Idiopathic tumoral calcinosis-like lesion in the lower cervical spine causing acute central cord syndrome: case report.
A 57-year-old male presented with recurrent falls, bilateral lower-limb paresthesia, and severe neck pain. Imaging revealed a mass compressing his spinal cord. He was admitted for further workup for spinal cord compression. Within 24 hours of admission, he developed upper-extremity weakness while maintaining lower-extremity function. He underwent urgent decompression of his spinal cord. During exposure, a white, creamy odorless substance was noted. This same substance was found under pressure within the spinal canal. The mass was grossly removed, and the patient's weakness improved postoperatively. Based on the clinical picture, intraoperative presentation, and final histological examination, idiopathic tumoral calcinosis-like lesion was considered as the most appropriate diagnosis.
Departments of 1 Orthopedic Surgery.
Ahmad
A
Al-Sukaini
Departments of 1 Orthopedic Surgery.
Nuno Rui
NR
Paulino Pereira
Endocrine Unit, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts.
Elaine W
EW
Yu
Pathology, and.
Ivan
I
Chebib
Radiology.
Miriam A
MA
Bredella
Departments of 1 Orthopedic Surgery.
Joseph
J
Schwab
D000058:Accidental Falls; D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D020210:Central Cord Syndrome / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D002574:Cervical Vertebrae / Q000000981:diagnostic imaging / Q000601:surgery; D003937:Diagnosis, Differential; D006801:Humans; D007796:Laminectomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D004856:Postural Balance
MRC = Medical Research Council; TC = tumoral calcinosis; TC-like lesion; calcinosis; oncology; tumoral calcinosis