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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Main Authors: P. G. Sämann, H. Himmerich, T. Merl, C. Erös, M. B. Müller, J. C. Tonn, B. Buchwald
Format: Article
Language:English
Published: Wiley 2010-01-01
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.
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institution Kabale University
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publishDate 2010-01-01
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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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