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Transient Middle Cerebral Artery Occlusion Model of Stroke
Published on: August 11, 2023
Upper cervical cord enterogenous cyst mimicking transient ischaemic attacks.
Marco Marchionni1, Nikolaos Tzerakis, Kai Tsang
1Department of Neurosurgery, University Hospital of North Staffordshire, Stoke on Trent, UK.
BMJ Case Reports
|September 24, 2013
Summary
An enterogenous cyst compressing the cervical spine caused neurological deficits. Surgical excision led to significant recovery, highlighting the importance of accurate diagnosis for this benign condition.
Area of Science:
- Neurology
- Neurosurgery
- Pathology
Background:
- Enterogenous cysts are rare congenital anomalies that can occur along the neural axis.
- Cervical spine involvement by enterogenous cysts can lead to significant neurological deficits due to spinal cord compression.
Observation:
- A 76-year-old woman presented with tetraparesis and hemisensory loss due to a C2-4 cervical spine lesion.
- Initial symptoms were misdiagnosed as transient ischemic attacks and stroke due to waxing and waning presentation and normal initial CT scan findings.
Findings:
- Cervical spine MRI revealed a partially cystic lesion compressing the spinal cord.
- Histopathological examination confirmed the lesion as an enterogenous cyst.
- Surgical excision resulted in significant recovery from tetraparesis.
Implications:
- Early and accurate diagnosis of spinal enterogenous cysts is crucial for timely surgical intervention.
- Complete surgical excision is curative and can reverse neurological deficits caused by spinal cord compression.
- Misdiagnosis can delay treatment, potentially leading to prolonged or irreversible neurological damage.
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