title: Chiari I malformation associated with thoracic epidural cord lesion: case report.
abstract: Many spinal cord lesions have been described previously, in association with Chiari I lesions. The authors report a unique case of a 29-year-old patient with a Chiari I malformation and an upper thoracic epidural lesion causing headaches, dysphagia and Brown-Sequard syndrome. The patient underwent a suboccipital decompression as well as a thoracic laminectomy and resection of the epidural lesion. Pathologic analysis revealed that the thoracic lesion was fibro-adipose tissue. A review of the literature failed to show any other similar cases. We discuss the possible etiologies of this case.
authors.affiliation: Department of Neurosurgery, Detroit Receiving Hospital, Wayne State University, Detroit, MI, USA. kbarami@neuosurgery.wayne.edu
authors.forename: Kaveh
authors.initials: K
authors.lastname: Barami
authors.forename: Ian
authors.initials: I
authors.lastname: Lee
authors.forename: Jody
authors.initials: J
authors.lastname: Wellwood
authors.forename: Daniel B
authors.initials: DB
authors.lastname: Michael
mesh_terms: D000328:Adult; D001139:Arnold-Chiari Malformation / Q000473:pathology*; D018437:Brown-Sequard Syndrome / Q000473:pathology*; D015174:Epidural Neoplasms / Q000473:pathology; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018205:Neoplasms, Adipose Tissue / Q000473:pathology; D013116:Spinal Cord / Q000473:pathology*; D013904:Thoracic Vertebrae