Thoracic intramedullary arachnoid cyst in an infant

2009 ◽  
Vol 3 (2) ◽  
pp. 132-136 ◽  
Author(s):  
Fabian Medved ◽  
Marcel Seiz ◽  
Marc-Oliver Baur ◽  
Eva Neumaier-Probst ◽  
Jochen Tuettenberg
Keyword(s):  
Arachnoid Cyst ◽  
Complete Resolution ◽  
Cystic Lesion ◽  
Histopathological Examination ◽  
Cord Compression ◽  
Age Group ◽  
Resonance Imaging ◽  
Postoperative Course ◽  
Sudden Loss ◽  
Intramedullary Lesion

Symptomatic intramedullary arachnoid cysts are rare, especially in children; these lesions are rarely described as a cause of spinal cord compression in this age group. The authors report on an 18-month-old boy who experienced a sudden loss of his ability to stand and walk due to a paraparesis. Magnetic resonance imaging of the spine exhibited a cystic intramedullary lesion at the level of T5–6. A hemilaminectomy was performed, and after myelotomy the cystic lesion was decompressed by fenestration to the subarachnoid space. The histopathological examination verified the diagnosis of an arachnoid cyst. In the postoperative course the boy experienced complete resolution of the initial paraparesis.

Trichinoechinococcosis T-5

2000 ◽  
Vol 92 (2) ◽  
pp. 225-228 ◽  
Author(s):  
H. S. Bhatoe ◽  
S. S. Bakshi ◽  
G. L. N. Swamy
Keyword(s):  
Magnetic Resonance Imaging ◽  
Cystic Lesion ◽  
Histopathological Examination ◽  
Cord Compression ◽  
Resonance Imaging ◽  
Thoracic Spinal Cord ◽  
Content Type ◽  
Remarkable Improvement ◽  
Thoracic Spinal ◽  
Fine Print

✓ Echinococcosis affecting the spine is rare. The authors present the case of a 23-year-old man in whom features of thoracic spinal cord compression were demonstrated. Magnetic resonance imaging of the thoracic spine revealed an extradural cystic lesion involving the spine and paraspinal musculature. At surgery echinococcosis was confirmed, and subsequent histopathological examination also revealed Trichinella infestation of the paraspinal musculature. After undergoing decompressive surgery and albendazole therapy, the patient made a remarkable improvement. Although primary echinococcosis can affect the spine, concomitant infestation with Trichinella has not been reported. Surgery has to be followed by albendazole therapy.

Spinal echinococcal cyst: treatment using computerized tomography—guided needle aspiration and hypertonic saline irrigation

1997 ◽  
Vol 87 (3) ◽  
pp. 464-467 ◽  
Author(s):  
Sergey Spektor ◽  
John M. Gomori ◽  
Liana Beni-Adani ◽  
Shlomo Constantini
Keyword(s):  
Spinal Cord ◽  
Hypertonic Saline ◽  
Computerized Tomography ◽  
Spinal Cord Compression ◽  
Complete Resolution ◽  
Needle Aspiration ◽  
Cord Compression ◽  
Resonance Imaging ◽  
Saline Irrigation ◽  
Content Type

✓ A multilocular extradural cervical spinal hydatid cyst that causes severe spinal cord compression and quadriplegia is relatively rare and difficult to treat. In a patient with this disorder, computerized tomography—guided needle aspiration of the cyst loculations and irrigation using hypertonic saline eliminated the need for emergency surgery and provided complete resolution of the patient's quadriplegia. The subsequent course of the disease was controlled by treatment with albendazole. Magnetic resonance imaging performed 4 months after the procedure demonstrated collapsed cysts and absence of spinal cord compression.

Complete removal of an intraspinal and extraspinal cervical chordoma in one stage using the lateral approach

2006 ◽  
Vol 5 (5) ◽  
pp. 471-475 ◽  
Author(s):  
Cédric Barrey ◽  
Ghislaine Saint-Pierre ◽  
Didier Frappaz ◽  
Marc Hermier ◽  
Carmine Mottolese
Keyword(s):  
Histopathological Examination ◽  
Complete Removal ◽  
Radicular Pain ◽  
Lateral Approach ◽  
Complete Resection ◽  
Resonance Imaging ◽  
Postoperative Course ◽  
One Stage ◽  
Cervical Chordoma ◽  
Posterior Anterior

