Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma
A case of a 32-year-old male patient is reported. He was admitted with complaints of burning dysesthesias over his right upper limb and chest and spasticity in the legs. Investigations revealed a long segment intramedullary tumor, image intensity of which matched lipoma. Imaging of craniovertebral j...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2020-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=2;spage=152;epage=154;aulast=Goel |
| _version_ | 1818518082436464640 |
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| author | Atul Goel Abhinandan Patil Abhidha Shah Survendra Rai Ravikiran Vutha Shashi Ranjan |
| author_facet | Atul Goel Abhinandan Patil Abhidha Shah Survendra Rai Ravikiran Vutha Shashi Ranjan |
| author_sort | Atul Goel |
| collection | DOAJ |
| description | A case of a 32-year-old male patient is reported. He was admitted with complaints of burning dysesthesias over his right upper limb and chest and spasticity in the legs. Investigations revealed a long segment intramedullary tumor, image intensity of which matched lipoma. Imaging of craniovertebral junction suggested atlantoaxial “facetal” instability. Atlantoaxial fixation was done, and the intramedullary lipoma was not physically handled or manipulated during surgery. The patient improved in his neurological condition following surgery. The follow-up imaging showed that the intramedullary lipoma reduced significantly in its dimensions. From the case, it appears that the presence of “fat” and “water” in the intramedullary location might have similar pathogenesis. |
| first_indexed | 2024-12-11T01:05:14Z |
| format | Article |
| id | doaj.art-d33b0d0681f0431ab2808f4c73cacbdf |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-12-11T01:05:14Z |
| publishDate | 2020-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-d33b0d0681f0431ab2808f4c73cacbdf2022-12-22T01:26:13ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372020-01-0111215215410.4103/jcvjs.JCVJS_65_20Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipomaAtul GoelAbhinandan PatilAbhidha ShahSurvendra RaiRavikiran VuthaShashi RanjanA case of a 32-year-old male patient is reported. He was admitted with complaints of burning dysesthesias over his right upper limb and chest and spasticity in the legs. Investigations revealed a long segment intramedullary tumor, image intensity of which matched lipoma. Imaging of craniovertebral junction suggested atlantoaxial “facetal” instability. Atlantoaxial fixation was done, and the intramedullary lipoma was not physically handled or manipulated during surgery. The patient improved in his neurological condition following surgery. The follow-up imaging showed that the intramedullary lipoma reduced significantly in its dimensions. From the case, it appears that the presence of “fat” and “water” in the intramedullary location might have similar pathogenesis.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=2;spage=152;epage=154;aulast=Goelatlantoaxial dislocationintramedullary lipomasyringomyelia |
| spellingShingle | Atul Goel Abhinandan Patil Abhidha Shah Survendra Rai Ravikiran Vutha Shashi Ranjan Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma Journal of Craniovertebral Junction and Spine atlantoaxial dislocation intramedullary lipoma syringomyelia |
| title | Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma |
| title_full | Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma |
| title_fullStr | Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma |
| title_full_unstemmed | Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma |
| title_short | Central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma |
| title_sort | central atlantoaxial instability as a cause of syringomyelia mimic intramedullary lipoma |
| topic | atlantoaxial dislocation intramedullary lipoma syringomyelia |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=2;spage=152;epage=154;aulast=Goel |
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