“Radiologically Isolated” Spinal Cavernoma Associated with Familial Cerebral Cavernomatosis

2019 ◽  
Vol 81 (5-6) ◽  
pp. 327-330
Author(s):  
Christos Bakirtzis ◽  
Ioanna Koutroulou ◽  
Ioannis Nikolaidis ◽  
Theodoros Karapanayiotides ◽  
Nikolaos Grigoriadis
Keyword(s):  
Cavernous Malformation ◽  
Neck Injury ◽  
Cervical Cord ◽  
Spinal Cavernoma

We describe a 45 year-old woman with a randomly discovered cavernous malformation of the cervical cord following investigation for neck injury. She had multiple brain cavernomas increasing in number over the following two years. She was finally diagnosed with familial cavernomatosis due to a PDCD10 mutation (CCM3).

Intraoperative MR imaging in a case of a cervical spinal cord lesion

2011 ◽  
Vol 14 (6) ◽  
pp. 754-757 ◽  
Author(s):  
David Netuka ◽  
Svatopluk Ostrý ◽  
Tomáš Belšán ◽  
Filip Kramář ◽  
Vladimír Beneš
Keyword(s):  
Spinal Cord ◽  
Mr Imaging ◽  
Cavernous Malformation ◽  
Cervical Spinal Cord ◽  
Spinal Cord Lesion ◽  
Cervical Cord ◽  
Cervical Pain ◽  
Neck Flexion ◽  
Before And After ◽  
Cord Lesion

The aim of this article is to describe the feasibility of performing intraoperative MR imaging in patients with spinal cord lesions and the potential value of this technique. The authors report a case involving a 28-year-old man who presented with chronic cervical pain and pain along the ulnar side of the forearms during neck flexion. Findings on clinical examination were normal, but MR imaging revealed a multicystic cervical spinal cord lesion. Surgery was undertaken to open the cysts, evacuate old blood, and search for pathological tissue. Intraoperative MR imaging showed that the caudal cyst was not opened, and surgery was therefore continued. The caudal cyst was fenestrated and a suspected small cavernous malformation was removed. Electrophysiological monitoring was performed both before and after the intraoperative MR imaging. The use of intraoperative MR imaging changed the strategy of the procedure and helped the surgeon to safely enter all the cysts in the cervical cord.

Spinal Cavernoma in an Infant: A Rare Pathological Entity with an Atypical Presentation

2020 ◽  
Vol 55 (4) ◽  
pp. 210-214
Author(s):  
Chandrashekhar Gendle ◽  
Pravin Salunke ◽  
Madhivanan Karthigeyan ◽  
Kirti Gupta
Keyword(s):  
Unusual Case ◽  
Cavernous Malformation ◽  
Resonance Imaging ◽  
Radiological Findings ◽  
Limb Weakness ◽  
Case Presentation ◽  
Intramedullary Lesion ◽  
Predominant Symptom ◽  
Very Young Children ◽  
Spinal Cavernoma

<b><i>Introduction:</i></b> Cavernous malformation (CM) of the pediatric spine is uncommon, and its presentation especially in infancy is extremely rare. We report an unusual case of thoracolumbar intramedullary CM with hemorrhage in a 5-month-old male child. <b><i>Case Presentation:</i></b> The child presented with the predominant symptom of urinary retention, and the underlying neurological cause was initially overlooked. However, magnetic resonance imaging obtained after the onset of progressive limb weakness revealed a D11-L1 intramedullary lesion with features of intralesional bleed. Intraoperatively, the lesion showed evidence of hemorrhage and was completely excised. The final histopathology confirmed a cavernoma. <b><i>Conclusion:</i></b> Although rare, spinal CM can present with bleed in very young children. It is imperative to identify the subtle clinico-radiological findings and suspect such lesions, as an early treatment portends a good outcome.

scholarly journals Giant Cervical Cavernous Malformation: 2-Dimensional Operative Video

2019 ◽  
Vol 17 (4) ◽  
pp. E153-E153
Author(s):  
Benjamin K Hendricks ◽  
Robert F Spetzler
Keyword(s):  
Spinal Cord ◽  
Cavernous Malformation ◽  
Cervical Spinal Cord ◽  
Video Recording ◽  
Gross Total Resection ◽  
Cervical Cord ◽  
Total Resection ◽  
Cavernous Malformations ◽  
Institutional Review ◽  
High Cervical

Abstract Cervical spinal cord cavernous malformations are rare but can be neurologically devastating lesions and, when symptomatic, are best treated with gross total resection to prevent progressive neurologic decline related to recurrent hemorrhage. This patient had a large high cervical cord cavernous malformation with evidence of recent hemorrhage. A midline myelotomy was utilized to enter the cavernous malformation. The cavernous malformation was then circumferentially separated from the spinal parenchyma and removed in a piecemeal manner. Postoperative imaging confirmed gross total resection of the lesion with preservation of the surrounding spinal cord. The patient gave informed consent for surgery and video recording. Institutional review board approval was deemed unnecessary. Used with permission from Barrow Neurological Institute, Phoenix, Arizona.

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