{"id":"b0c596c3-5458-47fb-b24c-bddfca439319","slug":"craniocervical-intradural-pseudotumor-causing-bulbomedullary-compression","title":"Craniocervical intradural pseudotumor causing bulbomedullary compression","authors":["Inês Almeida Lourenço","Diogo Roque","Nuno Cubas Farinha","Rafael Roque","Nuno Simas"],"abstract":"Background: Pseudotumors are rare lesions that may cause compression of adjacent neural structures. Treatment options range from conservative management to surgical intervention. Case Description: A 59-year-old female presented with a 3-month history of headaches, difficulty speaking, swallowing, gait disturbance, and progressive left-sided weakness. Her examination confirmed left-sided tetraparesis. The cervical magnetic resonance showed a right-sided mass compressing the bulbomedullary junction. Through a modified right-sided far lateral craniotomy, an intradural “pseudotumor” was removed. Postoperatively, the patient’s symptoms gradually improved. Histopathological analysis revealed an acellular fibrocartilaginous mass consistent with the diagnosis of pseudotumor. Conclusion: Pseudotumors at the craniocervical junction may cause progressive tetraparesis readily resolved following gross total surgical excision.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/b0c596c3-5458-47fb-b24c-bddfca439319/featured/hero-1781558567615.png","publishDate":"2025-06-06T00:00:00.000Z","doi":"10.25259/SNI_403_2025","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2025/06/13607/SNI-16-232.pdf"}