scholarly journals A rare case of thoracic spinal intradural extramedullary enterogenous cyst with acute onset: case report and literature review

2019 ◽  
Vol 101 (6) ◽  
pp. e142-e146 ◽  
Author(s):  
CX Liu ◽  
B Meng ◽  
YB Li ◽  
H Bai ◽  
ZX Wu
Keyword(s):  
Rare Case ◽  
Acute Onset ◽  
Neurenteric Cyst ◽  
Enterogenous Cyst ◽  
Diagnosis And Prognosis ◽  
Thoracic Spinal ◽  
Spinal Segments ◽  
Intradural Extramedullary ◽  
Radicular Symptoms ◽  
Progressive Weakness

The intraspinal enterogenous cyst, also called an neurenteric cyst, is a rare congenital disease. It was reported to be local to the C1 to L2 spinal segments, with the majority located in the cervicothoracic region. Most patients present with symptoms of progressive focal pain, myelopathic signs or radicular symptoms. We report a rare case of thoracic spinal intradural extramedullary enterogenous cyst with rapidly progressive weakness of both lower extremities. Additionally, we analysed the literature concerning the clinical features, diagnosis and prognosis of this disease.

Concurrent Thoracic Spinal Intradural Extramedullary Epidermoid and Neurenteric Cyst in a Spinal Dysraphism Child

2021 ◽  
pp. 1-7
Author(s):  
Rajeev Sharma ◽  
Swati Mahajan ◽  
Minakshi Bhardwaj ◽  
Laxmi Naraian Gupta ◽  
Deepak Gupta
Keyword(s):  
Surgical Planning ◽  
English Literature ◽  
Spinal Dysraphism ◽  
Neurenteric Cyst ◽  
Germ Layers ◽  
Case Presentation ◽  
Spinal Lesions ◽  
Congenital Origin ◽  
Thoracic Spinal ◽  
Intradural Extramedullary

<b><i>Introduction:</i></b> Intraspinal epidermoid cysts are congenital or acquired in origin; whereas intraspinal neurenteric cysts (NECs) are of congenital origin. Their individual association with spinal dysraphism and vertebral segmentation anomalies is very well known. <b><i>Case presentation:</i></b> We hereby report a case of concurrent intradural extramedullary epidermoid and NEC at adjacent vertebral levels in a spinal dysraphism child, not reported in English Literature till now. <b><i>Conclusion:</i></b> Multiple spinal lesions related to any/all of the 3 germ layers can coexist at same or adjacent vertebral levels in the same patient and surgical planning shown to be done accordingly.

scholarly journals Selective innervation of upper and lower thoracic spinal segments by medullary raphe neurons in felines

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Laura Carlino ◽  
Sarah A Weber ◽  
Michael F Gowen ◽  
Bill J Yates
Keyword(s):  
Thoracic Spinal ◽  
Medullary Raphe ◽  
Spinal Segments ◽  
Raphe Neurons

scholarly journals Intramedullary spinal cysticercosis simulating a conus medullaris tumor: case report

2006 ◽  
Vol 64 (1) ◽  
pp. 149-152 ◽  
Author(s):  
José Fernando Guedes-Corrêa ◽  
Ricardo Caratta Macedo ◽  
Rafael Pereira Vaitsman ◽  
Jorge Gomes de Mattos ◽  
Jovita Marques Agra
Keyword(s):  
Spinal Cord ◽  
Daily Living ◽  
Conus Medullaris ◽  
Acute Onset ◽  
Pathological Examination ◽  
Low Back ◽  
The Central Nervous System ◽  
Intradural Extramedullary ◽  
Magnetic Resonance Imaging Mri

Cysticercosis is an endemic condition in many developing countries. Although it is the most common parasitic disease of the central nervous system, cysticercal involvement of the spinal cord is rare. It may occur as intradural extramedullary, intramedullary, intramedullary associated with intradural-extramedullary or as the vertebral presentation. We report the case of a 53-year-old woman who presented with low back pain of acute onset and no other symptoms. Magnetic resonance imaging (MRI) showed an intramedullary cyst of the conus medullaris region which, at pathological examination, was diagnosed as a cysticercal cyst. She refused anticysticercal agents and steroids postoperatively. After an eight-year follow-up, the patient performs the activities of her daily living with no difficulties, and annual spinal MRIs show no residual signs of the disease. Clinical, pathofisiological, diagnostic and therapeutic aspects of spinal cord intramedullary cysticercosis are discussed.

