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Thoracic spinal Pantopaque cyst and associated syrinx resulting in progressive spastic paraparesis: case report.
- Source :
-
Neurosurgery [Neurosurgery] 1996 Nov; Vol. 39 (5), pp. 1040-2. - Publication Year :
- 1996
-
Abstract
- Objective and Importance: We describe a unique presentation of a thoracic spinal Pantopaque cyst. Although Pantopaque is no longer used, sequelae of its long-term use may continue to surface.<br />Clinical Presentation: Our patient presented to the emergency room with 4 months of progressive lower extremity numbness, spasticity, and incontinence and a 2-day history of left upper extremity dysesthesias. Magnetic resonance imaging at admission revealed a C7-T10 syrinx and an intrathecal extramedullary mass to the right of the spinal cord at T10-T11.<br />Intervention: Radiographic evidence led to the initial diagnosis of hemangioblastoma. The results of a critical analysis of the preoperative studies caused us to suspect a Pantopaque cyst. This suspicion was confirmed at the time of surgery, when a cyst filled with contrast medium was revealed. T9-T11 laminectomies were performed, allowing for a 5-cm dural opening. The cyst was aspirated and excised, and then the syrinx was decompressed.<br />Conclusion: Our patient experienced significant sensory and motor improvement postoperatively. We present a previously undescribed complication of one of the most commonly used contrast media, Pantopaque. Despite its replacement with newer agents, it may continue to play a significant role in the pathological presentation of patients in whom it was previously used.
- Subjects :
- Adult
Angiography
Cysts diagnosis
Cysts surgery
Humans
Magnetic Resonance Imaging
Male
Paraparesis, Tropical Spastic diagnosis
Paraparesis, Tropical Spastic surgery
Spinal Diseases diagnosis
Spinal Diseases surgery
Syringomyelia diagnosis
Syringomyelia surgery
Thorax
Contrast Media adverse effects
Cysts chemically induced
Iophendylate adverse effects
Paraparesis, Tropical Spastic chemically induced
Spinal Diseases chemically induced
Syringomyelia chemically induced
Subjects
Details
- Language :
- English
- ISSN :
- 0148-396X
- Volume :
- 39
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Neurosurgery
- Publication Type :
- Academic Journal
- Accession number :
- 8905763
- Full Text :
- https://doi.org/10.1097/00006123-199611000-00033