Spinal accessory nerve cavernous malformation.
We present the first reported case of a spinal accessory nerve cavernous malformation. A 54-year-old Caucasian male presented with a several-year history of progressive, vague bilateral upper and lower extremity paresthesias and pain. MRI of the spine revealed a heterogenously enhancing mass in the dorsal aspect of the spinal canal at the level of the atlas with mild spinal cord compression. The lesion was resected and upon gross and histologic examination it was a cavernous malformation embedded within a branch of the spinal accessory nerve. Post-operatively, the patient had no complications and some improvement in his symptoms. To our knowledge, this is the first report of a patient with a spinal accessory nerve cavernous malformation, and this should be considered in the differential of lesions in the craniocervical region.
Hazzard
Matthew A
MA
Department of Neurological Surgery, College of Medicine, Indiana University, Indiana 46202-5124, USA.
Patel
Neal B
NB
Hattab
Eyas M
EM
Horn
Eric M
EM
D000055:Accessory Nerve / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D020436:Accessory Nerve Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery; D003390:Cranial Nerve Neoplasms / Q000150:complications / Q000473:pathology* / Q000601:surgery; D019299:Decompression, Surgical; D003937:Diagnosis, Differential; D020786:Hemangioma, Cavernous, Central Nervous System / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures; D010292:Paresthesia / Q000209:etiology / Q000503:physiopathology; D013115:Spinal Canal / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D013116:Spinal Cord / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D013117:Spinal Cord Compression / Q000209:etiology / Q000473:pathology* / Q000503:physiopathology; D013194:Staining and Labeling; D013346:Subarachnoid Space / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome