The Slowly Enlarging Ventriculus Terminalis
| Autor: | Joel Woodley-Cook, Magdalena Konieczny, Julian Spears |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Neurosurgery Case Report cerebral ventricles Cerebral Ventricles 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Spinal cord compression spinal cord compression medicine Spinal canal neurosurgery business.industry neuroradiography medicine.disease Low back pain Symptomatic relief Surgery Conus medullaris medicine.anatomical_structure Ventriculus terminalis Neuroradiography Cerebral ventricle medicine.symptom business Spinal Cord Compression 030217 neurology & neurosurgery |
| Zdroj: | Polish Journal of Radiology |
| ISSN: | 0137-7183 |
| DOI: | 10.12659/pjr.895669 |
| Popis: | Summary Background A cerebral spinal fluid (CSF) cavity within the conus medullaris has been described by the term ventriculus terminalis (VT) or the fifth ventricle. The finding of a VT on MRI imaging of the lumbar spine is often incidental but may be found in patients with low back pain or neuromuscular deficits. These lesions, when identified, are thought to regress or remain stable in terms of size, although some have been described to enlarge in the presence of post-traumatic meningeal hemorrhages or deformities of the vertebral canal. Case Report We describe a case of a slowly growing VT in a patient with progressing lower limb weakness without any history or imaging findings of trauma or spinal canal abnormalities. Conclusions We present an intriguing case of a slowly growing VT in a woman with progressive neurological symptoms. Surgical fenestration provided complete symptomatic relief and follow-up imaging two years after surgery demonstrated no evidence of recurrence. This, to our knowledge, is the first described case of a slowly enlarging VT independent of any other imaging findings. |
| Databáze: | OpenAIRE |
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