Calcifying Pseudoneoplasm of the Neuraxis: A Case Illustrating Natural History over 17 Years of Radiologic Surveillance

被引:20
作者
Barber, Sean M. [1 ]
Low, Jacob Chen Ming [1 ]
Johns, Paul [2 ]
Rich, Philip [3 ]
MacDonald, Bridget [4 ]
Jones, Timothy L. [1 ]
机构
[1] St George Hosp, Dept Neurosurg, London, England
[2] St George Hosp, Dept Neuropathol, London, England
[3] St George Hosp, Dept Neuroradiol, London, England
[4] Croydon Univ Hosp, Dept Neurol, London, England
关键词
Brain mass; Calcifying pseudoneoplasm of the neuraxis; Epilepsy; Seizure; OF-THE-LITERATURE; CENTRAL-NERVOUS-SYSTEM; FIBRO-OSSEOUS LESION; FIBROOSSEOUS LESION; CORPUS-CALLOSUM; POSTERIOR-FOSSA; FORAMEN MAGNUM; SKULL BASE; PSEUDOTUMOR; SPINE;
D O I
10.1016/j.wneu.2018.04.175
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
BACKGROUND: Calcifying pseudoneoplasm of the neuraxis (CAPNON) is a rare central nervous system lesion that can occur in both the brain and the spine. Although this entity is poorly understood, radiologic and histological features have been identified. CASE DESCRIPTION: We report a unique case of a 31-year-old patient who was managed with antiepileptic medication for 17 years before requiring neurosurgical intervention for tumor progression. T2-weighted magnetic resonance imaging revealed hyperintensity within the tumor with extensive associated vasogenic edema, which is not normally associated with CAPNON. Resection was successful with no complications. CONCLUSIONS: The present case illustrates the long-term natural history of CAPNON before resection and highlights the variations in radiologic appearance that may be associated with this poorly understood entity.
引用
收藏
页码:309 / 319
页数:11
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