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[Intradural extramedullary tumor of lower spinal cord in a 89-year-old man with cervical spondylosis and lumbar spondylolisthesis].
Rinsho Shinkeigaku. 1990 Aug; 30(8):869-72.RS

Abstract

A 89-year-old man was admitted because of slowly progressive gait disturbance during these several years. Neurological examination revealed paraparesis with bilateral sensory disturbance in the lower extremities, more severely on the left side. Vibration sense was almost completely disturbed under the level of bilateral crista iliaca. Deep tendon reflexes decreased in the lower extremities. No urinary incontinence was observed. The narrow spinal canal and cervical spondylosis were seen at the C 5-6 level, showing the anterior-posterior distance of 10 mm. Computed tomography of the lumbar spine showed spondylolisthesis between the level 4 and 5. CSF showed high protein concentration (300 mg/dl), whereas normal cell counts. These findings suggested the following two possibilities; cervical myelopathy associated with the disturbance of the cauda equina due to lumbar spondylolisthesis, or the disturbance at the lower thoracic or upper lumbar level of spinal cord. The spinal MRI revealed the irregular mass lesion in the lower spinal cord at the level of spine Th 11-12 on T2 weighted images, with enhancement by Gd-DTPA on T1 weighted images. These MRI findings suggested the intradural extramedullary tumor, such as benign neurinoma or meningioma. No clear cut lesions were found at the cervical spinal cord or at the cauda equina. MRI was useful for the diagnosis of sites and lesions of spinal cord in the present case, whose neurological signs and symptoms could be explained by the coexistent cervical spondylosis and lumbar spondylolisthesis.

Authors+Show Affiliations

Wada H
Department of Neurology, Tokyo Metropolitan Geriatric Hospital.
Yamanouchi H
No affiliation info available
Kobayashi S
No affiliation info available
Toyokura Y
No affiliation info available

MeSH

AgedAged, 80 and overCervical VertebraeHumansLumbar VertebraeMagnetic Resonance ImagingMaleMeningiomaNeurilemmomaSpinal Cord NeoplasmsSpinal OsteophytosisSpondylolisthesis

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

jpn

PubMed ID

2253423

Citation

Wada, H, et al. "[Intradural Extramedullary Tumor of Lower Spinal Cord in a 89-year-old Man With Cervical Spondylosis and Lumbar Spondylolisthesis]." Rinsho Shinkeigaku = Clinical Neurology, vol. 30, no. 8, 1990, pp. 869-72.
Wada H, Yamanouchi H, Kobayashi S, et al. [Intradural extramedullary tumor of lower spinal cord in a 89-year-old man with cervical spondylosis and lumbar spondylolisthesis]. Rinsho Shinkeigaku. 1990;30(8):869-72.
Wada, H., Yamanouchi, H., Kobayashi, S., & Toyokura, Y. (1990). [Intradural extramedullary tumor of lower spinal cord in a 89-year-old man with cervical spondylosis and lumbar spondylolisthesis]. Rinsho Shinkeigaku = Clinical Neurology, 30(8), 869-72.
Wada H, et al. [Intradural Extramedullary Tumor of Lower Spinal Cord in a 89-year-old Man With Cervical Spondylosis and Lumbar Spondylolisthesis]. Rinsho Shinkeigaku. 1990;30(8):869-72. PubMed PMID: 2253423.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Intradural extramedullary tumor of lower spinal cord in a 89-year-old man with cervical spondylosis and lumbar spondylolisthesis]. AU - Wada,H, AU - Yamanouchi,H, AU - Kobayashi,S, AU - Toyokura,Y, PY - 1990/8/1/pubmed PY - 1990/8/1/medline PY - 1990/8/1/entrez SP - 869 EP - 72 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 30 IS - 8 N2 - A 89-year-old man was admitted because of slowly progressive gait disturbance during these several years. Neurological examination revealed paraparesis with bilateral sensory disturbance in the lower extremities, more severely on the left side. Vibration sense was almost completely disturbed under the level of bilateral crista iliaca. Deep tendon reflexes decreased in the lower extremities. No urinary incontinence was observed. The narrow spinal canal and cervical spondylosis were seen at the C 5-6 level, showing the anterior-posterior distance of 10 mm. Computed tomography of the lumbar spine showed spondylolisthesis between the level 4 and 5. CSF showed high protein concentration (300 mg/dl), whereas normal cell counts. These findings suggested the following two possibilities; cervical myelopathy associated with the disturbance of the cauda equina due to lumbar spondylolisthesis, or the disturbance at the lower thoracic or upper lumbar level of spinal cord. The spinal MRI revealed the irregular mass lesion in the lower spinal cord at the level of spine Th 11-12 on T2 weighted images, with enhancement by Gd-DTPA on T1 weighted images. These MRI findings suggested the intradural extramedullary tumor, such as benign neurinoma or meningioma. No clear cut lesions were found at the cervical spinal cord or at the cauda equina. MRI was useful for the diagnosis of sites and lesions of spinal cord in the present case, whose neurological signs and symptoms could be explained by the coexistent cervical spondylosis and lumbar spondylolisthesis. SN - 0009-918X UR - https://www.unboundmedicine.com/medline/citation/2253423/[Intradural_extramedullary_tumor_of_lower_spinal_cord_in_a_89_year_old_man_with_cervical_spondylosis_and_lumbar_spondylolisthesis]_ DB - PRIME DP - Unbound Medicine ER -