Craniocervical intradural pseudotumor causing bulbomedullary compression
Year: 2025
Type: article
Study design: Case Report
Abstract: Background: Pseudotumors are rare lesions that may cause compression of adjacent neural structures. Treatment options range from conservative management to surgical intervention. Case Description: A 59-year-old female presented with a 3-month history of headaches, difficulty speaking, swallowing, gait disturbance, and progressive left-sided weakness. Her examination confirmed left-sided tetraparesis. The cervical magnetic resonance showed a right-sided mass compressing the bulbomedullary junction. Through a modified right-sided far lateral craniotomy, an intradural "pseudotumor" was removed. Postoperatively, the patient's symptoms gradually improved. Histopathological analysis revealed an acellular fibrocartilaginous mass consistent with the diagnosis of pseudotumor. Conclusion: Pseudotumors at the craniocervical junction may cause progressive tetraparesis readily resolved following gross total surgical excision.
Source: Surgical Neurology International
Authors: Inês Almeida Lourenço, Diogo Roque, Nuno Cubas Farinha, Rafael Roque, Nuno Simas
Institution: Hospital de Santa Maria
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4411077047