Superficial siderosis of the central nervous system following cervical nerve root avulsion: the importance of early diagnosis and surgery

2005 ◽  
Vol 147 (3) ◽  
pp. 291-297 ◽  
Author(s):  
K. Aquilina ◽  
R. Kumar ◽  
J. Lu ◽  
D. Rawluk
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Early Diagnosis ◽  
Nerve Root ◽  
Superficial Siderosis ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
The Central Nervous System ◽  
Nerve Root Avulsion

scholarly journals High noon back pain- severe pseudoradicular pain as a lead symptom of superficial siderosis: a case report

2014 ◽  
Vol 7 (6) ◽  
pp. 276-278 ◽  
Author(s):  
Carsten Saft ◽  
Ines Siglienti ◽  
Ralf Gold ◽  
Marc Schlamann ◽  
Nicolai El Hindy ◽  
...  
Keyword(s):  
Back Pain ◽  
Nerve Root ◽  
Superficial Siderosis ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
First Case ◽  
Severe Back Pain ◽  
Nerve Root Avulsion ◽  
Superficial Hemosiderosis

A superficial siderosis of the central nervous system following a traumatic cervical nerve root avulsion usually leads to gait difficulties and hearing loss, whereas back pain is described only rarely. Here we report on the first case with circadian occurrence of severe back pain as the only symptom of a superficial siderosis. We present a case with the most severe pseudoradicular lumbosacral pain occurring daily at noon for the past 5 weeks. The 48-year-old male white patient did not complain of pain in the morning. A traumatic root avulsion 26 years earlier led to a brachial plexus palsy and Horner’s syndrome in this patient. Superficial hemosiderosis in cranial MRI and examination of the cerebrospinal fluid revealing massive red blood cells as well as xanthochromia and elevated protein levels (742 mg/l) led to the diagnosis of a superficial siderosis. A pseudomeningocele caused by a cervical nerve root avulsion is described as a rare reason for superficial siderosis. Surgery on a pseudomeningocele, diagnosed by MRI, led to an immediate disappearance of complaints in our case. Regular neurological investigation and possibly repeated lumbar puncture to exclude superficial siderosis should be considered in cases with severe back pain and a history of traumatic root avulsion. Modern susceptibility weighted MR imaging (SWI) techniques, sensible to the detection of superficial hemosiderosis, might be helpful in the making of a diagnosis.

Surgical management of superficial siderosis following cervical nerve root avulsion

1996 ◽  
Vol 40 (6) ◽  
pp. 936-940 ◽  
Author(s):  
Stephen J. Tapscott ◽  
Joseph Eskridge ◽  
Michel Kliot
Keyword(s):  
Surgical Management ◽  
Nerve Root ◽  
Superficial Siderosis ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Avulsion

scholarly journals A new cervical nerve root avulsion model using a posterior extra-vertebral approach in rats

2014 ◽  
Vol 08 (01) ◽  
pp. e19-e27 ◽  
Author(s):  
Takashi Noguchi ◽  
Souichi Ohta ◽  
Ryosuke Kakinoki ◽  
Yukitoshi Kaizawa ◽  
Shuichi Matsuda
Keyword(s):  
Nerve Root ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Avulsion

CT Myelography in Cervical Nerve Root Avulsion

1985 ◽  
Vol 9 (2) ◽  
pp. 275-279 ◽  
Author(s):  
Adam F. Petras ◽  
David F. Sobel ◽  
John R. Mani ◽  
Phillip R. Lucas
Keyword(s):  
Nerve Root ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Ct Myelography ◽  
Nerve Root Avulsion

Mechanisms of cervical nerve root avulsion in injuries of the neck and shoulder

1974 ◽  
Vol 41 (6) ◽  
pp. 705-714 ◽  
Author(s):  
Sydney Sunderland
Keyword(s):  
Nerve Root ◽  
Spinal Nerve ◽  
Spinal Nerve Root ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Content Type ◽  
Nerve Root Avulsion ◽  
New Interpretation ◽  
Fine Print

✓ The author reviews the mechanisms of traumatic spinal nerve root avulsion and proposes a new interpretation.

Bypass Coaptation Procedures for Cervical Nerve Root Avulsion

Neurosurgery ◽  
1996 ◽  
Vol 38 (6) ◽  
pp. 1145-1152 ◽  
Author(s):  
Shokei Yamada ◽  
Russell R. Lonser ◽  
Robert P. Iacono ◽  
John D. Morenski ◽  
Leonard Bailey
Keyword(s):  
Nerve Root ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Avulsion

Post-traumatic cervical nerve root avulsion: direct and indirect magnetic resonance myelography findings

2015 ◽  
Vol 15 (9) ◽  
pp. 2103-2104 ◽  
Author(s):  
Alaaddin Nayman ◽  
Egemen Altan ◽  
Mustafa Koplay ◽  
Ali Sami Kıvrak
Keyword(s):  
Magnetic Resonance ◽  
Nerve Root ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Nerve Root Avulsion ◽  
Post Traumatic

Coaptation of the anterior rami of C-3 and C-4 to the upper trunk of the brachial plexus for cervical nerve root avulsion

1991 ◽  
Vol 74 (2) ◽  
pp. 171-177 ◽  
Author(s):  
Shokei Yamada ◽  
Gordon W. Peterson ◽  
Donald S. Soloniuk ◽  
A. Douglas Will
Keyword(s):  
Brachial Plexus ◽  
Nerve Root ◽  
Shoulder Girdle ◽  
Brachial Plexopathy ◽  
Root Avulsion ◽  
Cervical Nerve Root ◽  
Cervical Nerve ◽  
Content Type ◽  
Nerve Root Avulsion ◽  
Shoulder Girdle Muscles

✓ No surgical procedure has been available to repair cervical nerve root avulsion inside the spinal canal. Results with peripheral neurotization of denervated muscles have been discouraging. The authors have performed bridge-graft coaptation in three patients with C-5 and C-6 nerve root avulsion. The components of the coaptation included the anterior primary rami of C-3 and C-4 as the donor material, the entire upper trunk as the recipient, and the sural nerve graft as the bridge. This procedure resulted in restoration of motor function in the biceps and shoulder-girdle muscles and produced improved sensation. Stimulation of the C-3 and C-4 nerve roots elicited electrical responses in the biceps and deltoid muscles that indicated nerve growth through the graft and the brachial plexus into these muscles. This reconstructive procedure is effective and should stimulate development of new approaches to treatment of cervical nerve root avulsion and proximal brachial plexopathy.

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