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Spinal calcifying pseudoneoplasms of the neuraxis: A case report and review of the literature.


ABSTRACT: Calcifying pseudoneoplasms of the neuraxis (CAPNON) are rare, non-neoplastic, slow-growing tumors that can present anywhere throughout the central nervous system. While the etiology of these lesions remains unknown, the mainstay of treatment is surgical excision. We describe a case of CAPNON at our institution in a 66 year-old female patient who presented with 5 months of pain and burning sensation in her thigh. On MRI, an intradural extramedullary lesion was identified at the level of T11-T12. The mass was surgically excised and the patient reported resolution of her symptoms by her six week follow-up appointment. We reviewed 79 spinal CAPNON cases, covering all cases reported in the literature thus far. In summary, we find that spinal CAPNON are most commonly lumbar and extradural in location, with pain as the most common presenting symptom. Lesions are well-defined and hypointense on T1 and T2 MRI sequence. The majority of cases had favorable surgical outcomes with near complete resolution of pain and associated symptoms.

SUBMITTER: Chatrath A 

PROVIDER: S-EPMC10937954 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature

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Spinal calcifying pseudoneoplasms of the neuraxis: A case report and review of the literature.

Chatrath Ajay A   Lemieux Mackenzie M   Patel Rujvee P RP   Roberts Kaleigh F KF   Dahiya Sonika S   Pennicooke Brenton B  

World neurosurgery: X 20240224


Calcifying pseudoneoplasms of the neuraxis (CAPNON) are rare, non-neoplastic, slow-growing tumors that can present anywhere throughout the central nervous system. While the etiology of these lesions remains unknown, the mainstay of treatment is surgical excision. We describe a case of CAPNON at our institution in a 66 year-old female patient who presented with 5 months of pain and burning sensation in her thigh. On MRI, an intradural extramedullary lesion was identified at the level of T11-T12.  ...[more]

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