A rare case of extradural neurenteric cyst with supratentorial and infratentorial extension

2010 ◽  
Vol 152 (11) ◽  
pp. 1957-1959 ◽  
Author(s):  
Rajesh S. Reddy ◽  
Mudumba Vijayasaradhi ◽  
Megha S. Uppin ◽  
Sundaram Challa
Keyword(s):  
Rare Case ◽  
Neurenteric Cyst

A rare case of intradural extramedullary Ewing's sarcoma in the cervical region

2019 ◽  
Vol 67 (6) ◽  
pp. 1543
Author(s):  
Ketan Desai ◽  
AnshuC Warade ◽  
AshishK Jha ◽  
Sanjeev Pattankar ◽  
Chitra Madiwale ◽  
...  
Keyword(s):  
Rare Case ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Cervical Region ◽  
Intradural Extramedullary

scholarly journals Cervical spine intradural-extramedullary hematoma presenting as ipsilateral hemiparesis

2011 ◽  
Vol 3 (2) ◽  
pp. 8
Author(s):  
Chih Ming Lin
Keyword(s):  
Cervical Spine ◽  
Thrombolytic Therapy ◽  
Cervical Spinal Cord ◽  
The Elderly ◽  
Clinic Visit ◽  
Acute Onset ◽  
Common Symptom ◽  
History Taking ◽  
Massage Treatment ◽  
Intradural Extramedullary

A 75-year-old Taiwanese man suffered from acute onset of right-sided extremity weakness while talking to his neighbors. He was transferred to the hospital within three-hour time after symptom onset. Initial acute ischemic cerebral infarct was diagnosed based on his symptom and cerebral computed tomography. Thrombolytic therapy was held after his symptom improved promptly and could not excluded other etiology. Thorough history taking unraveled previous Chinese medicine clinic visit because of neck sore. However, he received limited improvement after several times of massage treatment. Magnetic resnance imaging (MRI) of the cervical spine demonstrated hematoma compressing right side intradural-extramedullary space at the C2/C3 level. Through his clinical course, muscle weakness was the sole neurological finding with sparing of sensory defects. Given the close anatomy relationship between sensory and motor lamina distribution in the cervical spinal cord, our patient presented a rare manifestation. Cases of cervical spine intradural-extramedullary hematoma are not often seen and only sporadic in the documented literature. We wish, through the report of this article, to inform the first- line physicians with the following information. Among the elderly, neck sore is a common symptom. Over- stretching or overt local massage is not suggested due to relatively fragile musculature. In the clinical diagnosis and localization of lesion, cerebral or cervical spine lesion could mimic with each other and manifest hemiparesis as their first symptom. Meticulous history taking, neurological/ physical examination and pertinent laboratory work-up should be done before initiation of intravenous thrombolytic therapy as it could cause catastrophic consequences if not used properly.

Ligamentum flavum hematoma in the rigid thoracic spinal segments

2005 ◽  
Vol 2 (4) ◽  
pp. 495-497 ◽  
Author(s):  
Naohisa Miyakoshi ◽  
Yoichi Shimada ◽  
Kyoji Okada ◽  
Michio Hongo ◽  
Yuji Kasukawa ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Ligamentum Flavum ◽  
Facet Joint ◽  
Axial Stress ◽  
Spinal Nerve ◽  
Content Type ◽  
First Case ◽  
Thoracic Spinal ◽  
Thoracolumbar Region ◽  
Spinal Segments

