Cervical intramedullary spinal cavernoma in setting of unresolved myelopathy: A case report
| Autor: | John Moossy, Daniel F. Marker, Scott M. Kulich, James Duehr, Enyinna L. Nwachuku |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Cord medicine.medical_treatment Case Report Excision law.invention Intramedullary rod 03 medical and health sciences Myelopathy 0302 clinical medicine law Foraminotomy Cervical spine Diagnosis medicine medicine.diagnostic_test business.industry Laminectomy Intramedullary spinal cavernoma Magnetic resonance imaging Spinal cord medicine.disease Cavernous malformations Myelotomy medicine.anatomical_structure Magnetic resonance 030220 oncology & carcinogenesis Surgery Neurology (clinical) Radiology business Complex surgery 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.25259/sni_87_2020 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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