A rare symptomatic presentation of ecchordosis physaliphora: neuroradiological and surgical management
We report a case of ecchordosis physaliphora, an uncommon benign lesion originating from embryonic notochordal remnants, intradurally located in the prepontine cistern, that unusually presented associated with symptoms. MRI detected and precisely located the small mass. At surgery, a cystic gelatino...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2007-06, Vol.78 (6), p.647-649 |
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| container_title | Journal of neurology, neurosurgery and psychiatry |
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| creator | Rotondo, M Natale, M Mirone, G Cirillo, M Conforti, R Scuotto, A |
| description | We report a case of ecchordosis physaliphora, an uncommon benign lesion originating from embryonic notochordal remnants, intradurally located in the prepontine cistern, that unusually presented associated with symptoms. MRI detected and precisely located the small mass. At surgery, a cystic gelatinous nodule was found ventral to the pons, contiguous with the dorsal wall of the clivus via a small pedicle. Histological examination diagnosed the lesion as an ecchordosis physaliphora. Here we focus on the analysis of the neuroradiological aspects that play a crucial role from both a diagnostic and a therapeutic standpoint. |
| doi_str_mv | 10.1136/jnnp.2006.109561 |
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MRI detected and precisely located the small mass. At surgery, a cystic gelatinous nodule was found ventral to the pons, contiguous with the dorsal wall of the clivus via a small pedicle. Histological examination diagnosed the lesion as an ecchordosis physaliphora. Here we focus on the analysis of the neuroradiological aspects that play a crucial role from both a diagnostic and a therapeutic standpoint.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.2006.109561</identifier><identifier>PMID: 17210621</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Asymptomatic ; Biological and medical sciences ; Central Nervous System Diseases - diagnostic imaging ; Central Nervous System Diseases - surgery ; Cerebrospinal fluid. Meninges. Spinal cord ; Choristoma ; Cranial Fossa, Posterior ; Dura Mater ; ecchordosis physaliphora ; Female ; Humans ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Neurosurgery ; Notochord ; Short Report ; Skull, brain, vascular surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; T1 weighted image ; T1WI ; T2 weighted image ; T2WI ; Tomography, X-Ray Computed</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2007-06, Vol.78 (6), p.647-649</ispartof><rights>Copyright 2007 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>2007 INIST-CNRS</rights><rights>Copyright: 2007 Copyright 2007 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>Copyright © 2007 BMJ Publishing Group Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b623t-9e77430f3d925c22ab3027a744ec438a308a65e1aa9595a6c045c6f322ae510e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jnnp.bmj.com/content/78/6/647.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jnnp.bmj.com/content/78/6/647.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3183,23550,27901,27902,53766,53768,77342,77373</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18752528$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17210621$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rotondo, M</creatorcontrib><creatorcontrib>Natale, M</creatorcontrib><creatorcontrib>Mirone, G</creatorcontrib><creatorcontrib>Cirillo, M</creatorcontrib><creatorcontrib>Conforti, R</creatorcontrib><creatorcontrib>Scuotto, A</creatorcontrib><title>A rare symptomatic presentation of ecchordosis physaliphora: neuroradiological and surgical management</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>We report a case of ecchordosis physaliphora, an uncommon benign lesion originating from embryonic notochordal remnants, intradurally located in the prepontine cistern, that unusually presented associated with symptoms. MRI detected and precisely located the small mass. At surgery, a cystic gelatinous nodule was found ventral to the pons, contiguous with the dorsal wall of the clivus via a small pedicle. Histological examination diagnosed the lesion as an ecchordosis physaliphora. Here we focus on the analysis of the neuroradiological aspects that play a crucial role from both a diagnostic and a therapeutic standpoint.