ABSTRACT
Two cases of cerebello-pontine angle epidermoid tumour presented with the clinical findings of brain stem stroke. Preoperative imaging showed stretching of branches of the basilar artery. Brain stem stroke as a presenting feature of cerebello-pontine angle epidermoid tumour has not been reported before.
Subject(s)
Brain Stem/blood supply , Brain Stem/pathology , Carcinoma, Squamous Cell/complications , Cerebellar Neoplasms/complications , Cerebellopontine Angle/pathology , Stroke/etiology , Adult , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Cerebellar Neoplasms/pathology , Cerebellar Neoplasms/surgery , Humans , Male , Middle AgedABSTRACT
A 41-year-old male presented to our clinic with a 1-month history of left hemiparesis. He had marked left arm weakness. The diagnostic work-up revealed an intramedullary mass at spinal level C2-4. Laminectomies were performed at C2-3-4 and the tumor was subtotally resected. Histological examination identified the mass as a non-Hodgkin's diffuse B-cell lymphoma. The patient was treated with corticosteroids, chemotherapy, and adjuvant radiotherapy. The residual tumor tissue had completely disappeared by 6 months of follow-up; however, the patient presented with intraventricular metastasis at 11 months postsurgery.
Subject(s)
Cerebral Ventricle Neoplasms/secondary , Lymphoma, B-Cell/diagnosis , Lymphoma, Non-Hodgkin/diagnosis , Spinal Cord Neoplasms/diagnosis , Adult , Chemotherapy, Adjuvant , Diagnosis, Differential , Humans , Laminectomy , Lymphoma, B-Cell/complications , Lymphoma, B-Cell/pathology , Lymphoma, B-Cell/therapy , Lymphoma, Non-Hodgkin/complications , Lymphoma, Non-Hodgkin/pathology , Lymphoma, Non-Hodgkin/therapy , Magnetic Resonance Imaging , Male , Paresis/etiology , Radiotherapy, Adjuvant , Spinal Cord Neoplasms/complications , Spinal Cord Neoplasms/pathology , Spinal Cord Neoplasms/therapyABSTRACT
BACKGROUND: Cauda equina syndrome occurring as a result of spontaneous spinal subarachnoid hemorrhage (SAH) from a spinal tumor is reported to be rare. CASE DESCRIPTION: A 28-year-old woman presented at our clinic with a history of severe back pain for 10 days, progressive paraparesis, and urinary retention. Her physical examination revealed a mass located intradurally at the level of L1-2 and a massive SAH. An L1-L2, laminectomy and a hemilaminectomy from D9 to D12 were performed and the SAH was evacuated and the cord was decompressed. CONCLUSION: At the first year follow-up, her restricted dorsal and plantar flexion continued. Post-gadolinium magnetic resonance imaging revealed no mass.
