Transforaminal endoscopic surgery under local analgesia for ventral epidural thoracic spinal tumor: Case report

Background: The presentation of a thoracic spinal tumor due to high-impact trauma is quite rare and we found no other case reported. Case Description: This is a case report and literature review. A patient presented with severe paraparesis on day 4 after trauma. Thoracic MRI showed an oval image centered to T4-T5 suggestive of hemorrhage. The patient underwent a bilateral T4 and T5 laminectomy and microsurgically assisted intradural exploration. After laminectomy, we found no extradural lesions, so we proceeded to dural opening, after which we found a large extramedullary lesion which was completely removed. Pathology revealed a schwannoma. The patient had a very good recovery after surgery and motor rehabilitation. At 6 months after surgery, inferior limbs muscle strength was completely normal. We found no other case reported. Conclusion: Thoracic spine schwannomas are difficult to early diagnose unless there is a clinical suspicion. Initial presentation as bleeding after trauma was not described before. This presentation should be kept in the differential diagnosis of any patient with an acute neurological deficit without trauma signs on admission imaging.

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Tension pneumocephalus following endoscopic resection of a mediastinal thoracic spinal tumor: A case report

World Journal of Clinical Cases ◽

10.12998/wjcc.v10.i2.725 ◽

2022 ◽

Vol 10 (2) ◽

pp. 725-732

Author(s):

Chao-Yuan Chang ◽

Cheng-Che Hung ◽

Ju-Mien Liu ◽

Cheng-Di Chiu

Keyword(s):

Case Report ◽

Endoscopic Resection ◽

Spinal Tumor ◽

Tension Pneumocephalus ◽

Thoracic Spinal

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Spontaneous Herniation of the Thoracic Spinal Cord: A Case Report

Journal of the Korean Radiological Society ◽

10.3348/jkrs.2001.45.4.353 ◽

2001 ◽

Vol 45 (4) ◽

pp. 353 ◽

Cited By ~ 1

Author(s):

Sung Chan Jin ◽

Seoung Ro Lee ◽

Dong Woo Park ◽

Kyung Bin Joo

Keyword(s):

Spinal Cord ◽

Case Report ◽

Thoracic Spinal Cord ◽

Thoracic Spinal ◽

Spontaneous Herniation

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Endoscopic Surgery of Congenital Cholesteatoma in the Anterior Epitympanic Recess: A Case Report of a Rare Location

Ear Nose & Throat Journal ◽

10.1177/0145561320969249 ◽

2020 ◽

pp. 014556132096924

Author(s):

Hong Chan Kim ◽

Hyung Chae Yang ◽

Hyong-Ho Cho

Keyword(s):

Case Report ◽

Minimally Invasive ◽

Middle Ear ◽

Endoscopic Surgery ◽

Minimally Invasive Approach ◽

Ear Surgery ◽

Invasive Approach ◽

Congenital Cholesteatoma ◽

Rare Location ◽

Histopathological Type

Congenital cholesteatoma is a whitish mass in the middle ear medial to an intact tympanic membrane. It is often without symptoms and therefore incidentally diagnosed. Pediatric congenital cholesteatoma generally starts as a small pearl-like mass in the middle ear cavity that eventually expands to involve the ossicles, epitympanum, and mastoid. The location, size, histopathological type, and extent of the mass must be evaluated to select the appropriate surgical method. Although microscopic ear surgery has traditionally been performed to remove congenital cholesteatoma, a recently introduced alternative is endoscopic surgery, which allows a minimally invasive approach and has better visualization. Here, we report the first known case of a patient with congenital cholesteatoma in the anterior epitympanic recess and discuss the utility of an endoscopic approach in the removal of a congenital cholesteatoma in the hidden area within the middle ear.

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Emergency decompression and stabilization of 1st thoracic spinal cord injury and sacral fracture in a Covid-19 patient: A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.105670 ◽

2021 ◽

Vol 81 ◽

pp. 105670

Author(s):

Achmad Jadi Didy Surachman ◽

Yanuarso ◽

Danar Lukman Akbar

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

Case Report ◽

Sacral Fracture ◽

Thoracic Spinal Cord ◽

Thoracic Spinal ◽

Cord Injury

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Percutaneous Epidural Hydrogel Sealant for the Treatment of Spontaneous Intracranial Hypotension: A Case Report of Chronic Thoracic Neuralgia and Technical Lessons Learned

Case Reports in Anesthesiology ◽

10.1155/2018/4189518 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Michael G. Hillegass ◽

Samuel F. Luebbert ◽

Maureen F. McClenahan

Keyword(s):

