Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease
Recognizing syndromes which mimic ALS is crucial both to avoid giving this diagnosis erroneously and since there may be appropriate treatments. We report a 63-year-old woman diagnosed with possible ALS five years ago based on upper and lower motor neuron signs with typical electrophysiology and norm...
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Wiley
2010-01-01
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Series: | Case Reports in Medicine |
Online Access: | http://dx.doi.org/10.1155/2010/261657 |
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author | P. G. Sämann H. Himmerich T. Merl C. Erös M. B. Müller J. C. Tonn B. Buchwald |
author_facet | P. G. Sämann H. Himmerich T. Merl C. Erös M. B. Müller J. C. Tonn B. Buchwald |
author_sort | P. G. Sämann |
collection | DOAJ |
description | Recognizing syndromes which mimic ALS is crucial both to avoid giving this diagnosis erroneously and since there may be appropriate treatments. We report a 63-year-old woman diagnosed with possible ALS five years ago based on upper and lower motor neuron signs with typical electrophysiology and normal cranial MRI. At reassessment, spinal MRI revealed a cervicothoracic cyst with cord compression that was successfully treated neurosurgically. Histopathology confirmed an arachnoid origin as suspected from MRI. Spinal cysts may mimic ALS and need to be thoroughly excluded by appropriate imaging. |
format | Article |
id | doaj-art-733f46ed083a43119eae15c6f2ab5710 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2010-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
spelling | doaj-art-733f46ed083a43119eae15c6f2ab57102025-02-03T06:13:59ZengWileyCase Reports in Medicine1687-96271687-96352010-01-01201010.1155/2010/261657261657Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron DiseaseP. G. Sämann0H. Himmerich1T. Merl2C. Erös3M. B. Müller4J. C. Tonn5B. Buchwald6Max Planck Institute of Psychiatry, Kraepelinstraße 2-10, 80804 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstraße 2-10, 80804 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstraße 2-10, 80804 Munich, GermanyDepartment of Neurosurgery, Klinikum Großhadern, Ludwig Maximilians University, Marchioninistraße 15, 81377 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstraße 2-10, 80804 Munich, GermanyDepartment of Neurosurgery, Klinikum Großhadern, Ludwig Maximilians University, Marchioninistraße 15, 81377 Munich, GermanyMax Planck Institute of Psychiatry, Kraepelinstraße 2-10, 80804 Munich, GermanyRecognizing syndromes which mimic ALS is crucial both to avoid giving this diagnosis erroneously and since there may be appropriate treatments. We report a 63-year-old woman diagnosed with possible ALS five years ago based on upper and lower motor neuron signs with typical electrophysiology and normal cranial MRI. At reassessment, spinal MRI revealed a cervicothoracic cyst with cord compression that was successfully treated neurosurgically. Histopathology confirmed an arachnoid origin as suspected from MRI. Spinal cysts may mimic ALS and need to be thoroughly excluded by appropriate imaging.http://dx.doi.org/10.1155/2010/261657 |
spellingShingle | P. G. Sämann H. Himmerich T. Merl C. Erös M. B. Müller J. C. Tonn B. Buchwald Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease Case Reports in Medicine |
title | Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease |
title_full | Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease |
title_fullStr | Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease |
title_full_unstemmed | Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease |
title_short | Cervicothoracic Intradural Arachnoid Cyst Misdiagnosed as Motor Neuron Disease |
title_sort | cervicothoracic intradural arachnoid cyst misdiagnosed as motor neuron disease |
url | http://dx.doi.org/10.1155/2010/261657 |
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