Intradural cervical inflammatory pseudotumor mimicking epidural hematoma in a pregnant woman: case report and review of the literature.
BACKGROUND
Inflammatory pseudotumors usually affect the lung and the orbit. They occur extremely rarely in the spine. We encountered a case of intradural extramedullary IPT of the cervical spine in a pregnant woman that initially presented as an epidural hematoma in MRI.


METHODS
This is a case of a 30-year-old, HIV-negative, full-term pregnant lady presenting with 2-month history of progressive quadriparesis with rapid worsening of power in all 4 limbs for 3 days. Magnetic resonance imaging scanning revealed cervical extramedullary compressive lesion likely to be epidural bleed from its imaging characteristics. Intraoperatively, intradural extramedullary granulomatous lesion was found with dural thickening. Gross total excision was accomplished; histopathologic study assessed an IPT. The patient improved after surgery excision and is doing well at 6-month follow-up with remarkable neurological recovery.


CONCLUSIONS
Cervical intradural IPT is a very rare issue in the spine. Diagnosis can be confused with a neoplastic lesion like an "en plaque meningioma" or as epidural bleed like in the present case.
Boutarbouch
Mahjouba
M
Department of Neurosurgery, Mohamed Vth University School of Medicine, Hôpital des Spécialités ONO, Rabat 10100, Morocco. mahjoubanch@hotmail.com
Arkha
Yasser
Y
Rifi
Lobna
L
Derraz
Said
S
El Ouahabi
Abdessamad
A
El Khamlichi
Abdeslam
A
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006104:Granuloma, Plasma Cell / Q000150:complications / Q000473:pathology* / Q000601:surgery; D046748:Hematoma, Epidural, Spinal / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging; D009333:Neck; D019635:Neurosurgical Procedures / Q000379:methods; D011247:Pregnancy; D011782:Quadriplegia / Q000175:diagnosis; D013120:Spinal Cord Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery