Etiology |
Idiopathic |
Idiopathic |
Incidence |
100 cases per year in US |
15 reported cases (6 epidural, 7 intradural, 2 intramedullary) |
Gender Ratio (M:F) |
1.4:1 |
1.5:2 |
Age Predilection |
Mean age 21 years |
Mean age 40 years |
Risk Factors |
Unknown |
Unknown |
Clinical Symptoms |
|
Bilateral limb paraparesis, sensory deficits, urinary and bowel incontinence, back pain
Constitutional symptoms rare
|
Laboratory Findings |
Anemia, leukocytosis, elevated ESR, and/or polyclonal hypergammaglobulinemia reported in most patients |
Anemia, leukocytosis, elevated ESR, polyclonal hypergammaglobulinemia occur variably |
Imaging Findings |
Variable CT and MRI findings depending on location |
General: Well circumscribed mass in dural or epidural space
CT: Hyper-dense; homogenous enhancement
MRI: T1WI iso-intensity; T2WI hypo- or iso-intensity with possible heterogeneity; homogenous enhancement post-contrast
|
Treatment |
Surgical resection
If recurrent, persistent, or multifocal disease, radiotherapy, steroids, or chemotherapy are variably effective
|
Surgical resection
If recurrent, persistent, or multifocal disease: radiotherapy, steroids, or chemotherapy
|
Prognosis |
Good |
Good |