scholarly journals A Rare Case of Infected Cervicodorsal Intramedullary Epidermoid Cyst

2020 ◽  
Author(s):  
Pawan Chawla ◽  
Milind Sankhe
Keyword(s):  
Spinal Cord ◽  
Epidermoid Cyst ◽  
Cervical Spinal Cord ◽  
Neurophysiological Monitoring ◽  
Dermal Sinus ◽  
Moderate Degree ◽  
Intermittent Fever ◽  
Intramedullary Spinal Cord ◽  
Intramedullary Lesion ◽  
Sinus Opening

Abstract Introduction  Intramedullary spinal epidermoid cysts have a reported incidence of less than 1% of intramedullary spinal cord tumors; and out of these, intramedullary epidermoid lesions within the cervical spinal cord are even rarer. Here, we present the case of an adult patient with an infected intramedullary epidermoid cyst, identified on magnetic resonance imaging (MRI) at the C7–D1 level that was successfully excised without any worsening of neurological status. Case Presentation A 23-year-old female patient presented with history of moderate degree intermittent fever followed by gradually progressive right-sided weakness. She had paresthesia below C5 dermatome on the right side. On close inspection of the back, a tiny sinus opening was noted at the D2 level near the midline. MRI of the spine showed an intramedullary lesion at the C6–D1 level with the tract connecting to the subcutaneous lesion. Somatosensory evoked potential (SSEP) monitoring was done during the surgery with near total excision of the lesion. Conclusion Even though the location is rare, a differential diagnosis of the epidermoid should always be considered. A tiny dermal sinus opening helped us in proper diagnosis, along with surgical excision, by providing us a direct path to the intramedullary lesion. An early diagnosis and treatment with neurophysiological monitoring helped us in the maximum safe resection of the lesion without developing any new deficit.

Surgical Removal of an Intramedullary Spinal Cord Foreign Body Granuloma in a Dog

2003 ◽  
Vol 39 (3) ◽  
pp. 306-310 ◽  
Author(s):  
Alenka Leskovar ◽  
Joan R. Coates ◽  
Karen E. Russell ◽  
Michael A. Walker ◽  
Ralph W. Storts
Keyword(s):  
Spinal Cord ◽  
Foreign Body ◽  
Cervical Spinal Cord ◽  
Outer Wall ◽  
Foreign Body Granuloma ◽  
Surgical Removal ◽  
Intramedullary Spinal Cord ◽  
Dorsal Midline ◽  
Intramedullary Lesion ◽  
Spinal Cord Segment

A 2-year-old, spayed female, mixed-breed dog was presented for evaluation of a progressive asymmetric tetraparesis and cranial nerve deficits with a 3-week duration. Computed tomography showed a contrast-enhancing lesion along the left side of the junction of the medulla and the cervical spinal cord. An exploratory surgery determined the presence of an intramedullary lesion of the first cervical spinal cord segment. The mass was removed through a dorsal midline myelotomy. Microscopic examination identified a foreign body granuloma that contained a dense, anisotropic outer wall, supporting the conclusion that the foreign body was of plant origin. The dog recovered to a more improved ambulatory status than prior to surgery.

scholarly journals Autonomic dysreflexia associated with cervical spinal cord gliofibroma: case report

BMC Neurology ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hiroyuki Mizuno ◽  
Fumiaki Honda ◽  
Hayato Ikota ◽  
Yuhei Yoshimoto
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Spinal Cord Tumor ◽  
Autonomic Dysreflexia ◽  
Tumor Biopsy ◽  
Intramedullary Lesion ◽  
First Case ◽  
Cord Injury ◽  
Paroxysmal Hypertension ◽  
Upper And Lower Extremities

Abstract Background Autonomic dysreflexia (AD) is an abnormal reflex of the autonomic nervous system normally observed in patients with spinal cord injury from the sixth thoracic vertebra and above. AD causes various symptoms including paroxysmal hypertension due to stimulus. Here, we report a case of recurrent AD associated with cervical spinal cord tumor. Case presentation The patient was a 57-year-old man. Magnetic resonance imaging revealed an intramedullary lesion in the C2, C6, and high Th12 levels. During the course of treatment, sudden loss of consciousness occurred together with abnormal paroxysmal hypertension, marked facial sweating, left upward conjugate gaze deviation, ankylosis of both upper and lower extremities, and mydriasis. Seizures repeatedly occurred, with symptoms disappearing after approximately 30 min. AD associated with cervical spinal cord tumor was diagnosed. Histological examination by tumor biopsy confirmed the diagnosis of gliofibroma. Radiotherapy was performed targeting the entire brain and spinal cord. The patient died approximately 3 months after treatment was started. Conclusions AD is rarely associated with spinal cord tumor, and this is the first case associated with cervical spinal cord gliofibroma. AD is important to recognize, since immediate and appropriate response is required.

Thoracic spinal iophendylate-induced arachnoiditis mimicking an intramedullary spinal cord neoplasm

2008 ◽  
Vol 8 (3) ◽  
pp. 292-294 ◽  
Author(s):  
Steven W. Hwang ◽  
Rafeeque A. Bhadelia ◽  
Julian Wu
Keyword(s):  
Spinal Cord ◽  
Magnetic Resonance ◽  
Unusual Case ◽  
Magnetic Resonance Images ◽  
Intramedullary Spinal Cord ◽  
Intramedullary Lesion ◽  
Thoracic Spinal

✓Iophendylate (Pantopaque or Myodil) was commonly used from the 1940s until the late 1980s for myelography, cisternography, and ventriculography. Although such instances are rare, several different long-term sequelae have been described in the literature and associated with intrathecal iophendylate. The authors describe an unusual case of arachnoiditis caused by residual thoracic iophendylate imitating an expansile intramedullary lesion on magnetic resonance images obtained 30 years after the initial myelographic injection.

