Damaged ligaments at the craniocervical junction presenting as an extradural tumour: a differential diagnosis in the elderly.
AUTOR(ES)
Crockard, H A
RESUMO
An extradural mass at the craniocervical junction causing progressive neurological disability in five elderly patients is described. The lesion, which might be confused with a meningioma or other tumour, is composed of amorphous degenerate fibrocartilaginous material and could be due to degeneration of the ligaments responsible for atlanto-axial stability. Recognition of the condition early is important as the patient's clinical condition will deteriorate without decompression. Anterior transoral removal is relatively simple, unlike surgery for tumours in the area, and will not destabilise the craniovertebral junction. It is likely that a proportion of these lesions are undetected, misdiagnosed or untreated to the detriment of the patient.
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1014523Documentos Relacionados
- Invasion of the leptomeninges by tumour: the differential diagnosis from tuberculous meningitis
- Systemic lupus erythematosus presenting as polymyalgia rheumatica in the elderly.
- Acute promyelocytic leukemia presenting as an extradural mass
- Malignant Warthin's tumour: an ultrastructural study.
- CORTICAL ADRENAL TUMOUR: A Clinical Conference at the Winnipeg General Hospital
