Intramedullary histoplasmosis of the thoracic cord as an isolated lesion: A rare case report and literature review
Disseminated histoplasmosis involving the central nervous system occurs in 5-10% of cases. However, intramedullary spinal cord lesions are extremely rare. Here, 45-year-old female with a T8-9 intramedullary lesion did well following surgical extirpation. For 2 weeks, a 45-year-old female experienced...
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Published in | Surgical neurology international Vol. 14; p. 197 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
United States
2023
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Subjects | |
Online Access | Get more information |
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Summary: | Disseminated histoplasmosis involving the central nervous system occurs in 5-10% of cases. However, intramedullary spinal cord lesions are extremely rare. Here, 45-year-old female with a T8-9 intramedullary lesion did well following surgical extirpation.
For 2 weeks, a 45-year-old female experienced progressive lower back pain, paresthesias, and paraparesis. The magnetic resonance imaging showed an intramedullary expansive lesion at the T8-T9 level that markedly enhanced with contrast. Surgery, consisting of T8-T10 laminectomies performed using neuronavigation, an operating microscope, and intraoperative monitoring, revealed a well-demarcated lesion that proved to be a focus of histoplasmosis; it was readily completely excised.
Surgery is the gold standard for treating spinal cord compression attributed to intramedullary histoplasmosis unresponsive to medical management. |
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ISSN: | 2229-5097 |