Spinal Cord ◽

Case Report ◽

Intracranial Hypotension ◽

Spontaneous Intracranial Hypotension ◽

Lessons Learned ◽

Injection Velocity ◽

Thoracic Spinal Cord ◽

Ct Guided ◽

Thoracic Spinal ◽

Needle Position

We report a case in which a 34-year-old female with refractory intracranial hypotension headaches due to a spontaneous dural tear was ultimately treated with CT-guided transforaminal epidural placement of a synthetic absorbable sealant (DuraSeal®). The procedure successfully resolved her headaches; however she subsequently developed thoracic neuralgia presumably due to mass effect of the sealant material on the lower thoracic spinal cord and nerve roots. This case report describes the potential for significant spinal cord and nerve root compression as well as the development of chronic neuralgia with the placement of epidural hydrogel and fibrin glue sealants. Careful consideration should be taken into the needle gauge, needle position, injectate volumes, and injection velocity when delivering the sealant to the epidural space. Use of an 18-gauge Tuohy needle with a slow but steady injection pressure, constant patient feedback, and a conservative injectate volume (less than 2 ml per level) may best optimize sealant delivery to minimize the risk of spinal cord compression and neurologic injury.

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Intramedullary Solitary Fibrous Tumor of the Thoracic Spinal Cord—A Case Report—

Spinal Surgery ◽

10.2531/spinalsurg.28.282 ◽

2014 ◽

Vol 28 (3) ◽

pp. 282-286

Author(s):

Osamu Kawakami ◽

Keisuke Yamada ◽

Masahiro Kojima ◽

Keiko Matsubayashi ◽

Yuichiro Tsuge ◽

...

Keyword(s):

Spinal Cord ◽

Case Report ◽

Solitary Fibrous Tumor ◽

Thoracic Spinal Cord ◽

Thoracic Spinal ◽

Fibrous Tumor

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Cerebral and Two Spinal Meningiomas Removed from the Same Patient: Case Report

Neurosurgery ◽

10.1227/00006123-198909000-00021 ◽

1989 ◽

Vol 25 (3) ◽

pp. 447-450 ◽

Cited By ~ 8

Author(s):

Edward Kandel ◽

Eugeny Sungurov ◽

Vladimir Morgunov

Keyword(s):

Spinal Cord ◽

Case Report ◽

Spinal Tumors ◽

Patient Case ◽

Thoracic Spinal ◽

Spinal Meningiomas ◽

One Year

Abstract An exceptional combination of an intracranial convexity and two thoracic spinal meningiomas in a 17-year-old girl is reported. The small meningioma in the left central parasagittal region was removed. One year later, paraplegia rapidly developed. Two meningiomas (one of them ossified) about 2 cm in size were removed from the midthoracic level of the spinal cord. The distance between the two spinal tumors was about 2 cm. One and one-half years after surgery the patient is well. The problem of multicentricity of meningiomas is discussed.

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Surgical treatment of the consequences of a gunshot wound to the lumbar spine using endoscopic techniques

Vestnik of Russian military medical Academy ◽

10.17816/brmma70776 ◽

2021 ◽

Vol 23 (2) ◽

pp. 91-98

Author(s):

Gennady G. Bulyschenko ◽

Alexey I. Gayvoronsky ◽

Pavel S. Liev ◽

Mikhail V. Kuznetsov ◽

Dmitry V. Svistov

Keyword(s):

Surgical Treatment ◽

Lumbar Spine ◽

Foreign Body ◽

Endoscopic Surgery ◽

Gunshot Wound ◽

Clinical Case ◽

Decisive Role ◽

Endoscopic Techniques ◽

Surgical Tactics ◽

Transforaminal Endoscopic Surgery

A clinical case of treatment of a patient with long-term consequences of a gunshot wound to the lumbar spine with a follow-up period of fifteen years is presented. In the last year and a half, the repeatedly recurrent retroperitoneal phlegmon associated with a foreign body of the lumbar spine has prompted a decision on the issue of surgical treatment (removal of a foreign body - a bullet). The location of the foreign body and previous experience with endoscopic foreign body removal played a decisive role in the choice of surgical tactics. Removal of the wounding projectile was performed using a percutaneous transforaminal endoscopic approach. The choice of such an approach was dictated by the peculiarity of the location of the foreign body (coaxial with the endoscopic tube in the foraminal approach), as well as sufficient experience in using the technique of percutaneous endoscopic surgery. At the same time, the conversion plan was worked out in sufficient detail with both posterolateral and anterior open approaches with the involvement of appropriate specialists. So, in case of failure, it was planned to transfer endoscopic access to open, using the already installed working tube of the endoscope as a conductor to a foreign body. In case of inefficiency, for some reason, this version of the operation was planned for the next, third stage: wound suturing, patient turning on the back with a right-hand retroperitoneal approach to the anterior-lateral surface of LI and LII bodies. Fortunately, the purpose of the operation was achieved using the most gentle version of the allowance. The given clinical case testifies that the technique of percutaneous transforaminal endoscopic surgery is not limited in indications to the treatment of degenerative-dystrophic diseases of the spine.

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