Author/Authors :
Mahfoudh, Mourouj Sahloul Hospital - Department of Neurosurgery, Sousse, Tunisia , Ksira, Iadh Sahloul Hospital - Department of Neurosurgery, Sousse, Tunisia , Ben Selma, Hichem Sahloul Hospital - Department of Neurosurgery, Sousse, Tunisia , Slimane, Abdelhafidh Sahloul Hospital - Department of Neurosurgery, Sousse, Tunisia , Korbi, Skander Farhat Hached Hospital - Department of Anatomopathology, Sousse, Tunisia , Guesmi, Hamouda Sahloul Hospital - Department of Neurosurgery, Sousse, Tunisia , Krifa, Hedi Sahloul Hospital - Department of Neurosurgery, Sousse, Tunisia
Abstract :
Background and Importance: Inflammatory pseudotumors are benign tumors-like lesions of unknown cause. The most familiar sites
for inflammatory pseudotumors are the orbit and respiratory tract. An inflammatory pseudo tumor of costo-vertebral junction is rare.
Case Presentation: We presented here a 50-year-old male with two month history of progressive left cervico-brachial pain. The MRI
showed an expansive process at the left costo-vertebral gutter with epidural extension through the lateral foramen, causing spinal cord
compression from C7 to D3. The thoraco-abdominal CT scan did not identify other lesions.
Conclusion: The inflammatory pseudotumor is a chronic inflammatory process of unknown origin. The location of the costo-vertebral
gutter is rare and the treatment involves surgery, steroids and radiotherapy.
Keywords :
Inflammatory Pseudotumor , Inflammatory Myofibroblastic Tumor , Magnetic Resonance Imaging , Costo-vertebral Junction , Bio psy