Intramedullary non-specific inflammatory lesion of thoracic spine: A case report

Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, S...
Ausführliche Beschreibung

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Autor*in:	Landi, Alessandro [verfasserIn] Di Norcia, Valerio Dugoni, Demo Eugenio Tarantino, Roberto Cappelletti, Martina Antonelli, Manila Santoro, Antonio Delfini, Roberto

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Schlagwörter:	Multiple Sclerosis Sarcoidosis Toxoplasmosis Brucellosis Acute Disseminate Encephalomyelitis

Anmerkung:	© Landi et al; licensee BioMed Central Ltd. 2010

Übergeordnetes Werk:	Enthalten in: World journal of surgical oncology - London : Biomed Central, 2003, 8(2010), 1 vom: 15. Jan.
Übergeordnetes Werk:	volume:8 ; year:2010 ; number:1 ; day:15 ; month:01

Links:	Volltext

DOI / URN:	10.1186/1477-7819-8-3

Katalog-ID:	SPR028815343

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520			\|a Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial.
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allfields	10.1186/1477-7819-8-3 doi (DE-627)SPR028815343 (SPR)1477-7819-8-3-e DE-627 ger DE-627 rakwb eng Landi, Alessandro verfasserin aut Intramedullary non-specific inflammatory lesion of thoracic spine: A case report 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Landi et al; licensee BioMed Central Ltd. 2010 Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. Multiple Sclerosis (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Toxoplasmosis (dpeaa)DE-He213 Brucellosis (dpeaa)DE-He213 Acute Disseminate Encephalomyelitis (dpeaa)DE-He213 Di Norcia, Valerio aut Dugoni, Demo Eugenio aut Tarantino, Roberto aut Cappelletti, Martina aut Antonelli, Manila aut Santoro, Antonio aut Delfini, Roberto aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 15. Jan. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:15 month:01 https://dx.doi.org/10.1186/1477-7819-8-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 15 01
spelling	10.1186/1477-7819-8-3 doi (DE-627)SPR028815343 (SPR)1477-7819-8-3-e DE-627 ger DE-627 rakwb eng Landi, Alessandro verfasserin aut Intramedullary non-specific inflammatory lesion of thoracic spine: A case report 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Landi et al; licensee BioMed Central Ltd. 2010 Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. Multiple Sclerosis (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Toxoplasmosis (dpeaa)DE-He213 Brucellosis (dpeaa)DE-He213 Acute Disseminate Encephalomyelitis (dpeaa)DE-He213 Di Norcia, Valerio aut Dugoni, Demo Eugenio aut Tarantino, Roberto aut Cappelletti, Martina aut Antonelli, Manila aut Santoro, Antonio aut Delfini, Roberto aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 15. Jan. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:15 month:01 https://dx.doi.org/10.1186/1477-7819-8-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 15 01
allfields_unstemmed	10.1186/1477-7819-8-3 doi (DE-627)SPR028815343 (SPR)1477-7819-8-3-e DE-627 ger DE-627 rakwb eng Landi, Alessandro verfasserin aut Intramedullary non-specific inflammatory lesion of thoracic spine: A case report 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Landi et al; licensee BioMed Central Ltd. 2010 Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. Multiple Sclerosis (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Toxoplasmosis (dpeaa)DE-He213 Brucellosis (dpeaa)DE-He213 Acute Disseminate Encephalomyelitis (dpeaa)DE-He213 Di Norcia, Valerio aut Dugoni, Demo Eugenio aut Tarantino, Roberto aut Cappelletti, Martina aut Antonelli, Manila aut Santoro, Antonio aut Delfini, Roberto aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 15. Jan. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:15 month:01 https://dx.doi.org/10.1186/1477-7819-8-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 15 01
allfieldsGer	10.1186/1477-7819-8-3 doi (DE-627)SPR028815343 (SPR)1477-7819-8-3-e DE-627 ger DE-627 rakwb eng Landi, Alessandro verfasserin aut Intramedullary non-specific inflammatory lesion of thoracic spine: A case report 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Landi et al; licensee BioMed Central Ltd. 2010 Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. Multiple Sclerosis (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Toxoplasmosis (dpeaa)DE-He213 Brucellosis (dpeaa)DE-He213 Acute Disseminate Encephalomyelitis (dpeaa)DE-He213 Di Norcia, Valerio aut Dugoni, Demo Eugenio aut Tarantino, Roberto aut Cappelletti, Martina aut Antonelli, Manila aut Santoro, Antonio aut Delfini, Roberto aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 15. Jan. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:15 month:01 https://dx.doi.org/10.1186/1477-7819-8-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 15 01
