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Symptomatic Calcifying Pseudotumour of Thoracic Spine Which Resolved With the Indomethacin Treatment: A Case Report

Kwan MK1, Abdelhai AM2, Saw LB1, Chan CYW1

1Department of Orthopaedic Surgery, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.2Department of Orthopaedic Surgery, Khartoum Teaching Hospital, Khartoum, Sudan.

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• A 48-year-old gentleman presented with symptomatic calcifying pseudotumor of thoracic spine and was treated with Indomethacin 25mg TDS for 8 weeks.

• The size of the mass reduced significantly at 8th week follow-up and resolved completely at 16th week of follow-up with excellent clinical outcome.

• Calcified pseudotumour of spine should be treated with a trial of Indomethacin before surgical option is being offered unless the patient has a significant neurology deficit that requires urgent surgical intervention.

Summary

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Figure 1: Initial presentation of CT and MRI scans showed a huge calcified pseudotumor impinging the spinal cord and left T9 exit nerve root.

Figure 2: 8-week post Indomethacin treatment: CT and MRI scans showed a near complete resolution of the calcified pseudotumor.

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Figure 3: 16-week MRI scan showed a complete resolution of the pseudotumor.