{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,24]],"date-time":"2024-07-24T07:57:00Z","timestamp":1721807820078},"reference-count":8,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nSpinal cavernous malformations are rare, accounting for approximately 5\u201312% of all spinal cord vascular lesions. Fortunately, improvements in imaging technologies have made it easier to establish the diagnosis of intramedullary spinal cavernomas (ISCs).<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nHere, we report the case of a 63-year-old male with an >11-year history of left-sided radiculopathy, ataxia, and quadriparesis. Initially, radiographic findings were interpreted as consistent with spondylotic myelopathy with cord signal changes from the C3-C7 levels. The patient underwent a C3-C7 laminectomy\/foraminotomy with instrumentation. It was only after several symptomatic recurrences and repeated magnetic resonance images (MRI) that the diagnosis of a ventrally-located intramedullary lesion, concerning for a cavernoma, at the level C6 was established.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nEarly and repeated enhanced MR studies may be required to correctly establish the diagnosis and determine the optimal surgical management of ISCs.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_87_2020","type":"journal-article","created":{"date-parts":[[2020,7,4]],"date-time":"2020-07-04T10:17:12Z","timestamp":1593857832000},"page":"176","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cervical intramedullary spinal cavernoma in setting of unresolved myelopathy: A case report"],"prefix":"10.25259","volume":"11","author":[{"given":"Enyinna","family":"Nwachuku","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Pittsburgh Medical Center, Pennsylvania, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Duehr","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pittsburgh School of Medicine, Pennsylvania, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Kulich","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Marker","sequence":"additional","affiliation":[{"name":"Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Moossy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Pittsburgh Medical Center, Pennsylvania, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,7,4]]},"reference":[{"key":"10.25259\/SNI_87_2020\/ref-1","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1093\/neuros\/nyx091","article-title":"Synopsis of guidelines for the clinical management of cerebral cavernous malformations: Consensus recommendations based on systematic literature review by the angioma alliance scientific advisory board clinical experts panel","volume":"80","author":"Akers","year":"2017","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_87_2020\/ref-2","doi-asserted-by":"crossref","first-page":"662","DOI":"10.3171\/2014.6.SPINE13949","article-title":"Surgical outcomes and natural history of intramedullary spinal cord cavernous malformations: A single-center series and meta-analysis of individual patient data: Clinic article","volume":"21","author":"Badhiwala","year":"2014","journal-title":"J Neurosurg Spine"},{"key":"10.25259\/SNI_87_2020\/ref-3","doi-asserted-by":"crossref","first-page":"31","DOI":"10.3171\/jns.1988.68.1.0031","article-title":"Cavernous angiomas of the spinal cord","volume":"68","author":"Cosgrove","year":"1988","journal-title":"J Neurosurg"},{"key":"10.25259\/SNI_87_2020\/ref-4","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1186\/1752-1947-8-271","article-title":"Thoracic spinal cord cavernous angioma: A case report and review of the literature","volume":"8","author":"Grasso","year":"2014","journal-title":"J Med Case Rep"},{"key":"10.25259\/SNI_87_2020\/ref-5","doi-asserted-by":"crossref","first-page":"E14","DOI":"10.3171\/2010.6.FOCUS10144","article-title":"Intramedullary spinal cord cavernous malformations","volume":"29","author":"Gross","year":"2010","journal-title":"Neurosurg Focus"},{"key":"10.25259\/SNI_87_2020\/ref-6","first-page":"E54","article-title":"Intramedullary spinal cord hemorrhage (hematomyelia)","volume":"6","author":"Hunderfund","year":"2009","journal-title":"Rev Neurol Dis"},{"key":"10.25259\/SNI_87_2020\/ref-7","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1001\/archneur.1984.04050180044015","article-title":"Hemorrhage and epilepsy in cryptic cerebrovascular malformations","volume":"41","author":"Steiger","year":"1984","journal-title":"Arch Neurol"},{"key":"10.25259\/SNI_87_2020\/ref-8","doi-asserted-by":"crossref","first-page":"672","DOI":"10.3389\/fneur.2017.00672","article-title":"Spinal cavernomas: Outcome of surgically treated 10 patients","volume":"8","author":"Sun","year":"2017","journal-title":"Front Neurol"}],"container-title":["Surgical Neurology International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/surgicalneurologyint.com\/cervical-intramedullary-spinal-cavernoma-in-setting-of-unresolved-myelopathy-a-case-report\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cervical-intramedullary-spinal-cavernoma-in-setting-of-unresolved-myelopathy-a-case-report\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,4]],"date-time":"2020-07-04T10:17:18Z","timestamp":1593857838000},"score":1,"resource":{"primary":{"URL":"http:\/\/surgicalneurologyint.com\/surgicalint-articles\/cervical-intramedullary-spinal-cavernoma-in-setting-of-unresolved-myelopathy-a-case-report\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,4]]},"references-count":8,"alternative-id":["10.25259\/SNI_87_2020"],"URL":"https:\/\/doi.org\/10.25259\/sni_87_2020","relation":{},"ISSN":["2152-7806"],"issn-type":[{"value":"2152-7806","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,4]]},"article-number":"176"}}