allfieldsSound	10.1186/1477-7819-8-3 doi (DE-627)SPR028815343 (SPR)1477-7819-8-3-e DE-627 ger DE-627 rakwb eng Landi, Alessandro verfasserin aut Intramedullary non-specific inflammatory lesion of thoracic spine: A case report 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Landi et al; licensee BioMed Central Ltd. 2010 Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. Multiple Sclerosis (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Toxoplasmosis (dpeaa)DE-He213 Brucellosis (dpeaa)DE-He213 Acute Disseminate Encephalomyelitis (dpeaa)DE-He213 Di Norcia, Valerio aut Dugoni, Demo Eugenio aut Tarantino, Roberto aut Cappelletti, Martina aut Antonelli, Manila aut Santoro, Antonio aut Delfini, Roberto aut Enthalten in World journal of surgical oncology London : Biomed Central, 2003 8(2010), 1 vom: 15. Jan. (DE-627)369082907 (DE-600)2118383-1 1477-7819 nnns volume:8 year:2010 number:1 day:15 month:01 https://dx.doi.org/10.1186/1477-7819-8-3 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2010 1 15 01
language	English
source	Enthalten in World journal of surgical oncology 8(2010), 1 vom: 15. Jan. volume:8 year:2010 number:1 day:15 month:01
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author	Landi, Alessandro
spellingShingle	Landi, Alessandro misc Multiple Sclerosis misc Sarcoidosis misc Toxoplasmosis misc Brucellosis misc Acute Disseminate Encephalomyelitis Intramedullary non-specific inflammatory lesion of thoracic spine: A case report
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topic_title	Intramedullary non-specific inflammatory lesion of thoracic spine: A case report Multiple Sclerosis (dpeaa)DE-He213 Sarcoidosis (dpeaa)DE-He213 Toxoplasmosis (dpeaa)DE-He213 Brucellosis (dpeaa)DE-He213 Acute Disseminate Encephalomyelitis (dpeaa)DE-He213
topic	misc Multiple Sclerosis misc Sarcoidosis misc Toxoplasmosis misc Brucellosis misc Acute Disseminate Encephalomyelitis
topic_unstemmed	misc Multiple Sclerosis misc Sarcoidosis misc Toxoplasmosis misc Brucellosis misc Acute Disseminate Encephalomyelitis
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title	Intramedullary non-specific inflammatory lesion of thoracic spine: A case report
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title_full	Intramedullary non-specific inflammatory lesion of thoracic spine: A case report
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author_browse	Landi, Alessandro Di Norcia, Valerio Dugoni, Demo Eugenio Tarantino, Roberto Cappelletti, Martina Antonelli, Manila Santoro, Antonio Delfini, Roberto
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title_sort	intramedullary non-specific inflammatory lesion of thoracic spine: a case report
title_auth	Intramedullary non-specific inflammatory lesion of thoracic spine: A case report
abstract	Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. © Landi et al; licensee BioMed Central Ltd. 2010
abstractGer	Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. © Landi et al; licensee BioMed Central Ltd. 2010
abstract_unstemmed	Background There are several non-neoplastic lesions which mimick intramedullary spinal cord neoplasm in their radiographic and clinical presentation. These can be classified as either infectious (TB, fungal, bacterial, parasytic, syphilis, CMV, HSV) and non-infectious (sarcoid, MS, myelitis, ADEM, SLE) inflammatory lesions, idiopathic necrotizing myelopathy, unusual vascular lesions and radiation myelopathy. Although biopsy may be indicated in many cases, an erroneous diagnosis of intramedullary neoplasm can often be eliminated pre-operatively. Case description the authors report a very rare case of intramedullary non-specific inflammatory lesion of unknown origin, without signs of infection or demyelinization, in a woman who showed no other evidence of systemic disease. Conclusions Intramedullary lesions that mimick a tumor can be various and difficult to interpret. Preoperative MRI does not allow a certain diagnosis because these lesions have a very similar signal intensity pattern. Specific tests for infective pathologies are useful for diagnosis, but histological examination is essential for establishing a certain diagnosis. In our case the final histological examination and the specific tests that we performed have not cleared our doubts regarding the nature of the lesion that remains controversial. © Landi et al; licensee BioMed Central Ltd. 2010
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title_short	Intramedullary non-specific inflammatory lesion of thoracic spine: A case report
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Intramedullary non-specific inflammatory lesion of thoracic spine: A case report

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