Endometriosis of the conus medullaris causing cyclic radiculopathy

Jeffrey A. Steinberg, Steinberg JA, David Gonda, David D Gonda, Muller K, Karra A. Muller, Karra Muller, Joseph D. Ciacci, Ciacci JD
Journal of neurosurgery. Spine · 2014 · vol. 21(5) , pp. 799–804 · doi:10.3171/2014.7.spine14117 · PMID:25192376 · W2122602694
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This case report details endometriosis of the conus medullaris presenting as cyclic radiculopathy, featuring radiological, intraoperative, and histopathological imaging, and includes a literature review.

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Abstract

Intramedullary spinal cord hematomas are a rare neurosurgical pathological entity typically arising from vascular and neoplastic lesions. Endometriosis is an extremely rare cause of intramedullary spinal cord hematoma, with only 5 previously reported cases in the literature. Endometriosis is characterized by ectopic endometrial tissue, typically located in the female pelvic cavity, that causes a cyclical pain syndrome, bleeding, and infertility. In the rare case of intramedullary endometriosis of the spinal cord, symptoms include cyclical lower-extremity radiculopathies and voiding difficulties, and can acutely cause cauda equina syndrome. The authors report a case of endometriosis of the conus medullaris, the first to include radiological, intraoperative, and histopathological imaging. A brief review of the literature is also presented, with discussion including etiological theories surrounding intramedullary endometriosis.

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Condition tags

endometriosisinfertility

MeSH descriptors

Endometriosis Radiculopathy Spinal Cord Spinal Cord Diseases Adult Diagnosis, Differential Electromyography Endometriosis Endometriosis Endometriosis Evoked Potentials, Somatosensory Female Humans Immunohistochemistry Lumbar Vertebrae Magnetic Resonance Imaging Radiculopathy Radiculopathy Radiculopathy Spinal Cord Diseases

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (47)

Cited by (12)

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