Diagnostic Utility of Intraoperative Neurophysiological Monitoring for Intramedullary Spinal Cord Tumors

2018 ◽  
Vol 31 (3) ◽  
pp. 112-119 ◽  
Author(s):  
Tej D. Azad ◽  
Arjun V. Pendharkar ◽  
Viet Nguyen ◽  
James Pan ◽  
Ian D. Connolly ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Intraoperative Neurophysiological Monitoring ◽  
Neurophysiological Monitoring ◽  
Diagnostic Utility ◽  
Spinal Cord Tumors ◽  
Intramedullary Spinal Cord

scholarly journals Isolated Solitary Intramedullary Spinal Cord Metastasis Presenting as the First Manifestation of Small-Cell Lung Cancer: Report of a Rare Case

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Yusuf Kurtuluş Duransoy ◽  
Mesut Mete ◽  
Mehmet Selçuki ◽  
Aydın Işisağ
Keyword(s):  
Spinal Cord ◽  
Whole Body ◽  
Resonance Imaging ◽  
Intramedullary Spinal Cord ◽  
Spinal Magnetic Resonance Imaging ◽  
Intramedullary Lesion ◽  
Positron Emission ◽  
Spinal Cord Metastasis ◽  
Primary Focus ◽  
Intramedullary Spinal Cord Metastasis

Background. Intramedullary spinal cord metastases presenting as the first manifestation of malignancies are extremely rare lesions.Case Description. The authors report a 74-year-old woman who presented with an isolated intramedullary spinal cord metastasis which presents as first manifestation of malignancy without central nervous system and/or other organ involvement. She went under surgery, and after histopathological evaluation, primary focus was determined in lung in positron emission tomography. She is still alive after 9 months since the first diagnosis of primary focus.Conclusion. In patients with solitary intramedullary lesion in the spinal magnetic resonance imaging, whole-body investigation might help for diagnosis of primary focus and approach to treatment.

scholarly journals Cervical corpectomy for resection of ventral intramedullary capillary hemangioma with circumferential involvement of the anterior spinal artery: case report

2018 ◽  
Vol 29 (2) ◽  
pp. 144-149 ◽  
Author(s):  
Jonathan A. Forbes ◽  
Nathan Teschan ◽  
Samuel Hayden Jones ◽  
Phillip Parry ◽  
Luke Simonet ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Anterior Approach ◽  
Cervical Spinal Cord ◽  
Vascular Lesion ◽  
Capillary Hemangioma ◽  
Anterior Spinal Artery ◽  
Left Shoulder ◽  
Left Hand ◽  
Neurological Outcomes ◽  
Intramedullary Lesion

There is limited evidence to suggest that anterior approaches for the resection of ventral intramedullary lesions of the cervical spinal cord may result in superior neurological outcomes compared with those following more traditional posterior approaches. To the authors’ knowledge, no report of an anterior approach to resect a ventral intramedullary capillary hemangioma exists in the literature. In the following paper, the case of a 75-year-old male who presented with progressive neck and left shoulder pain, weakness of the left hand, myelopathy, and gait imbalance is reported. Postcontrast T1-weighted MRI demonstrated a homogeneously enhancing intramedullary lesion with associated severe impingement of the cervical spinal cord at C-4. Following a C-4 corpectomy, intradural exposure revealed a vascular lesion that circumferentially enveloped the anterior spinal artery. Gross-total resection of the lesion was performed, followed by reconstruction of the corpectomy defect, without neurological deterioration. Pathology was consistent with capillary hemangioma. In this instance, the anterior approach helped to avoid unnecessary neural manipulation and allowed for early identification of normal proximal and distal segments of the anterior spinal artery, which facilitated safe dissection and gross-total removal.

Large intramedullary abscess of the spinal cord associated with an epidermoid cyst without dermal sinus

2007 ◽  
Vol 7 (3) ◽  
pp. 357-361 ◽  
Author(s):  
Rüdiger Gerlach ◽  
Michael Zimmermann ◽  
Elvis Hermann ◽  
Matthias Kieslich ◽  
Stefan Weidauer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Epidermoid Cyst ◽  
Relevant Literature ◽  
Systemic Infection ◽  
Signs And Symptoms ◽  
Dermal Sinus ◽  
Imaging Features ◽  
Intramedullary Abscess ◽  
First Case ◽  
The Central Nervous System

✓ An intramedullary abscess of the spinal cord (IASC) represents a rare disease associated with a potentially devastating outcome. Few cases involving children suffering from an IASC have been reported in the neurosurgical literature. In the majority of the reported pediatric cases there were either congenital abnormalities, such as a dermal sinus, or signs of local infections leading to a secondary hemopoietic spread. The authors report the case of an 18-month-old girl with an extensive IASC associated with an epidermoid cyst extending from T-11 to S-2 without evidence of a dermal sinus or history of clinically apparent systemic infection. To their knowledge, this is the first case report of an IASC without a condition facilitating either direct contamination via a dermal sinus or hemopoietic spread from an infectious focus outside the central nervous system. Signs and symptoms, the clinical course, and imaging features are discussed and the relevant literature is reviewed.

Sign in / Sign up

Export Citation Format

Share Document