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Cervical intramedullary ependymoma masquerading as cervical spondylotic myelopathy on MRI analysis

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Journal of Orthopaedic Science

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References

  1. Sheerin F, Collison K, Quaghebeur G. Magnetic resonance imaging of acute intramedullary myelopathy: radiological differential diagnosis for the on-call radiologist. Clin Radiol. 2009;64:84–94.

    Article  PubMed  CAS  Google Scholar 

  2. Cabraja M, Abbushi A, Costa-Blechschmidt C, van Landeghem FK, Hoffmann KT, Woiciechowsky C, Kroppenstedt S. Atypical cervical spondylotic myelopathy mimicking intramedullary tumor. Spine (Phila Pa 1976). 2008;33:E183–7.

    Article  Google Scholar 

  3. Kurzbuch AR, Rilliet B, Vargas MI, Boex C, Tessitore E. Coincidence of cervical spondylotic myelopathy and intramedullary ependymoma: a potential diagnostic pitfall. J Neurosurg Spine. 2010;12:249–52.

    Article  PubMed  Google Scholar 

  4. Vargas MI, Delavelle J, Jlassi H, Rilliet B, Viallon M, Becker CD, Lovblad KO. Clinical applications of diffusion tensor tractography of the spinal cord. Neuroradiology. 2008;50:25–9.

    Article  PubMed  Google Scholar 

  5. Mizuno J, Nakagawa H, Inoue T, Hashizume Y. Clinicopathological study of “snake-eye appearance” in compressive myelopathy of the cervical spinal cord. J Neurosurg. 2003;99:162–8.

    PubMed  Google Scholar 

  6. Compston A, Coles A. Multiple sclerosis. Lancet. 2008;372:1502–17.

    Article  PubMed  CAS  Google Scholar 

  7. Al-Mefty O, Harkey LH, Middleton TH, Smith RR, Fox JL. Myelopathic cervical spondylotic lesions demonstrated by magnetic resonance imaging. J Neurosurg. 1988;68:217–22.

    Article  PubMed  CAS  Google Scholar 

  8. Mifsud V, Pullicino P. Spinal cord MRI hyperintensities in cervical spondylosis: an ischemic pathogenesis? J Neuroimaging. 2000;10:96–100.

    PubMed  CAS  Google Scholar 

  9. Takahashi M, Yamashita Y, Sakamoto Y, Kojima R. Chronic cervical cord compression: clinical significance of increased signal intensity on MR images. Radiology. 1989;173:219–24.

    PubMed  CAS  Google Scholar 

  10. Yukawa Y, Kato F, Yoshihara H, Yanase M, Ito K. MR T2 image classification in cervical compression myelopathy: predictor of surgical outcomes. Spine (Phila Pa 1976). 2007;32:1675–8. (discussion 1679).

    Article  Google Scholar 

  11. Ozawa H, Sato T, Hyodo H, Ishii Y, Morozumi N, Koizumi Y, Matsumoto F, Kasama F, Aizawa T, Itoi E, Kokubun S. Clinical significance of intramedullary Gd-DTPA enhancement in cervical myelopathy. Spinal Cord. 2009;48:415–22.

    Article  PubMed  Google Scholar 

  12. Fujiyoshi K, Yamada M, Nakamura M, Yamane J, Katoh H, Kitamura K, Kawai K, Okada S, Momoshima S, Toyama Y, Okano H. In vivo tracing of neural tracts in the intact and injured spinal cord of marmosets by diffusion tensor tractography. J Neurosci. 2007;27:11991–8.

    Article  PubMed  CAS  Google Scholar 

  13. Setzer M, Murtagh RD, Murtagh FR, Eleraky M, Jain S, Marquardt G, Seifert V, Vrionis FD. Diffusion tensor imaging tractography in patients with intramedullary tumors: comparison with intraoperative findings and value for prediction of tumor resectability. J Neurosurg Spine. 2010;13:371–80.

