Additional clinical history: Acute leukemia.
Findings
Large anterior epidural mass extending from posterior clinoid to the cervicothoracic junction measuring approx. 6x3x1.5 cm with mass effect on the anterior pons, medulla, and upper cervical cord. No post-contrast imaging obtained.
Differential diagnosis: Epidural mass
- Metastatic disease
- Lymphoma
- Leukemia/chloroma
- Chordoma
- Osteomyelitis/epidural abscess
- Epidural hematoma
- Primary tumor such as neurofibroma/schwannoma
Diagnosis: Chloroma of epidural space
Key points
AKA granulocytic sarcoma, extramedullary myeloblastoma.
Most commonly occurs in the setting of AML.
Can also occur in setting of chronic myelogenous leukemia and other myeloproliferative disorders.
These tumors can involve any part of the body, either concurrently or sequentially.
Imaging characteristics:
- NECT: Isodense or hyper dense to brain or muscle
- MR: Hypo intense or Iso intense on T1-weighted MR images, heterogeneously Iso intense or hyper intense on T2-weighted MR images
- MR+C: Enhance homogeneously after injection of contrast medium
Paraspinal and intraspinal lesions are also thought to arise from perivenous arachnoid spread of leukemic cells. Uncommonly, spinal involvement by granulocytic sarcoma may cause compression of the spinal cord, cauda equina, or nerve roots
very amazing and interesting post, thank you for sharing
RispondiEliminaGreat Quotes
Positive Life Quotes
Fitness Quotes - Best Quotes
Future Quotes - Success Quotes
Image Bank - Smile Quotes - Xyore
اقوال وحكم
Wow! this is Amazing! Do you know your hidden name meaning ? Click here to find your hidden name meaning
RispondiEliminaVery Nice And Interesting Post, thank you for sharing
RispondiEliminaOwn Inspirational Quotes
Quality Excellence Quotes
Train Hard Gym Quotes
اقوال ممتازة
Future Oriented Quotes
Gain Independent Quotes
Gain Success Quotes
Good Exam Quotes
Citazioni di vita
Belle Famose Citazioni
To know more about Chief Dr Lucky you can visit his website (https://chiefdrluckyherbaltherapy.wordpress.com/)
RispondiEliminaA friend that suffered from Herpes and was cure with the help of this great herbal doctor (Chief Lucky) so i decided to contact him for help in getting rid of my families genital herpes virus 1/2 which i did and all i was told to provide was just some useful information and some materials used in preparation of the natural cure and that i did and now i am the happiest person on earth because i am writing this testimony of mine with joy and happiness in my heart to the whole world to know that natural remedy is real because i am a living testimony of Chief Lucky traditional herbal cure and i want you all to contact Chief Lucky via his email: chiefdrlucky@gmail.com or WhatsApp him +2348132777335 am sure he will help you too.