Document Detail


Intramedullary inflammatory mass dorsal to the Klippel-Feil deformity: error in development or response to an abnormal motion segment?
MedLine Citation:
PMID:  15289805     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
STUDY DESIGN: Case study on a 45-year-old female with progressive weakness and paresthesias in her lower extremities and a magnetic resonance image of an intramedullary mass at the level of C5-6 and a Klippel-Feil (KF) deformity ventral to the lesion.
OBJECTIVE: Present an interesting case of an intramedullary mass coexisting with a ventral KF deformity with review of the medical literature on intramedullary masses and cervical spine biomechanics.
SETTING: New York city, New York, USA.
METHODS: Case study with discussion of neurosurgical and neuropathological findings and review of the literature.
RESULTS: The patient underwent open neurosurgical excisional biopsy of the intramedullary mass which revealed a non-neoplastic inflammatory mass that slowly resolved with medical management.
CONCLUSIONS: While no definitive etiology was found in this case we offer two interesting mechanisms: (1) maldevelopment of the cervical spine or (2) this inflammatory mass is in response to an abnormal motion at the level of the Klippel-Feil.
Authors:
R D Dickerman; K O Colle; M A Mittler
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Spinal cord     Volume:  42     ISSN:  1362-4393     ISO Abbreviation:  Spinal Cord     Publication Date:  2004 Dec 
Date Detail:
Created Date:  2004-12-03     Completed Date:  2005-01-27     Revised Date:  2011-06-06    
Medline Journal Info:
Nlm Unique ID:  9609749     Medline TA:  Spinal Cord     Country:  England    
Other Details:
Languages:  eng     Pagination:  720-2     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, North Shore University Hospital, New Hyde Park, NY, USA.
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MeSH Terms
Descriptor/Qualifier:
Biopsy, Needle
Cervical Vertebrae / pathology*,  surgery
Female
Follow-Up Studies
Humans
Immunohistochemistry
Klippel-Feil Syndrome / diagnosis*
Laminectomy / methods
Magnetic Resonance Imaging
Middle Aged
Risk Assessment
Spinal Cord Neoplasms / diagnosis,  pathology*,  surgery
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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