✓The authors describe a precise surgical technique in which a large intraspinal and extraspinal, multivertebral, cervical chordoma was completely removed in one stage using the lateral approach. The patient in this case was a 29-year-old woman who presented with signs of radicular pain in the left C-3 area. Computed tomography and magnetic resonance imaging demonstrated a large intra- and extraspinal multivertebral tumor from C-2 to C-5, a finding that suggested a cervical chordoma. The tumor was completely removed in one stage using the lateral approach while controlling the vertebral artery (VA), and a partial corporectomy of C2–5 was also performed. Results from a postoperative histopathological examination confirmed that the tumor was a typical chordoma. The patient’s postoperative course was uneventful. Cervical chordomas are typically excised using a posterior–anterior surgical approach with partial resection of the tumor. The lateral approach was appropriate in this patient for complete resection in one stage, because it enabled the surgeons to control the VA and access both extraspinal and intraspinal components of the chordoma.

scholarly journals Intramedullary Cervical Tuberculoma: A Case Report With Note on Surgical Management

2015 ◽  
Vol 100 (1) ◽  
pp. 133-136 ◽  
Author(s):  
Hong-Bin Ju ◽  
Dong-Ming Guo ◽  
Fan-Fan Chen
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Symptoms ◽  
Previous History ◽  
Mass Effect ◽  
Cord Compression ◽  
Cervical Cord ◽  
Resonance Imaging ◽  
Intramedullary Lesion ◽  
The Right

Abstract This study aims to report a relatively rare entity—intramedullary tuberculum of cervical spine—and describe its management and some key learning points. Intramedullary tuberculomas are rare entities. Intramedullary tuberculoma is most commonly found in the thoracic cord of a patient and is rarely seen in the cervical cord. We present an intramedullary cervical tuberculoma in a 21-year-old patient with finding of spinal cord compression. All 4 limbs were spastic, with grade 1 power on the right side and grade 3 power on the left side. Sensory deficit was found below the C6 level. Magnetic resonance imaging showed an intramedullary lesion at the C5 to C6 levels. Intramedullary tuberculoma was diagnosed based on clinical symptoms, physical examination, previous history, and magnetic resonance imaging. A C5 to C7 laminectomy was performed. Intramedullary tuberculoma was resected by microsurgery. One year after the surgery, strength returned to normal grade 5. Excellent clinical outcome was obtained with a combination of both medical and surgical treatments. Intramedullary cervical tuberculoma should be removed without delay to eliminate any mass effect on the neurons as soon as possible.

scholarly journals Functional Magnetic Resonance Imaging in Granulosa Cell Tumour of the Ovary: A Case Report

2021 ◽  
Author(s):  
Pratiksha Yadav ◽  
Rubab K Sekhon ◽  
Muralinath Krishnarjun ◽  
Khushali D Parikh ◽  
Shirish S Chandanwale
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Granulosa Cell ◽  
Cystic Lesion ◽  
Histopathological Examination ◽  
Interesting Case ◽  
Cell Tumour ◽  
Granulosa Cell Tumour ◽  
Resonance Imaging ◽  
Inferior Aspect

Granulosa Cell Tumour (GCT) is a rare malignant ovarian tumour. Adult GCT variety is more common than juvenile variety and occurs usually in postmenopausal women. It showed a spectrum of the imaging findings due to various histological appearances. It may present with solid masses, multilocular cystic lesion or completely cystic lesion. Here, authors present an interesting case of a 27-year-old young female, who presented with a large lump in the abdomen. On Magnetic Resonance Imaging (MRI) there was a large well-defined, multilocular cystic lesion at superior aspect of the lesion and complex cystic, solid mass at inferior aspect. Functional MRI like diffusion weighted imaging which provides good image contrast helped in determining the malignancy despite a benign diagnosis on ultrasound guided biopsy and furthering the patient for histopathological examination to come to a final diagnosis.

scholarly journals Intramedullary Neurocysticercosis Mimicking Cord Tumor

2020 ◽  
Vol 10 ◽  
pp. 7
Author(s):  
Kamlesh Jobanputra ◽  
Karuna Raj ◽  
Frank Yu ◽  
Amit Agarwal
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Improvement ◽  
Patient Population ◽  
Cystic Lesion ◽  
Cervical Cord ◽  
Resonance Imaging ◽  
Intramedullary Lesion ◽  
Intracranial Lesions ◽  
Cord Lesion

Isolated spinal intramedullary involvement by neurocysticercosis is extremely rare. We report a case of a Hispanic female with right-sided weakness, magnetic resonance imaging showing cervical intramedullary lesion. Surgery was performed due to the progressive nature of symptoms. The cervical cord lesion was completely removed; pathology was consistent with degenerated cysticercosis. Progressive clinical improvement with physiotherapy was achieved. Although rare, especially in the absence of intracranial lesions, the diagnosis should be considered in appropriate patient population as it usually presents a peripherally enhancing cystic lesion.

