title: Intraoperative, imaging and pathological features in spinal cord vasculitis.
abstract: The surgical intraoperative findings in spinal cord vasculitis have not been previously described. The imaging appearances can mimic intramedullary spinal cord tumours. We present a patient with spinal cord vasculitis and mixed intraoperative findings of spinal vascular lesion and intramedullary tumour. Based on the absence of a confirmatory intraoperative smear, vessel obliteration and tumour debulking was avoided, preventing a catastrophic surgical complication. The limited literature and management options are also reviewed.
authors.affiliation: Neurosurgical Department, John Radcliffe Hospital, Headington Oxford, UK. tomrourke@doctors.org.uk
authors.forename: T
authors.initials: T
authors.lastname: Rourke
authors.forename: Jahromi A
authors.initials: JA
authors.lastname: Hamidian
authors.forename: P
authors.initials: P
authors.lastname: Pretorius
authors.forename: J
authors.initials: J
authors.lastname: Morris
authors.forename: G
authors.initials: G
authors.lastname: Samandouras
authors.forename: S
authors.initials: S
authors.lastname: Cudlip
mesh_terms: D006801:Humans; D007432:Intraoperative Period; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D013116:Spinal Cord / Q000098:blood supply / Q000276:immunology / Q000473:pathology; D013118:Spinal Cord Diseases / Q000473:pathology* / Q000628:therapy; D013120:Spinal Cord Neoplasms / Q000473:pathology* / Q000628:therapy; D016896:Treatment Outcome; D020293:Vasculitis, Central Nervous System / Q000473:pathology* / Q000628:therapy