Live Video Consultation
19 Harley St, London, W1G 9QJ, UK

An inflammatory pseudotumor within the thoracic epidural house presenting with progressive paraplegia: a histopathological prognosis with medical and radiological uncertainty. Case report with literature assessment.

Related Articles

An inflammatory pseudotumor within the thoracic epidural house presenting with progressive paraplegia: a histopathological prognosis with medical and radiological uncertainty. Case report with literature assessment.

Eur Backbone J. 2016 Might;25 Suppl 1:75-9

Authors: Kanagaraju V, Rai D, Alluri RV, Prasanna C, Shyam Sundar V, Arvind Kumar SM, Venkatesh Kumar N

Summary
INTRODUCTION: Inflammatory pseudotumors (IPTs) are benign lesions with unknown etiology, in all probability an immunological response to a traumatic or an infective insult or generally thought of as an IgG4-related autoimmune dysfunction. It may happen as an remoted or multi-centric lesion and are reported to contain nearly all components of the human physique. Though lung and orbital IPTs are reported generally, central nervous system involvement is a uncommon prevalence. Solely seven circumstances of spinal epidural IPTs have been reported so far. These are clinically and radiologically a prognosis of exclusion. It’s an unique histopathological prognosis.
CASE REPORT: We current right here a 49-year-old feminine with 2 months historical past of progressive weak point in decrease limbs, with no historical past suggestive of any traumatic, infective, inflammatory, or neoplastic pathology. Each medical and radiological investigations had been inconclusive. There was a mass lesion within the epidural house (predominantly within the posterior and proper lateral house) at T1-T3 vertebral ranges compressing the thoracic spinal twine. Contemplating the progressive nature of her neurological deficit, an emergency decompressive laminectomies of T1-T3 vertebrae had been carried out with excision of the compressive mass lesion. Histopathological examination confirmed a wealthy lympho-plasmacytic cell infiltrates with storiform spindle cells and dense fibrosis, which was diagnostic of IPT. Submit-operatively there was a speedy restoration in neurology and he or she grew to become ambulatory on the finish of two weeks. The aim of this case report is to debate the medical, histopathological and radiological options, differential prognosis, administration, and prognosis of spinal IPT on the background of related literature assessment.

PMID: 26155896 [PubMed – indexed for MEDLINE]

An inflammatory pseudotumor within the thoracic epidural house presenting with progressive paraplegia a histopathological prognosis with medical and radiological uncertainty Case report with literature assessment | Nerve specialist london

What our patients say ...

Consultant Spine Surgeon
Consultant Spine Surgeon
Consultant Spine Surgeon

This surgical technique consists of a percutaneous approach for the treatment of small to medium size hernias of the intervertebral disc by laser energy. The main objective is to reduce the intradiscal pressure in the nucleus pulposus

Laser Disc Surgery can be performed under local anaesthetic as a day case at our centre on the prestigious Harley Street.
What is London spine unit and How it Works

The London Spine Unit was established in 2005 and has successfully treated over 5000 patients. All conditions are treated.

treatment of all spinal disorders

The London Spine Unit specialises in Minimally Invasive Treatments allowing rapid recovery and return to normal function

Trusted by patients worldwide

The London Spine Unit provides the highest quality care to all patients and has VIP services for those seeking exceptional services

If you have any emergency Doctor’s need, simply call our 24 hour emergency

Your personal case manager will ensure that you receive the best possible care.

Call Now 

+44 844 589 2020
+44 203 973 8810