Journal of neurosciences in rural practice · 2021
Immunoglobulin G4-Related Disease Masquerading an Epidural Spinal Cord Tumor.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Abdulla Ebtesam, Luther Harleen, Shah Tejal, Chandran Nisha
Аннотация
Background Immunoglobulin G4-related disease (IgG4-RD) is a recently identified multisystemic fibroinflammatory condition of unclear etiology. IgG4-RD of the epidural tissue causing spinal cord compression is extremely rare. Case description Here, we present a 27-year-old male with epidural mass, causing spinal cord compression at the level of D5-D6. The mass proved pathologically to be epidural inflammatory pseudotumor (IPT) related to IgG4. Spinal decompression was done. The patient was started on steroid treatment and reported a complete resolution of his symptoms over a 3 years' follow-up period. Conclusion To the authors' knowledge, this is the first case of IgG4-related epidural IPT and spinal cord compression in Bahrain and the Middle East. IgG4-RD should always be considered as a part of the differential diagnosis of spinal tumors.