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Thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst
Paul M Arnold1, Laura L Neff, Karen K Anderson
1Department of Neurosurgery, University of Kansas Medical Center, 5035 Sudler Hall, MS 3021, 3901 Rainbow Blvd, Kansas City, KS 66160, USA.
Background/Objective:
To report a case of thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst.
Study Design:
Case report.
Methods/Findings:
A 20-year-old man presented to the emergency department with increasing back pain and lower-extremity weakness. Magnetic resonance imaging demonstrated a cystic lesion at the T4 level with mass effect on the spinal cord.
Results:
The lesion was resected, and histopathologic evaluation showed a cyst lined by respiratory-type epithelium consistent with a bronchogenic cyst.
Conclusions:
Intradural extramedullary bronchogenic cysts of the thoracic spine have been reported previously but are extremely rare. The treatment of choice is surgical resection.
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