A Coexisting Adjacent Intradural and Extradural Spinal Cavernoma: A Rare Case.
Autor: | Jacob KJ; Department of Trauma and Orthopaedics, Worcestershire Acute Hospitals NHS Trust, Worcester, GBR.; Department of Neurosurgery, Salford Royal NHS Foundation Trust, Manchester, GBR., Rasheed OW; Department of Neurosurgery, Salford Royal NHS Foundation Trust, Manchester, GBR., Abdelaal A; Department of Neurosurgery, Salford Royal NHS Foundation Trust, Manchester, GBR., George KJ; Department of Neurosurgery, Salford Royal NHS Foundation Trust, Manchester, GBR. |
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Jazyk: | angličtina |
Zdroj: | Cureus [Cureus] 2024 Oct 30; Vol. 16 (10), pp. e72685. Date of Electronic Publication: 2024 Oct 30 (Print Publication: 2024). |
DOI: | 10.7759/cureus.72685 |
Abstrakt: | A 34-year-old female patient, with no comorbidities, presented with complaints of upper back pain across the shoulders, with altered sensation on the left side from trunk to lower limb, which was associated with reduced motor function and an acute symptom of urinary retention. On examination, there was reduced power in the left lower limb, reduced anal tone, a positive Babinski sign bilaterally, and reduced sensation in the perianal region. Serial magnetic resonance imaging (MRI) scans were conducted, where initially an upper thoracic lesion suggestive of an intramedullary cavernoma was found, and nearly a decade later, an adjacent extradural lesion causing cord compression was found incidentally through a surgical procedure. The extradural lesion was removed, and the histology confirmed a cavernoma. In our report, we try to explain a rare case of a patient with co-existing extradural and intradural cavernomas within the spinal cord at different levels. If the patient is symptomatic, a detailed workup plan, along with diagnostic modalities, is needed for further management. Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Jacob et al.) |
Databáze: | MEDLINE |
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