A case is reported which raised intracranial pressure with papilledema due to hydrocephalus associated with a intramedullary spinal cord tumor at the T10-T12 levels. The pathlogical diagnosis of the tumor is pleomorphic xanthoastrocytoma which is very rare in the spinal cord. CSF protein was elevated. The mechanisms of the raised intracranial pressure are discussed with a review of the literatures.
Diagnosis ; Hydrocephalus* ; Intracranial Pressure ; Papilledema ; Spinal Cord Neoplasms* ; Spinal Cord*

We have reported very rare two cases of motastatic spinal cord tumor originating from the thyroid. First case is obtained the best results as early diagnosis and surgical treatment were employed. Second case the least favorable results were obtained in case with rapid progression of neurological feature and multiple involvement at spinal cord and brain. The early diagnosis and treatment often prevent patients from becoming paraplegic. This paper is concerned with the discription of the clinical feature of spinal cord compression by malignant tumors and results of treatment.
Brain ; Early Diagnosis ; Humans ; Spinal Cord Compression ; Spinal Cord Neoplasms* ; Spinal Cord* ; Thyroid Gland*

Intradural spinal lipomas are rare, primary genign tumor of the spinal canal. A case of intradural spinal lipoma with intramedullary extension is presented. Clinical feature was slowly progressing paraparesis. A subtotal excision was performed, and pathological studies confirmed the diagnosis.
Diagnosis ; Lipoma* ; Paraparesis ; Spinal Canal ; Spinal Cord Compression ; Spinal Cord Neoplasms

Vertebral hemangioma is a slow-growing tumor which involves the vertebral body only. It is usually discovered incidentally on lateral radiographs of the spine and only rarely symptomatic. Compression of the spinal cord due to vertebral hemangioma is very rare. The authors report a patient who developed a progressive paraplegia and sensory change clinically resembling an intramedullary spinal cord tumor. Simple spine film gave us a hint that there was a vertebral hemangioma at T-5, but the clinical correlation was uncertain until spinal cord compression was demonstrated by MRI and the symptoms improved with operation. Selective angiography was normal. The histologic diagnosis was a cavernous hemangiona. As there was no associated spinal cord vascular malformation visualized during operation, her clinical presentation mimicking intramedullary spinal cord tumor was atypical one of compressive extramedullary mass. Following surgical excision, the patient improved dramatically and was discharged with only a residual hyperalgesia below the T-10 dermatome.
Angiography ; Diagnosis ; Hemangioma* ; Humans ; Hyperalgesia ; Magnetic Resonance Imaging ; Paraplegia ; Spinal Cord ; Spinal Cord Compression ; Spinal Cord Neoplasms ; Spine ; Vascular Malformations

It is very difficult to differentiate radiation myelopathy from metastatic intramedullary spinal cord tumor. We described a case of chronic progressive radiation myelopathy, in which serial magnetic resonance imaging was of great value for the differential diagnosis.
Diagnosis, Differential ; Magnetic Resonance Imaging* ; Radiation Injuries ; Spinal Cord Diseases* ; Spinal Cord Neoplasms

A case of intramedullary neurilemmoma embedded within the conus medullaris of spinal cord and presumably extending over its surface, is reported. Published reports of these rare lesions and possible mechanisms of their origin are reviewed. The treatment of choice for these rare lesions is thought to be laminectomy and resection and intraoperative frozen section diagnosis is considered essential. Importance of operative removal is emphasized.
Conus Snail* ; Diagnosis ; Frozen Sections ; Laminectomy ; Neurilemmoma* ; Spinal Cord ; Spinal Cord Neoplasms

Intradural extramedullary spinal ependymomas are extremely rare. Herein, we describe a lesion-type spinal ependymoma that followed a malignant course, and discuss its clinical presentation, etiopathogenesis, and treatment. We present a patient who was diagnosed with an intradural extramedullary spinal tumor at T4-T6. The patient underwent gross total resection of the tumor without damage to the spinal cord. Histological examination, classified the lesion as a World Health Organization (WHO)-grade 2 ependymoma. One and a half years later, magnetic resonance imaging detected a recurring tumor at T4-T5. The tumor was removed and classified as a WHO-grade 3 anaplastic ependymoma. The patient was started on a course of regional spinal cord radiotherapy. The patient achieved tumoral control and clinical stabilization after the recurrence. We must consider the differential diagnosis of intradural extramedullary spinal tumors. The best treatment for this lesion is gross total resection and adjunctive radiotherapy is necessary in cases of malignant-change.
Diagnosis, Differential ; Ependymoma ; Humans ; Magnetic Resonance Imaging ; Recurrence ; Spinal Cord ; Spinal Cord Neoplasms ; World Health Organization

Herpes zoster is primarily a disease of sensory portion of the nervous system and one of motor portion as well. Herpes zoster radiculopathy can be usually easily diagnosed in the presence or previous history of the characteristic cutaneous eruptions. Motor involvement dose not always coincide in location with the cutaneous lesions. Along with the radicular distribution of pain, motor neuron involvement can mimic other clinical conditions such as disc herniation, tumor infiltration, or infection. Even if the diagnosis of herpes zoster radiculopathy may be delayed, it must be put off until any other diseases or underlying causes are ruled out, especially in case motor symptoms and signs are major clinical features, or there is a topographic dissociation between dermatomes and myotomes involved. We report a patient with spinal cord tumor revealed in the evaluation and management of herpes zoster-related radiculopathy.
Diagnosis ; Herpes Zoster* ; Humans ; Motor Neurons ; Nervous System ; Paresis ; Radiculopathy* ; Spinal Cord Neoplasms* ; Spinal Cord*

Herpes zoster is primarily a disease of sensory portion of the nervous system and one of motor portion as well. Herpes zoster radiculopathy can be usually easily diagnosed in the presence or previous history of the characteristic cutaneous eruptions. Motor involvement dose not always coincide in location with the cutaneous lesions. Along with the radicular distribution of pain, motor neuron involvement can mimic other clinical conditions such as disc herniation, tumor infiltration, or infection. Even if the diagnosis of herpes zoster radiculopathy may be delayed, it must be put off until any other diseases or underlying causes are ruled out, especially in case motor symptoms and signs are major clinical features, or there is a topographic dissociation between dermatomes and myotomes involved. We report a patient with spinal cord tumor revealed in the evaluation and management of herpes zoster-related radiculopathy.
Diagnosis ; Herpes Zoster* ; Humans ; Motor Neurons ; Nervous System ; Paresis ; Radiculopathy* ; Spinal Cord Neoplasms* ; Spinal Cord*

Primary intramedullary oligodendroglioma is very rare, accounting for only about 1% of all intramedullary spinal cord tumor. We present a case of intramedullary oligodendroglioma in a 30-year-old women. Magnetic resonance image showed an intramedullary mass in the T11-L1 region. Decompressive laminectomy and partial mass removal was performed, however, neurologic state became worse. The histological examination revealed oligodendroglioma. The intramedullary oligodendroglioma, although it is a rare entity, must be considered in the differential diagnosis of spinal cord tumors.
Adult ; Diagnosis, Differential ; Female ; Humans ; Laminectomy ; Oligodendroglioma* ; Spinal Cord Neoplasms