    Article  PubMed  Google Scholar 

  14. Ducreux D, Lepeintre JF, Fillard P, Loureiro C, Tadie M, Lasjaunias P. MR diffusion tensor imaging and fiber tracking in 5 spinal cord astrocytomas. AJNR Am J Neuroradiol. 2006;27:214–6.

    PubMed  CAS  Google Scholar 

  15. Budzik JF, Balbi V, Le Thuc V, Duhamel A, Assaker R, Cotten A. Diffusion tensor imaging and fibre tracking in cervical spondylotic myelopathy. Eur Radiol. 2010;21:426–33.

    Article  PubMed  Google Scholar 

  16. Xiangshui M, Xiangjun C, Xiaoming Z, Qingshi Z, Yi C, Chuanqiang Q, Xiangxing M, Chuanfu L, Jinwen H. 3 T magnetic resonance diffusion tensor imaging and fibre tracking in cervical myelopathy. Clin Radiol. 2010;65:465–73.

    Article  PubMed  CAS  Google Scholar 

  17. Nakamura M, Ishii K, Watanabe K, Tsuji T, Takaishi H, Matsumoto M, Toyama Y, Chiba K. Surgical treatment of intramedullary spinal cord tumors: prognosis and complications. Spinal Cord. 2008;46:282–6.

    Article  PubMed  CAS  Google Scholar 

  18. Renoux J, Facon D, Fillard P, Huynh I, Lasjaunias P, Ducreux D. MR diffusion tensor imaging and fiber tracking in inflammatory diseases of the spinal cord. AJNR Am J Neuroradiol. 2006;27:1947–51.

    PubMed  CAS  Google Scholar 

  19. Agosta F, Absinta M, Sormani MP, Ghezzi A, Bertolotto A, Montanari E, Comi G, Filippi M. In vivo assessment of cervical cord damage in MS patients: a longitudinal diffusion tensor MRI study. Brain. 2007;130:2211–9.

    Article  PubMed  CAS  Google Scholar 

  20. Cruz LC Jr, Domingues RC, Gasparetto EL. Diffusion tensor imaging of the cervical spinal cord of patients with relapsing-remising multiple sclerosis: a study of 41 cases. Arq Neuropsiquiatr. 2009;67:391–5.

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors have declared that no conflict of interest exists.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, 160-8582, Japan

    Osahiko Tsuji, Masaya Nakamura, Kanehiro Fujiyoshi, Ken Ishii, Naobumi Hosogane, Takashi Tsuji, Yoshiaki Toyama, Kazuhiro Chiba & Morio Matsumoto

  2. Department of Orthopaedic Surgery, Murayama Medical Center, National Hospital Organization, 2-37-1 Gakuen, Musashimurayama, Tokyo, Japan

    Kanehiro Fujiyoshi

  3. Department of Advanced Therapy for Spine and Spinal Cord Disorders, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, Japan

    Kota Watanabe

  4. Department of Radiology, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku, Tokyo, Japan

    Suketaka Momoshima

Authors
  1. Osahiko Tsuji
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  2. Masaya Nakamura
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  3. Kanehiro Fujiyoshi
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  4. Ken Ishii
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  5. Kota Watanabe
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  6. Naobumi Hosogane
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  7. Takashi Tsuji
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  8. Suketaka Momoshima
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  9. Yoshiaki Toyama
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  10. Kazuhiro Chiba
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  11. Morio Matsumoto
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Corresponding author

Correspondence to Masaya Nakamura.

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Tsuji, O., Nakamura, M., Fujiyoshi, K. et al. Cervical intramedullary ependymoma masquerading as cervical spondylotic myelopathy on MRI analysis. J Orthop Sci 18, 355–358 (2013). https://doi.org/10.1007/s00776-011-0165-9

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  • DOI: https://doi.org/10.1007/s00776-011-0165-9

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