Extended posture of lumbar spine precipitating cauda equina compression arising from a postoperative epidural clot

2001 ◽  
Vol 6 (1) ◽  
pp. 88-91 ◽  
Author(s):  
Yoshinori Ko ◽  
Masaaki Kakiuchi
Keyword(s):  
Lumbar Spine ◽  
Cauda Equina ◽  
Cauda Equina Compression ◽  
Extended Posture

scholarly journals Does a history of lumbar spine surgery predict radiological cauda equina compression in patients undergoing MRI for suspected cauda equina syndrome?

2019 ◽  
Vol 34 (1) ◽  
pp. 76-79
Author(s):  
Savva Pronin ◽  
Julie Woodfield ◽  
Ingrid Hoeritzauer ◽  
Alan Carson ◽  
Jon Stone ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Spine Surgery ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Lumbar Spine Surgery ◽  
Cauda Equina Compression ◽  
History Of

Ependymal cyst in the lumbar spine associated with cauda equina compression

2008 ◽  
Vol 15 (7) ◽  
pp. 827-830 ◽  
Author(s):  
Minori Kato ◽  
Hiroaki Nakamura ◽  
Eisuke Suzuki ◽  
Hidetomi Terai ◽  
Kenichi Wakasa ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Cauda Equina ◽  
Ependymal Cyst ◽  
Cauda Equina Compression

A Polyostotic Paget’s Disease Involving Lumbar Spine Presenting with Cauda Equina Syndrome: An Unusual Entity

2021 ◽  
Vol 11 (10) ◽  
Author(s):  
Shailesh Hadgaonkar ◽  
Shaunak Patwardhan ◽  
Pramod Bhilare ◽  
Parag Sancheti ◽  
Ashok Shyam
Keyword(s):  
Lumbar Spine ◽  
Neurological Deficit ◽  
Cauda Equina Syndrome ◽  
Indian Subcontinent ◽  
Paget’S Disease ◽  
Cauda Equina ◽  
Neurological Complications ◽  
Paget's Disease ◽  
Metabolic Bone ◽  
Cauda Equina Compression

Introduction:Paget’s disease of bone (PDB) is a metabolic bone disease presenting as polyostotic or monostotic lesions of the spine. Although common in the Anglo-Saxon population, it is rare on the Indian subcontinent. Neurological complications though infrequent can be severe in pagetic spine. Case Report:We report a case of a polyostotic variant of PDB involving lumbar spine (L2 vertebrae), iliac bones, and femur presenting as chronic low back pain and neurological deficit, i.e., cauda equina syndrome. On initial workup, a diagnosis of PDB was made and given cauda equina compression with neurological deficit, posterior spinal decompression, and biopsy was performed. The histopathological evaluation confirmed the diagnosis and the patient was treated with bisphosphonates for 6 months, along with serial monitoring of alkaline phosphatase levels. Conclusion:Through this case report, we hope to emphasize that PDB should be considered as a possible cause of neurological symptoms at presentation, especially in elderly patients. Also furthermore, early surgical intervention followed by bisphosphonates therapy can lead to favorable outcomes in such patients. Keywords:Polyostotic, Paget’s disease, cauda equine syndrome, lumbar spine.

Primary Isolated Amyloidoma of the Lumbar Spine Causing Neurological Compromise: Case Report and Literature Review

Neurosurgery ◽  
2005 ◽  
Vol 57 (1) ◽  
pp. E196-E196 ◽  
Author(s):  
Avinash Haridas ◽  
Sunandan Basu ◽  
Andrew King ◽  
Jonathan Pollock
Keyword(s):  
Lumbar Spine ◽  
Clinical Presentation ◽  
Cauda Equina ◽  
Polarized Light ◽  
Good Prognosis ◽  
Left Knee ◽  
Lower Limbs ◽  
Magnetic Resonance Imaging Scan ◽  
Cauda Equina Compression ◽  
History Of

