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Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis

A previously healthy 43-year-old man presented with durable occipitalgia for 1 month. Neurological examination revealed severe pain in the right C2 area accompanied by neck stiffness. Magnetic resonance imaging revealed an enhancing, polycystic intradural mass at the C2 level, occupying the left dor...

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Autores principales: Horikoshi, Koh, Tsutsumi, Satoshi, Ito, Masanori, Izumi, Hiroshi, Ishii, Hisato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393700/
https://www.ncbi.nlm.nih.gov/pubmed/30847014
http://dx.doi.org/10.1016/j.radcr.2019.02.013
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author Horikoshi, Koh
Tsutsumi, Satoshi
Ito, Masanori
Izumi, Hiroshi
Ishii, Hisato
author_facet Horikoshi, Koh
Tsutsumi, Satoshi
Ito, Masanori
Izumi, Hiroshi
Ishii, Hisato
author_sort Horikoshi, Koh
collection PubMed
description A previously healthy 43-year-old man presented with durable occipitalgia for 1 month. Neurological examination revealed severe pain in the right C2 area accompanied by neck stiffness. Magnetic resonance imaging revealed an enhancing, polycystic intradural mass at the C2 level, occupying the left dorsolateral part of the spinal canal. In addition, a rim-like enhancement was found along the surfaces of the spinal cord. Blood tests did not show signs of infection. A lumbar spinal tap revealed albuminocytologic dissociation without cultured organisms. Cranial computed tomography scans taken 20 days later revealed an overt ventriculomegaly. The patient underwent a total tumor resection through hemilaminectomy of the C2. Intraoperatively, the left dorsal C2 roots were found to be extremely redundant due to the tumor and surrounding thickened arachnoids. The roots restored normal morphologies after resection of the arachnoids and tumor. Postoperatively, the patient's symptoms resolved and histological diagnosis was endodermal cyst. Four weeks later, a ventriculoperitoneal shunt was placed to treat progressive ventriculomegaly. A polycystic intradural mass of the upper cervical spine should assume an endodermal cyst that may cause contralateral occipitalgia and aseptic meningitis.
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spelling pubmed-63937002019-03-07 Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis Horikoshi, Koh Tsutsumi, Satoshi Ito, Masanori Izumi, Hiroshi Ishii, Hisato Radiol Case Rep Neuroradiology A previously healthy 43-year-old man presented with durable occipitalgia for 1 month. Neurological examination revealed severe pain in the right C2 area accompanied by neck stiffness. Magnetic resonance imaging revealed an enhancing, polycystic intradural mass at the C2 level, occupying the left dorsolateral part of the spinal canal. In addition, a rim-like enhancement was found along the surfaces of the spinal cord. Blood tests did not show signs of infection. A lumbar spinal tap revealed albuminocytologic dissociation without cultured organisms. Cranial computed tomography scans taken 20 days later revealed an overt ventriculomegaly. The patient underwent a total tumor resection through hemilaminectomy of the C2. Intraoperatively, the left dorsal C2 roots were found to be extremely redundant due to the tumor and surrounding thickened arachnoids. The roots restored normal morphologies after resection of the arachnoids and tumor. Postoperatively, the patient's symptoms resolved and histological diagnosis was endodermal cyst. Four weeks later, a ventriculoperitoneal shunt was placed to treat progressive ventriculomegaly. A polycystic intradural mass of the upper cervical spine should assume an endodermal cyst that may cause contralateral occipitalgia and aseptic meningitis. Elsevier 2019-02-27 /pmc/articles/PMC6393700/ /pubmed/30847014 http://dx.doi.org/10.1016/j.radcr.2019.02.013 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Neuroradiology
Horikoshi, Koh
Tsutsumi, Satoshi
Ito, Masanori
Izumi, Hiroshi
Ishii, Hisato
Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis
title Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis
title_full Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis
title_fullStr Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis
title_full_unstemmed Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis
title_short Atypical spinal endodermal cyst presenting with contralateral C2 neuralgia and aseptic meningitis
title_sort atypical spinal endodermal cyst presenting with contralateral c2 neuralgia and aseptic meningitis
topic Neuroradiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393700/
https://www.ncbi.nlm.nih.gov/pubmed/30847014
http://dx.doi.org/10.1016/j.radcr.2019.02.013
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