• J Spinal Cord Med · Jan 2009

    Case Reports

    Thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst.

    • Paul M Arnold, Laura L Neff, Karen K Anderson, Alan R Reeves, and Kathy L Newell.
    • Department of Neurosurgery, University of Kansas Medical Center, 5035 Sudler Hall, MS 3021, 3901 Rainbow Blvd, Kansas City, KS 66160, USA.
    • J Spinal Cord Med. 2009 Jan 1; 32 (5): 595-7.

    Background/ObjectiveTo report a case of thoracic myelopathy secondary to intradural extramedullary bronchogenic cyst.Study DesignCase report.Methods/FindingsA 20-year-old man presented to the emergency department with increasing back pain and lower-extremity weakness. Magnetic resonance imaging demonstrated a cystic lesion at the T4 level with mass effect on the spinal cord.ResultsThe lesion was resected, and histopathologic evaluation showed a cyst lined by respiratory-type epithelium consistent with a bronchogenic cyst.ConclusionsIntradural extramedullary bronchogenic cysts of the thoracic spine have been reported previously but are extremely rare. The treatment of choice is surgical resection.

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