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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Intramedullary non-specific inflammatory lesion of thoracic spine: A case report | Landi et al. World Journal of Surgical Oncology 2010 8 3 http www.wjso.eom content 8 1 3 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Intramedullary non-specific inflammatory lesion of thoracic spine A case report Alessandro Landi1 Valerio Di Norcia1 Demo Eugenio Dugoni1 Roberto Tarantino1 Martina Cappelletti1 Manila Antonelli2 Antonio Santoro1 Roberto Delfini1 Abstract Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious TB fungal bacterial parasytic syphilis CMV HSV and non-infectious sarcoid MS myelitis ADEM SLE inflammatory lesions idiopathic necrotizing myelopathy unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin without signs of infection or demyelinization in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm. These can be classified as either infectious TB fungal bacterial parasytic syphilis CMV HSV and non-infectious sarcoid MS myelitis ADEM SLE inflammatory lesions idiopathic necrotizing myelopathy unusual .
