Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease

Recognizing syndromes which mimic ALS is crucial both to avoid giving this diagnosis erroneously and since there may be appropriate treatments. We report a 63-year-old woman diagnosed with possible ALS five years ago based on upper and lower motor neuron signs with typical electrophysiology and norm...

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Detalles Bibliográficos
Autores principales: Sämann, P. G., Himmerich, H., Merl, T., Erös, C., Müller, M. B., Tonn, J. C., Buchwald, B.
Formato: Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2010
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892661/
https://www.ncbi.nlm.nih.gov/pubmed/20589091
http://dx.doi.org/10.1155/2010/261657
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author Sämann, P. G.
Himmerich, H.
Merl, T.
Erös, C.
Müller, M. B.
Tonn, J. C.
Buchwald, B.
author_facet Sämann, P. G.
Himmerich, H.
Merl, T.
Erös, C.
Müller, M. B.
Tonn, J. C.
Buchwald, B.
author_sort Sämann, P. G.
collection PubMed
description Recognizing syndromes which mimic ALS is crucial both to avoid giving this diagnosis erroneously and since there may be appropriate treatments. We report a 63-year-old woman diagnosed with possible ALS five years ago based on upper and lower motor neuron signs with typical electrophysiology and normal cranial MRI. At reassessment, spinal MRI revealed a cervicothoracic cyst with cord compression that was successfully treated neurosurgically. Histopathology confirmed an arachnoid origin as suspected from MRI. Spinal cysts may mimic ALS and need to be thoroughly excluded by appropriate imaging.
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spelling pubmed-28926612010-06-29 Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease Sämann, P. G. Himmerich, H. Merl, T. Erös, C. Müller, M. B. Tonn, J. C. Buchwald, B. Case Rep Med Case Report Recognizing syndromes which mimic ALS is crucial both to avoid giving this diagnosis erroneously and since there may be appropriate treatments. We report a 63-year-old woman diagnosed with possible ALS five years ago based on upper and lower motor neuron signs with typical electrophysiology and normal cranial MRI. At reassessment, spinal MRI revealed a cervicothoracic cyst with cord compression that was successfully treated neurosurgically. Histopathology confirmed an arachnoid origin as suspected from MRI. Spinal cysts may mimic ALS and need to be thoroughly excluded by appropriate imaging. Hindawi Publishing Corporation 2010 2010-06-10 /pmc/articles/PMC2892661/ /pubmed/20589091 http://dx.doi.org/10.1155/2010/261657 Text en Copyright © 2010 P. G. Sämann et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sämann, P. G.
Himmerich, H.
Merl, T.
Erös, C.
Müller, M. B.
Tonn, J. C.
Buchwald, B.
Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
title Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
title_full Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
title_fullStr Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
title_full_unstemmed Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
title_short Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
title_sort cervicothoracic intradural arachnoid cyst misdiagnosed as motor neuron disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2892661/
https://www.ncbi.nlm.nih.gov/pubmed/20589091
http://dx.doi.org/10.1155/2010/261657
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