Document Detail


Intramedullary endometriosis of the conus medullaris: case report.
MedLine Citation:
PMID:  16883155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Intraspinal endometriosis is an extremely rare condition with characteristic symptoms, including lower back pain that increases in severity during each menstrual cycle. METHODS: Here, we report a case of endometriosis involving the conus cauda region. This patient presented with acute deterioration secondary to hemorrhage. We also review the relevant literature. RESULTS: Magnetic resonance imaging scans of the dorsolumbar region showed a mass lesion within the spinal canal at the L1-L2 level with evidence of acute hemorrhage. The patient underwent an emergency D12-L2 laminectomy and microdecompression of the lesion. The histological and immunohistochemical features were characteristic of intraspinal endometriosis. CONCLUSION: Intraspinal endometriosis must be recognized as a potential cause of periodic neurological signs and symptoms in young and middle-aged women.
Authors:
Amit Agrawal; Bellore J P Shetty; Jagadeesh H Makannavar; Lathika Shetty; Jayaprakash Shetty; Vikram Shetty
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurosurgery     Volume:  59     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-02     Completed Date:  2006-09-21     Revised Date:  2007-03-19    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E428; discussion E428     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, K.S. Hegde Medical Academy, Mangalore, Karnataka, India.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Decompression, Surgical
Endometriosis / complications*,  diagnosis,  physiopathology
Endometrium / metabolism,  pathology,  physiopathology
Female
Hematoma, Epidural, Spinal / etiology*,  physiopathology,  surgery
Humans
Laminectomy
Low Back Pain / diagnosis,  etiology,  physiopathology
Lumbar Vertebrae / pathology,  surgery
Magnetic Resonance Imaging
Paraparesis / diagnosis,  etiology,  physiopathology
Receptors, Progesterone / analysis,  metabolism
Sensation Disorders / diagnosis,  etiology,  physiopathology
Spinal Canal / pathology*,  physiopathology,  surgery
Spinal Cord / pathology*,  physiopathology
Spinal Cord Compression / diagnosis,  etiology*,  physiopathology
Treatment Outcome
Tumor Markers, Biological / analysis,  metabolism
Urinary Bladder, Neurogenic / diagnosis,  etiology,  physiopathology
Chemical
Reg. No./Substance:
0/Receptors, Progesterone; 0/Tumor Markers, Biological
Comments/Corrections
Comment In:
Neurosurgery. 2007 Mar;60(3):E582; author reply E582   [PMID:  17327775 ]

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