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Cervical Cord hemangioblastoma

Becker RLB - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Cervical Cord hemangioblastoma

History: 43 y/o man evacuated from Africa with 1 month history of symptoms – electric shock down the spine into the limbs with neck movement.

Findings: Focal, well-defined enhancing lesion in the posterior aspect of the cord at C2-C3, which replaces rather than displaces cord tissue. Increased T2 signal within and thickening of the spinal cord from C1 to C5, consistent with surrounding edema. No involvement of adjacent bone or dura.

Ddx: • AVM • Cavernous malformation • Ependymoma • Astrocytoma • Hemangioblastoma • Metastatic vascular tumor (in particular RCC) • extramedullary/intradural tumor.

Dxhow: Pathological tissue examination.

Exam: Lhermitte’s sign (Barber chair phenomenon – electric shock down the spine into the limbs with neck flex/ext)

No MeSH data available.


Cervical spinal cord has slightly dark T1 signal and is thickened.  No apparent focal abnormality.
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MPX2083_synpic52355: Cervical spinal cord has slightly dark T1 signal and is thickened. No apparent focal abnormality.


Cervical Cord hemangioblastoma

Becker RLB - MedPix (2010)

Cervical spinal cord has slightly dark T1 signal and is thickened.  No apparent focal abnormality.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2083&req=5

MPX2083_synpic52355: Cervical spinal cord has slightly dark T1 signal and is thickened. No apparent focal abnormality.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Cervical Cord hemangioblastoma

History: 43 y/o man evacuated from Africa with 1 month history of symptoms – electric shock down the spine into the limbs with neck movement.

Findings: Focal, well-defined enhancing lesion in the posterior aspect of the cord at C2-C3, which replaces rather than displaces cord tissue. Increased T2 signal within and thickening of the spinal cord from C1 to C5, consistent with surrounding edema. No involvement of adjacent bone or dura.

Ddx: • AVM • Cavernous malformation • Ependymoma • Astrocytoma • Hemangioblastoma • Metastatic vascular tumor (in particular RCC) • extramedullary/intradural tumor.

Dxhow: Pathological tissue examination.

Exam: Lhermitte’s sign (Barber chair phenomenon – electric shock down the spine into the limbs with neck flex/ext)

No MeSH data available.