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Spinal Stones and Stony Lesions 2008

General Spine

NAGAMANI PERI, MD,
DAVID HACKNEY, MD, ASSR Member
DOUGLAS TEICH, MD, Non ASSR Member

Scientific Poster

Exhibit Panels: 1

Purpose

To describe three rare cases of intraspinal lesions and discuss briefly, review of related literature.

Methods & Materials

Case No. 1 : 62-year old female patient with pain and difficulty in using her right arm, gradually worsening over several years with spasticity of the right arm on examination.

Case No. 2: 57 year old female patient with left flank pain, right sided limb weakness gradually worsening over 6 years and one episode of bowel incontinence.

Case No. 3: 61 year old male patient with left sided neck pain radiating to arm and weakness in left upper limb since 2 months.

Results

Case No. 1: MR cervical spine showed a 1.0x1.2cm intradural extramedullary enhancing lesion on the right side at C6 with cord compression, which on histopathology after resection consisted of degenerate bone and hemosiderin with chronic inflamamtion fibrosis and was confirmed as a spinolith. The enhancement may be due to the inflamed or fibrous tissue around.

Case No. 2: CT abdomen & pelvis done for left flank pain revealed a calcified density in the left side of spinal canal at L1 with displacement of conus to the right. MRI of lumbar spine revealed a 1.5cm intradural extramedullary enhancing mass which was meningioma on histopathology.

Case No. 3: MR cervical spine revealed a non-enhancing mass in the left C7-T1 neural foramen with some intradural component. On histopathology, this was a benign cartilaginous lesion- juxtacortical chondroma versus synovial chondromatosis related to the facet joint.

There have been very few case reports about each one of the above in literature, which will be discussed briefly.

Conclusion

We describe 3 rare spinal lesions- spinolith, calcified spinal meningioma,
chondroma /synovial chondromatosis of facet joint along with brief review of literature.

References

None

Images

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