</description><subject>Asymptomatic</subject><subject>Biological and medical sciences</subject><subject>Central Nervous System Diseases - diagnostic imaging</subject><subject>Central Nervous System Diseases - surgery</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Choristoma</subject><subject>Cranial Fossa, Posterior</subject><subject>Dura Mater</subject><subject>ecchordosis physaliphora</subject><subject>Female</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Neurosurgery</subject><subject>Notochord</subject><subject>Short Report</subject><subject>Skull, brain, vascular surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>T1 weighted image</subject><subject>T1WI</subject><subject>T2 weighted image</subject><subject>T2WI</subject><subject>Tomography, X-Ray Computed</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU2P0zAQhi0EYkvhzglFQnBBKWM7tpM9IK3Kp1QtIMHCzZq6TpuS2MFOEP33uEq1C1zWF894nvnwvIQ8prCglMuXe-f6BQOQCwqVkPQOmdFCljnn8P0umQEwlnMQcEYexLiH4ymr--SMKkZBMjoj9UUWMNgsHrp-8B0Ojcn6YKN1Q7K9y3ydWWN2Pmx8bGLW7w4R26ZPD3ieOTuGZGwa3_ptY7DN0G2yOIbJ6dDh1nap1kNyr8Y22kene06-vn3zZfk-X31892F5scrXkvEhr6xSBYeabyomDGO45sAUqqKwpuAlcihRCksRK1EJlAYKYWTNE2kFBcvn5NVUtx_Xnd2Y1Dpgq_vQdBgO2mOj_424Zqe3_pdmoFSVes_J81OB4H-ONg66a6KxbYvO-jFqlbYJpYJbQVpJyZioEvj0P3Dvx-DSFjRVJWUFK0EmCibKBB9jsPX1zBT0UWt91FoftdaT1inlyd9_vUk4iZuAZycAY5KjDuhME2-4UgkmWJm4fOKaONjf13EMP7RUXAl9ebXUl6vXhfr26Up_TvyLiV93-9vH_AOWqtEH</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>Rotondo, M</creator><creator>Natale, M</creator><creator>Mirone, G</creator><creator>Cirillo, M</creator><creator>Conforti, R</creator><creator>Scuotto, A</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7TK</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070601</creationdate><title>A rare symptomatic presentation of ecchordosis physaliphora: neuroradiological and surgical management</title><author>Rotondo, M ; Natale, M ; Mirone, G ; Cirillo, M ; Conforti, R ; Scuotto, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b623t-9e77430f3d925c22ab3027a744ec438a308a65e1aa9595a6c045c6f322ae510e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Asymptomatic</topic><topic>Biological and medical sciences</topic><topic>Central Nervous System Diseases - diagnostic imaging</topic><topic>Central Nervous System Diseases - surgery</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Choristoma</topic><topic>Cranial Fossa, Posterior</topic><topic>Dura Mater</topic><topic>ecchordosis physaliphora</topic><topic>Female</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Neurosurgery</topic><topic>Notochord</topic><topic>Short Report</topic><topic>Skull, brain, vascular surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. 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MRI detected and precisely located the small mass. At surgery, a cystic gelatinous nodule was found ventral to the pons, contiguous with the dorsal wall of the clivus via a small pedicle. Histological examination diagnosed the lesion as an ecchordosis physaliphora. Here we focus on the analysis of the neuroradiological aspects that play a crucial role from both a diagnostic and a therapeutic standpoint.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>17210621</pmid><doi>10.1136/jnnp.2006.109561</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neurology, neurosurgery and psychiatry, 2007-06, Vol.78 (6), p.647-649 |
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| subjects | Asymptomatic Biological and medical sciences Central Nervous System Diseases - diagnostic imaging Central Nervous System Diseases - surgery Cerebrospinal fluid. Meninges. Spinal cord Choristoma Cranial Fossa, Posterior Dura Mater ecchordosis physaliphora Female Humans Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Neurosurgery Notochord Short Report Skull, brain, vascular surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases T1 weighted image T1WI T2 weighted image T2WI Tomography, X-Ray Computed |
| title | A rare symptomatic presentation of ecchordosis physaliphora: neuroradiological and surgical management |
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