{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T16:39:24Z","timestamp":1756571964883},"reference-count":6,"publisher":"Scientific Scholar","license":[{"start":{"date-parts":[[2021,3,15]],"date-time":"2021-03-15T00:00:00Z","timestamp":1615766400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["ruralneuropractice.com"],"crossmark-restriction":true},"short-container-title":["JNRP"],"abstract":"<jats:p>\n<jats:bold>Background<\/jats:bold>\u2003Immunoglobulin G4\u2013related disease (IgG4-RD) is a recently identified multisystemic fibroinflammatory condition of unclear etiology. IgG4-RD of the epidural tissue causing spinal cord compression is extremely rare.<\/jats:p>\n<jats:p>\n<jats:bold>Case description<\/jats:bold>\u2003Here, we present a 27-year-old male with epidural mass, causing spinal cord compression at the level of D5-D6. The mass proved pathologically to be epidural inflammatory pseudotumor (IPT) related to IgG4. Spinal decompression was done. The patient was started on steroid treatment and reported a complete resolution of his symptoms over a 3 years\u2019 follow-up period.<\/jats:p>\n<jats:p>\n<jats:bold>Conclusion<\/jats:bold>\u2003To the authors\u2019 knowledge, this is the first case of IgG4-related epidural IPT and spinal cord compression in Bahrain and the Middle East. IgG4-RD should always be considered as a part of the differential diagnosis of spinal tumors.<\/jats:p>","DOI":"10.1055\/s-0041-1722841","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T08:31:56Z","timestamp":1615883516000},"page":"424-426","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Immunoglobulin G4-Related Disease Masquerading an Epidural Spinal Cord Tumor"],"prefix":"10.25259","volume":"12","author":[{"given":"Ebtesam","family":"Abdulla","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harleen","family":"Luther","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tejal","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Radiology, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nisha","family":"Chandran","sequence":"additional","affiliation":[{"name":"Department of Anatomical Pathology, Salmaniya Medical Complex, Manama, Bahrain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,3,15]]},"reference":[{"issue":"6","key":"10.1055\/s-0041-1722841\/ref-1","doi-asserted-by":"crossref","first-page":"688","DOI":"10.3171\/2016.11.SPINE16924","article-title":"Immunoglobulin G4-related epidural inflammatory pseudotumor presenting with pulmonary complications and spinal cord compression: case report","volume":"26","author":"Rumalla","year":"2017","journal-title":"J Neurosurg Spine"},{"issue":"2","key":"10.1055\/s-0041-1722841\/ref-2","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1111\/cei.12641","article-title":"Immunology of IgG4-related disease","volume":"181","author":"Della-Torre","year":"2015","journal-title":"Clin Exp Immunol"},{"key":"10.1055\/s-0041-1722841\/ref-3","doi-asserted-by":"crossref","first-page":"3618510","DOI":"10.1155\/2019\/3618510","article-title":"IgG4-related sclerosing disease causing spinal cord compression: the first reported case in literature","volume":"2019","author":"Merza","year":"2019","journal-title":"Case Reports Immunol"},{"issue":"1","key":"10.1055\/s-0041-1722841\/ref-4","doi-asserted-by":"crossref","first-page":"76","DOI":"10.3171\/2016.5.SPINE16119","article-title":"Immunoglobulin G4-related disease mimicking an epidural spinal cord tumor: case report","volume":"26","author":"Williams","year":"2017","journal-title":"J Neurosurg Spine"},{"key":"10.1055\/s-0041-1722841\/ref-5","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1186\/s13256-016-0838-2","article-title":"IgG4-related disease presenting with an epidural inflammatory pseudotumor: a case report","volume":"10","author":"Ferreira","year":"2016","journal-title":"J Med Case Reports"},{"key":"10.1055\/s-0041-1722841\/ref-6","doi-asserted-by":"crossref","first-page":"209","DOI":"10.4103\/sni.sni_156_18","article-title":"Neuro-surgical considerations for treating IgG4-related disease with rare spinal epidural compression","volume":"9","author":"Winkel","year":"2018","journal-title":"Surg Neurol Int"}],"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ruralneuropractice.com\/immunoglobulin-g4-related-disease-masquerading-an-epidural-spinal-cord-tumor\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/ruralneuropractice.com\/immunoglobulin-g4-related-disease-masquerading-an-epidural-spinal-cord-tumor\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:42:13Z","timestamp":1691210533000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/immunoglobulin-g4-related-disease-masquerading-an-epidural-spinal-cord-tumor\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,15]]},"references-count":6,"alternative-id":["10.1055\/s-0041-1722841"],"URL":"https:\/\/doi.org\/10.1055\/s-0041-1722841","relation":{},"ISSN":["0976-3147"],"issn-type":[{"value":"0976-3147","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,15]]},"article-number":"424"}}