✓ Ligamentum flavum hematoma, a rare cause of spinal nerve root and canal compression, typically occurs in the mobile lumbar spine segments. A thoracic ligamentum flavum hematoma is extremely rare—only one such case of a thoracolumbar (T11–12) lesion has been reported. The thoracolumbar region with its floating ribs, however, is structurally and biomechanically similar to the lumbar spine and its mobility is greater than the higher thoracic levels. To the best of their knowledge, the authors report the first case of a ligamentum flavum hematoma in the region of the rigid thoracic spinal segments with the contiguous rib cage. A symptomatic T9–10 ligamentum flavum hematoma is described in the case of a 66-year-old woman with compensatory thoracic lordosis secondary to the lumbar degenerative kyphosis. The hematoma was removed and the diagnosis was histologically confirmed. The authors speculate that thoracic lordosis might have contributed to the development of the hematoma because the ligamentum flavum and the facet joint were subjected to greater axial stress than in individuals with normal spinal alignment.

scholarly journals Psammomatous Thoracic spinal meningioma with osseous metaplasia: A very rare case report

2020 ◽  
Vol 9 (2) ◽  
pp. 142-145
Author(s):  
KM Tarikul Islam ◽  
Soumen Samadder ◽  
Nazmin Ahmed ◽  
Shamsul Alam ◽  
Moududul Haque ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Rare Case ◽  
Neurological Injury ◽  
Osseous Metaplasia ◽  
Surgical Removal ◽  
Spinal Meningioma ◽  
Mesenchymal Differentiation ◽  
Thoracic Spinal ◽  
Rare Case Report ◽  
Tomography Reconstruction

Thoracic spinal psammomatous meningioma is a rare subtype of meningioma. Amongdiverse types of mesenchymal differentiation, osseous metaplasia is found to be stillrarer. We are presenting a new case of thoracic psammomatous spinal meningiomawith osseous metaplasia in a middle aged female which that gives a sense of cancellousbone in the spinal canal. To conclude, meningiomas with osseous metaplasia are veryrare tumors that complicate the surgical removal in certain cases. Ossification, ifpredicted prior to operation with computed tomography reconstruction, makes planningof removal easier. In our case, maintained cerebrospinal fluid spaces despite firmconsistency of tumor made its removal easier once cerebrospinal fluid was drained.We have submitted this article because it is very rare and curable pathology andpreoperative diagnosis helps in prevention of neurological injury during its excision Bang. J Neurosurgery 2020; 9(2): 142-145

scholarly journals CS-03 LARGE CYSTIC INTRADURAL SCHWANNOMA IN CERVICAL REGION: A CASE REPORT

2019 ◽  
Vol 1 (Supplement_2) ◽  
pp. ii38-ii38
Author(s):  
Yuki Takeshima ◽  
Tatsuya Takezaki ◽  
Tadashi Hamasaki ◽  
Seiji Tajiri ◽  
Akitake Mukasa
Keyword(s):  
Histopathological Examination ◽  
Tumor Resection ◽  
Cyst Formation ◽  
Cystic Mass ◽  
Cervical Region ◽  
Spinal Tumors ◽  
Neurenteric Cyst ◽  
Cystic Changes ◽  
Intradural Extramedullary ◽  
One Year

Abstract Schwannomas are the most common intradural extramedullary spinal tumors. However, they are usually solid tumors, and totally cystic changes are rare. Herein, we report a case of a 46-year-old male presenting with numbness of right limbs, right hemiplegia, and posterior neck pain for one year. MRI revealed a well-defined cystic long-segment, from C1 to C6, intradural extramedullary mass. The lesion showed hypointense on T1WI, hyperintense on T2WI, hyperintense on DWI, and it was marginally enhanced on the contrast image with Gd-DTPA. C1 laminectomy and hemi-laminectomy from C2 to C6 was performed for tumor resection. The tumor was found to be totally cystic and tensed with a jelly-like content. It was completely resected with the attachment of the C3 dorsal root. Histopathological examination confirmed it to be a schwannoma. The mechanism of cyst formation in schwannoma is considered as results of ischemic necrosis associated with tumor growth, or cystosis due to degeneration of Antoni-type B region. The long-segment, totally cystic intradural cervical schwannoma is rare, bit it should be included in the differential diagnosis of a cystic mass in the spinal region. It can be difficult to distinguish cystic spinal schwannomas from other cystic lesions like arachnoid cyst, epidermoid cyst, and neurenteric cyst. Contrast enhanced MRI is useful by enhancing the margin of the tumor.

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