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Title

Coincidence of cervical spondylotic myelopathy and intramedullary ependymoma: a potential diagnostic pitfall
Authors
Kurzbuch, Arthur R.
Rilliet, Bénédict
Vargas Gomez, Maria Isabel
Boex, Colette
Tessitore, Enrico
Published in Journal of Neurosurgery: Spine. 2010, vol. 12, no. 3, p. 249-252
Abstract The authors report the case of a 58-year-old man presenting with a 3-year history of clinical signs of progressive cervical spondylotic myelopathy (CSM). Magnetic resonance imaging showed a severe stenosis of the cervical spinal canal at C3-4 and C5-6 levels due to multiple discopathies. High signal intensities on T2-weighted MR images of the spinal cord and low signal intensities on T1-weighted images at the C2-6 levels were noted, as was contrast enhancement at the C3-4 level. The patient underwent a bilateral decompressive laminectomy at C3-6. The patient did not show any clinical improvement. Thus, further cervical MR imaging was performed and the differential diagnosis of an intramedullary tumor was considered in view of the persisting intramedullary enhancement. This diagnosis prompted a second operation involving a posterior midline myelotomy and excision of an intramedullary ependymoma at the C3-4 level. Intramedullary tumors should be considered in the differential diagnosis of CSM with an atypical pattern of MR imaging features.
Keywords Brain Neoplasms/*diagnosis/pathology/surgery — *Cervical Vertebrae/pathology — Constriction, Pathologic/diagnosis/pathology/surgery — Diagnosis, Differential — Ependymoma/*diagnosis/pathology/surgery — Humans — Magnetic Resonance Imaging — Male — Middle Aged — Spinal Cord/pathology — Spinal Cord Diseases/*diagnosis/pathology/surgery — Spondylosis/*diagnosis/pathology/surgery — Treatment Outcome
Identifiers
PMID: 20192622
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Structures
Faculté de médecine / Section de médecine clinique / Département des neurosciences cliniques
Citation
(ISO format) 		KURZBUCH, Arthur R. et al. Coincidence of cervical spondylotic myelopathy and intramedullary ependymoma: a potential diagnostic pitfall. In: Journal of Neurosurgery : Spine, 2010, vol. 12, n° 3, p. 249-252. doi: 10.3171/2009.10.SPINE09138 https://archive-ouverte.unige.ch/unige:20498

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Deposited on : 2012-05-22

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