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Intramedullary enterogenous cyst presenting with spastic paraparesis during two consecutive pregnancies: a case
J W Reinders1, P Wesseling, P H Hilkens
1Department of Neurology, Rijnstate Hospital, Wagnerlaan 55, 6815 AD Arnhem, The Netherlands.
Journal of Neurology, Neurosurgery, and Psychiatry
|September 19, 2001
Summary
A woman experienced spastic paraparesis during two pregnancies, linked to a thoracic spinal cord enterogenous cyst. This unique timing of cyst manifestation during pregnancy warrants further investigation into potential contributing factors.
Area of Science:
- Neurology
- Neurosurgery
- Obstetrics
Background:
- Spastic paraparesis is a neurological condition affecting leg mobility.
- Intramedullary cysts are rare spinal cord lesions.
- Pregnancy can precipitate or exacerbate various medical conditions.
Observation:
- A 35-year-old woman presented with recurrent spastic paraparesis in the third trimester of two pregnancies.
- Neurological deficits were attributed to a thoracic spinal cord intramedullary cyst.
- The patient had no other congenital abnormalities.
Findings:
- The intramedullary cyst was subtotally removed.
- Histopathological analysis confirmed the cyst as enterogenous in origin.
- The clinical manifestation of this type of cyst exclusively during pregnancy is unprecedented.
Implications:
- The study highlights a rare association between pregnancy and symptomatic intramedullary enterogenous cysts.
- Pregnancy-related factors may influence the clinical presentation of spinal cord lesions.
- Further research is needed to elucidate the mechanisms linking pregnancy to cyst manifestation and neurological symptoms.