title: Intradural cervical inflammatory pseudotumor mimicking epidural hematoma in a pregnant woman: case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Mohamed Vth University School of Medicine, Hôpital des Spécialités ONO, Rabat 10100, Morocco. mahjoubanch@hotmail.com
authors.forename: Mahjouba
authors.initials: M
authors.lastname: Boutarbouch
authors.forename: Yasser
authors.initials: Y
authors.lastname: Arkha
authors.forename: Lobna
authors.initials: L
authors.lastname: Rifi
authors.forename: Said
authors.initials: S
authors.lastname: Derraz
authors.forename: Abdessamad
authors.initials: A
authors.lastname: El Ouahabi
authors.forename: Abdeslam
authors.initials: A
authors.lastname: El Khamlichi
mesh_terms: 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