Chiari I malformation associated with thoracic epidural cord lesion: case report.
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.
Barami
Kaveh
K
Department of Neurosurgery, Detroit Receiving Hospital, Wayne State University, Detroit, MI, USA. kbarami@neuosurgery.wayne.edu
Lee
Ian
I
Wellwood
Jody
J
Michael
Daniel B
DB
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