazil.; Department of Neurosurgery, São Vicente de Paulo Hospital, Passo Fundo, Rio Grande do Sul, Brazil.
Jazyk: angličtina
Zdroj: Surgical neurology international [Surg Neurol Int] 2023 Jun 08; Vol. 14, pp. 197. Date of Electronic Publication: 2023 Jun 08 (Print Publication: 2023).
DOI: 10.25259/SNI_399_2023
Abstrakt: Background: Disseminated histoplasmosis involving the central nervous system occurs in 5-10% of cases. However, intramedullary spinal cord lesions are extremely rare. Here, 45-year-old female with a T8-9 intramedullary lesion did well following surgical extirpation.
Case Description: For 2 weeks, a 45-year-old female experienced progressive lower back pain, paresthesias, and paraparesis. The magnetic resonance imaging showed an intramedullary expansive lesion at the T8-T9 level that markedly enhanced with contrast. Surgery, consisting of T8-T10 laminectomies performed using neuronavigation, an operating microscope, and intraoperative monitoring, revealed a well-demarcated lesion that proved to be a focus of histoplasmosis; it was readily completely excised.
Conclusion: Surgery is the gold standard for treating spinal cord compression attributed to intramedullary histoplasmosis unresponsive to medical management.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2023 Surgical Neurology International.)
Databáze: MEDLINE
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