DIAGNOSTIC DILEMMA OF AN INTRAMEDULLARY VASCULAR MALFORMATION - A CASE-REPORT

Citation
I. Dinakar et al., DIAGNOSTIC DILEMMA OF AN INTRAMEDULLARY VASCULAR MALFORMATION - A CASE-REPORT, Angiology, 46(11), 1995, pp. 1063-1068
Citations number
11
Categorie Soggetti
Cardiac & Cardiovascular System","Peripheal Vascular Diseas
Journal title
ISSN journal
00033197
Volume
46
Issue
11
Year of publication
1995
Pages
1063 - 1068
Database
ISI
SICI code
0003-3197(1995)46:11<1063:DDOAIV>2.0.ZU;2-S
Abstract
A young man was seen at a neurologic center for a slowly progressive m yelopathy involving the lower limbs in 1983. After examination and inv estigations, a diagnosis of chronic tuberculous spinal arachnoiditis w as made and the patient was administered antituberculous treatment. Ho wever, his condition continued to deteriorate. He was reviewed at anot her center in 1985, where a diagnosis of demyelinating disorder was ma de, for which he was treated. However, this also did not help, and he was diagnosed as having a nonspecific spinal arachnoiditis at yet anot her center in 1988. His condition continued to worsen, and after ten y ears of symptoms, when magnetic resonance imaging (MRI) was done, an i ntramedullary cystic lesion opposite D-12 vertebrae was seen, which on histopathology was proved to be a vascular malformation. After excisi on of the lesion his neurologic status has been slowly improving. The conditions that a malformation could mimic, misleading a clinician, an d the role of MRI in clinching the diagnosis are highlighted.