Intramedullary Spinal Cystic Lesions Mimicking Cavernoma with Spontaneous Myelum Hemorrhage in Children: A Case Report

Authors

  • Januardi Rifian Jani Department of Neurosurgery, Faculty of Medicine, Universitas Airlagga, Surabaya, Indonesia; Department of Neurosurgery, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Muhammad Arifin Parenrengi Department of Neurosurgery, Faculty of Medicine, Universitas Airlagga, Surabaya, Indonesia; Department of Neurosurgery, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia
  • Wihasto Suryaningtyas Department of Neurosurgery, Faculty of Medicine, Universitas Airlagga, Surabaya, Indonesia; Department of Neurosurgery, Dr. Soetomo General Academic Hospital, Surabaya, Indonesia https://orcid.org/0000-0002-1187-3777

DOI:

https://doi.org/10.3889/oamjms.2021.6166

Keywords:

Intramedullary spinal cystic lesions, Cavernoma, Surgical resection

Abstract

Background: Intramedullary spinal masses is a rare yet devastating and challenging. One of the biggest difficulty is to reveal the mass type and feature, thus determine the definitive treatment. Despite its difficulties, many controversies persist regarding diagnosis and management. 

Case Presentation: We report a case of 6 years old female came with gradual right limb weakness for 1 week before admission. It preceded by neck stiffness and for 2 weeks ago. Radiological examination revealed intradural intramedullary mass suggesting a cavernoma at VC1-C2 and VTh12-L1 level. The histopathological results shows unspecified hematoma.

Conclusions: Intramedullary tumors in pediatric population is rare and can mimic any other mass lesion. MRI is the mainstay diagnostic tool of this patient. Complete surgical resection is the main goal of treatment, but the histopathologic features is the most important predictor of the functional outcome.

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Published

2021-08-24

How to Cite

1.
Jani JR, Parenrengi MA, Suryaningtyas W. Intramedullary Spinal Cystic Lesions Mimicking Cavernoma with Spontaneous Myelum Hemorrhage in Children: A Case Report. Open Access Maced J Med Sci [Internet]. 2021 Aug. 24 [cited 2024 Mar. 28];9(C):124-7. Available from: https://oamjms.eu/index.php/mjms/article/view/6166

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Case Report in Surgery

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