{"id":"63755f95-c688-429e-be91-288ea60cd6f9","slug":"cervical-intramedullary-spinal-cavernoma-in-setting-of-unresolved-myelopathy-a-case-report","title":"Cervical intramedullary spinal cavernoma in setting of unresolved myelopathy: A case report","authors":["Enyinna Nwachuku","James Duehr","Scott Kulich","Daniel Marker","John Moossy"],"abstract":"Background: Spinal cavernous malformations are rare, accounting for approximately 5–12% of all spinal cord vascular lesions. Fortunately, improvements in imaging technologies have made it easier to establish the diagnosis of intramedullary spinal cavernomas (ISCs). Case Description: Here, we report the case of a 63-year-old male with an >11-year history of left-sided radiculopathy, ataxia, and quadriparesis. Initially, radiographic findings were interpreted as consistent with spondylotic myelopathy with cord signal changes from the C3-C7 levels. The patient underwent a C3-C7 laminectomy/foraminotomy with instrumentation. It was only after several symptomatic recurrences and repeated magnetic resonance images (MRI) that the diagnosis of a ventrally-located intramedullary lesion, concerning for a cavernoma, at the level C6 was established. Conclusion: Early and repeated enhanced MR studies may be required to correctly establish the diagnosis and determine the optimal surgical management of ISCs.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/63755f95-c688-429e-be91-288ea60cd6f9/featured/hero-1781563346722.png","publishDate":"2020-07-04T00:00:00.000Z","doi":"10.25259/SNI_87_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/07/10116/SNI-11-176.pdf"}