Tumoral Calcinosis of the Filum Terminale

Sharma, M; Sinha, R.; Hussey, Keith; Fouyas, Ioannis

doi:10.1227/01.neu.0000170987.14821.6f

Cited by 13 publications

(17 citation statements)

References 17 publications

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“…In the literature, masses of calcifications of the filum terminale requiring surgical removal have been described in a case of tumoral calcinosis [12] and in a case of gouty tophi in the filum terminale in a patient without systemic gout [13].…”

Section: Discussionmentioning

confidence: 99%

Calcium pyrophosphate dihydrate deposition disease of the filum terminale

2013

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Introduction Calcium pyrophosphate dihydrate crystal deposition disease (CPPDD) is a rare benign inflammatory joint disorder characterized by the presence of calcium pyrophosphate dihydrate crystal in the interarticular and periarticular tissue. It has been rarely described with spinal localization. Methods A 50-year-old woman, affected by CPPDD, presented a progressive weakness of both lower limbs associated with neurogenic claudication. Neuroradiological examinations revealed the presence of two intradural calcified lesions at level L3-L4, with no post-contrast enhancement.Results Surgery was performed and the histopathological exams documented the presence of rod-shaped crystals embedded in a fibrocartilaginous stroma. The postoperative course was uneventful and the patient experienced complete symptoms relief with a 5-year follow-up. Conclusion Intradural CPPD localization at the filum terminale is an extremely rare occurrence. Total removal should be preferably attempted with a long-term focal control of the disease as we observed in our case.

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Section: Discussionmentioning

confidence: 99%

Calcium pyrophosphate dihydrate deposition disease of the filum terminale

2013

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“…This case presents a diagnostic challenge because of the mode of presentation and the nature of the lesion (2).…”

Section: P I C T U R E 1 A: L U Mb a R Ct -S C A N S H O Wi N G A Nmentioning

confidence: 99%

Recurrent Pyelonephritis Revealing a Calcified Tuberculoma of the Filum Terminale

et al. 2009

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“…Our patient had concurrent unidentified serology negative spondyloarthropathic connective tissue disease, and the calcinosis type of the patient was probably type 3. Few cases of tumoral calcinosis due to scleroderma have been reported (4,8,11). Durant et al (2) studied 21 patients with tumoral calcinosis.…”

Section: Treatmentmentioning

confidence: 99%

“…Tumoral calcinosis involving the lumbar spine is rare; to our knowledge, only 9 studies on lumbar tumoral calcinosis have been reported in the literature (1,2,7,8,9,11,13,14,15). The lesions involved the vertebral bodies, facet joints, dura, and filum terminale (1,2,8,9).…”

Section: Introductionmentioning

confidence: 99%

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Tumoral calcinosis and epidural lipomatosis of the lumbar spine

Emon¹,

Bozkurt²,

Gerçek³

et al. 2009

Turkish Neurosurgery

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Lumbar spinal tumoral calcinosis and spinal epidural lipomatosis are rare conditions. We present a 70-year-old female patient with serology negative spondyloarthropathy who developed paresis due to tumoral calcinosis in the left facet joint between L5 and S1 levels and spinal epidural lipomatosis at L5 and S1 levels. Surgery was performed to excise the lesions en bloc. Neural decompression was provided. Neurological symptoms improved after surgery. Here, we report the first serology negative spondyloarthropathy case that had concomitant development of tumoral calcinosis and spinal epidural lipomatosis.

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Tumoral Calcinosis of the Filum Terminale

Abstract: This is the first known case of intradural involvement by tumoral calcinosis. This is an uncommon disorder, and a high index of suspicion is required to diagnose the condition, which can recur if incompletely removed.

Cited by 13 publications

References 17 publications

Calcium pyrophosphate dihydrate deposition disease of the filum terminale

Calcium pyrophosphate dihydrate deposition disease of the filum terminale

Recurrent Pyelonephritis Revealing a Calcified Tuberculoma of the Filum Terminale

Tumoral calcinosis and epidural lipomatosis of the lumbar spine

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