Abstract OBJECTIVE AND IMPORTANCE: We describe a patient with cauda equina compression secondary to amyloidoma to alert other clinicians to this rare cause of a compressive epidural lesion. It is the fourth published report of primary lumbar amyloidoma causing neurological compromise. CLINICAL PRESENTATION: A 53-year-old, previously fit salesman presented with several years history of back pain and recent weakness, especially in the left leg. He also had numbness and tingling radiating down the left leg. On examination, the left knee jerk was diminished, and both ankle jerks were absent. Power was reduced to 4/5 in ankle dorsiflexion bilaterally. A magnetic resonance imaging scan of the lumbar spine revealed an extradural mass, compressing the theca at L3–L4. This was enhancing in T1-weighted images and had low signal intensity in T2-weighted images. There was no evidence of systemic amyloidosis or development of multiple myeloma. INTERVENTION: L3–L4 laminectomy was performed, with removal of the epidural mass. The patient had complete resolution of sciatica and regained normal power in both lower limbs. There was no evidence of any recurrence at 1-year follow-up. CONCLUSION: Lumbar epidural amyloidoma is an extremely rare cause of cauda equina compression. Clinical presentation can be nonspecific, and radiologically, it can be indistinguishable from a tumor. Diagnosis is made at histological examination of a Congo red-stained section under polarized light. Complete resection of the localized epidural amyloid mass is associated with a good prognosis.

scholarly journals Cauda equina compression due to tabetic arthropathy of the spine

1973 ◽  
Vol 36 (2) ◽  
pp. 260-264 ◽  
Author(s):  
P. S. Ramani ◽  
R. P. Sengupta
Keyword(s):  
Cauda Equina ◽  
Cauda Equina Compression

Cauda Equina Syndrome in Patients Undergoing Manipulation of the Lumbar Spine

Spine ◽  
1992 ◽  
Vol 17 (12) ◽  
pp. 1469-1473 ◽  
Author(s):  
Scott Haldeman ◽  
Sidney M. Rubinstein
Keyword(s):  
Lumbar Spine ◽  
Cauda Equina Syndrome ◽  
Cauda Equina

scholarly journals FUNCTIONAL OUTCOME AFTER EXPERIMENTAL CAUDA EQUINA COMPRESSION

1997 ◽  
Vol 79-B (4) ◽  
pp. 670-674 ◽  
Author(s):  
F. E. Sayegh ◽  
G. A. Kapetanos ◽  
P. P. Symeonides ◽  
G. Anogiannakis ◽  
M. Madentzidis
Keyword(s):  
Functional Outcome ◽  
Cauda Equina ◽  
Cauda Equina Compression

scholarly journals Neurological Recovery in Two Patients with Cauda Equina Syndrome Secondary to L5 Lumbar Spine Giant Cell Tumour after Treatment with Denosumab without Surgery

2016 ◽  
Vol 10 (5) ◽  
pp. 945 ◽  
Author(s):  
Simret Singh Randhawa ◽  
Angel Khor Nee Kwan ◽  
Chee Kidd Chiu ◽  
Chris Yin Wei Chan ◽  
Mun Keong Kwan
Keyword(s):  
Lumbar Spine ◽  
Giant Cell ◽  
Cauda Equina Syndrome ◽  
Giant Cell Tumour ◽  
Cauda Equina ◽  
Cell Tumour ◽  
Neurological Recovery

scholarly journals How to Confirm and Document Adequate Lumbar Spine Discectomy Intraoperatively?

2020 ◽  
pp. 1-2
Author(s):  
Joseph Gamal Boktor ◽  
Joseph Gamal Boktor ◽  
Miriam Nakanda Kakaire ◽  
Ashish Khurana ◽  
Devi Prakash Tokala
Keyword(s):  
Lumbar Spine ◽  
Neurological Deficit ◽  
Cauda Equina Syndrome ◽  
Low Cost ◽  
Cauda Equina ◽  
Lumbar Discectomy ◽  
Disc Prolapse ◽  
Common Procedure ◽  
Postoperative Mri ◽  
Disc Material

Lumbar discectomy is a common procedure for acute disc prolapse, especially in patients with neurological deficit [1]. The literature describes using fluoroscopy intraoperatively to avoid wrong level and side [2]. However, there is no method to confirm/document adequate discectomy apart from a postoperative MRI. The authors' technique involves taking clinical photos of the removed disc material. This technique provides accurate, low-cost documentation, and the patient can review it post-operatively. This could be of significant value in large disc prolapse and cauda equina syndrome surgery.

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