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Case Reports in Medicine
Volume 2017 (2017), Article ID 9506275, 5 pages
https://doi.org/10.1155/2017/9506275
Case Report

A Case of Atopic Myelitis with Cervical Cavernous Angioma

Shin-Aikai Spine Center, Katano Hospital, Matsuzuka 39-1, Katano City, Osaka 576-0043, Japan

Correspondence should be addressed to Miyuki Fukuda; pj.ca.u-otoyk.phuk@adukufm

Received 10 March 2017; Accepted 1 June 2017; Published 3 July 2017

Academic Editor: Mark E. Shaffrey

Copyright © 2017 Miyuki Fukuda et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Atopic myelitis, a type of myelitis which appears in patients with elevated serum levels of immunoglobulin E (IgE), occurs more commonly in the cervical spinal cord, but this mechanism has not yet been elucidated. Herein, we experienced a case of atopic myelitis developed during the growth of cervical cavernous angioma caused by bleeding. A 37-year-old woman suffered from hand swelling caused by a house cat licking. At the same time when cavernous angioma had grown, she experienced a numbness in her four extremities, and multifocal peritumoral hyperintense spinal cord signals were seen. The diagnosis of atopic myelitis was made because we observed significantly elevated levels of specific IgE antibody to cat dander. Symptoms disappeared immediately after steroid pulse therapy. We subsequently resected a cavernous angioma, and eosinophil invasion was found inside it. This is the first case report of atopic myelitis which developed in association with spinal cord vascular lesions. A local blood-brain barrier breakdown due to hemorrhagic lesions of the spinal cord may have contributed to the onset of atopic myelitis.