Patient in his 50s who presented with severe dysesthetic left upper extremity radiculopathy as well as nerve pain and paresis of the left upper extremity. Imaging revealed an intradural intramedullary spinal cord tumor likely consistent with a cavernoma* occupying the entirety of the left hemicord at the level of C5-C6.
Given the location and severe neurological symptoms as well as the evidence of hemorrhage on the MRI, we discussed risks, benefits, alternatives of resection of the intradural cavernoma for the purposes of diagnosis as well as prevention of further hemorrhage.
We performed a C5-C7 laminectomy and intradural removal of the intramedullary C5-C6 cavernoma.
*Cavernomas are abnormal clusters of vessels with small bubbles (or caverns) filled with blood that make them look like a berry. These can range in size from microscopic up to several inches in diameter. (Source: www.mountsinai.org)
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