A case of ecchordosis physaliphora presenting with an intratumoral hemorrhage.
Ecchordosis physaliphora is a rare congenital, benign, hamartomatous, retroclival mass derived from notochordal tissue that is typically located intradurally in the prepontine cistern. Ecchordosis physaliphora is usually asymptomatic. In rare cases, ecchordosis physaliphora can be symptomatic due to tumor expansion and compression of the surrounding structures and extratumoral hemorrhage. To our knowledge, ecchordosis physaliphora associated with intratumoral hemorrhage and vasogenic edema has not been previously described. We present a case of 22-year-old man who presented with headache and confusion. MR imaging and CT revealed intracranial ecchordosis physaliphora associated with intratumoral hemorrhage and vasogenic edema. The neurological findings resolved completely after medical therapy.
Alkan
Ozlem
O
Baskent University, Medical School, Radiology Department, Adana, Turkey. yalinozlem@hotmail.com
Yildirim
Tülin
T
Kizilkiliç
Osman
O
Tan
Meliha
M
Cekinmez
Melih
M
D001241:Aspirin / Q000009:adverse effects; D001927:Brain Diseases / Q000209:etiology* / Q000473:pathology; D003388:Cranial Fossa, Posterior / Q000473:pathology; D006222:Hamartoma / Q000150:complications* / Q000473:pathology; D006261:Headache / Q000188:drug therapy; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009672:Notochord / Q000473:pathology*; D010975:Platelet Aggregation Inhibitors / Q000009:adverse effects; D013345:Subarachnoid Hemorrhage / Q000139:chemically induced / Q000209:etiology* / Q000473:pathology; D013346:Subarachnoid Space / Q000473:pathology; D055815:Young Adult
D010975:Platelet Aggregation Inhibitors; D001241:Aspirin