Expansive duraplasty for the treatment of spinal extradural arachnoid cysts

2006 ◽  
Vol 4 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Ken-ichiro Kikuta ◽  
Masato Hojo ◽  
Masanori Gomi ◽  
Nobuo Hashimoto ◽  
Kazuhiko Nozaki
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Arachnoid Cyst ◽  
Complete Resolution ◽  
Complete Resection ◽  
Imaging Features ◽  
Resonance Imaging ◽  
Dural Sac ◽  
Preoperative Magnetic Resonance ◽  
Extradural Arachnoid Cyst

✓ The authors report the case of a 25-year-old man with a thoracolumbar extradural arachnoid cyst who underwent expansive duraplasty. Symptoms, preoperative magnetic resonance imaging features, and intraoperative findings suggested the involvement of entrapment neuropathy in the manifestation of symptoms. To the authors’ knowledge, this case represents the first evidence that expansive duraplasty can achieve complete resolution of the symptoms in a patient with a spinal extradural arachnoid cyst. The results indicate that duraplasty may be an alternative option in cases in which complete resection of the lesion is difficult and widening of the dural sac is necessary at surgery.

Magnetic resonance imaging contribution to the diagnosis of spinal cord compression by a subdural arachnoid cyst

1991 ◽  
Vol 33 (1) ◽  
pp. 87-89 ◽  
Author(s):  
T. Gindre-Barrucand ◽  
F. Charleux ◽  
F. Turjman ◽  
A. Jouvet ◽  
C. Confavreux ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Magnetic Resonance ◽  
Arachnoid Cyst ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Resonance Imaging

scholarly journals Unusually large prostatic utricle cyst

1970 ◽  
Vol 7 (1) ◽  
pp. 73-75
Author(s):  
K Paudel ◽  
A Kumar
Keyword(s):  
Complete Resolution ◽  
Cystic Lesion ◽  
Cystic Mass ◽  
Resonance Imaging ◽  
Prostatic Utricle ◽  
Posterior Urethra ◽  
Posterior Sagittal Approach ◽  
Magnetic Resonance Imaging Mri ◽  
Prostatic Utricle Cyst

Prostatic utricle cyst is one of the uncommon conditions and only a few cases have been reported. We present a case of unusually large prostatic utricle cyst in a 13- year- old male. He presented with burning urination and post-void dribbling of urine. A cystic mass was felt on digital per rectal examination. Ultrasound pelvis revealed a well-defined midline cystic mass posterior to the urinary bladder. Subsequent magnetic resonance imaging (MRI) of the pelvis demonstrated fluid containing cystic lesion communicating with posterior urethra. Surgical resection of the cyst was performed through the posterior sagittal approach. Follow up of the patient after three months of operation, there was complete resolution of the symptoms. Key words: Prostatic utricle cyst, MRI, Ultrasound doi: 10.3126/kumj.v7i1.1770 Kathmandu University Medical Journal (2009), Vol. 7, No. 1, Issue 25, 73-75

Atypical Suprasellar Neurocytoma in a 31-Month-Old Child: A Case Report

2017 ◽  
Vol 15 (02) ◽  
pp. 080-083
Author(s):  
P. Roels ◽  
P. De Beul ◽  
N. Herregods
Keyword(s):  
Cystic Lesion ◽  
Histopathological Examination ◽  
Cerebral Hemispheres ◽  
Imaging Findings ◽  
Resonance Imaging ◽  
Extraventricular Neurocytoma ◽  
Suprasellar Region ◽  
Wide Variability ◽  
Intraventricular Neurocytoma ◽  
Other Neoplasms

AbstractWe report a case of a 31-month-old girl with visual impairment. Magnetic resonance imaging showed a large cystic lesion with a mural nodule in the suprasellar region. Biopsy was performed, and histopathological examination demonstrated an atypical extraventricular neurocytoma (EVN). EVN is a rare neuroepithelial tumor with similar histological and biological characteristics in comparison to intraventricular neurocytoma. However, the morphological appearance of EVN can show wide variability with significant overlap of imaging findings compared with other neoplasms. The majority of EVNs are seen supratentorial involving the cerebral hemispheres. An EVN in the sellar or suprasellar region has only been reported twice in adults and to our knowledge never in children.

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