An Uncommon Cause of Acute Back Pain: Spinal Subarachnoid Hemorrhage Progressing to Spinal Cord Compression

2015 ◽  
Vol 48 (4) ◽  
pp. 432-435 ◽  
Author(s):  
Shane B. Kappler ◽  
Jonathan E. Davis
2019 ◽  
Vol 08 (02) ◽  
pp. 130-132
Author(s):  
Sushant Kumar Patro ◽  
Biswaranjan Nayak ◽  
Arun Kumar ◽  
Balappa Holeppagol Krishnamurthy ◽  
Debabrata Biswal ◽  
...  

AbstractChloroma is the deposits in leukemic cells outside the bone marrow and is not common. It is extremely rare to find a chloroma compressing the spinal cord causing paraplegia without any prior symptoms. Only few case reports have been found in the literature till date. We report an interesting case of a 7-year-old boy who presented with acute back pain and paraplegia with a dorsal extradural mass, and with a previous diagnosis of tuberculosis of the dorsal spine, treated with antitubercular drugs without any other signs of systemic illness. After surgical decompression and histopathologic examination of the tissue, it was found to be chloroma. There are only few reported cases of this disease initially presented as paraplegia without any systemic signs of malignancy in the literature, and chloroma presents as a diagnostic challenge to the surgeon. Chloromas are a rare cause of acute spinal cord compression but should be diagnosed and treated promptly to prevent neurologic dysfunction.


1992 ◽  
Vol 78 (6) ◽  
pp. 397-402 ◽  
Author(s):  
llan G. Ron ◽  
Irith Reider ◽  
Nelly Wigler ◽  
Samario Chaitchik

Primary spinal epidural lymphoma (Stage I) is diagnosed predominantly late after a long prodromal phase of local back pain resulting in spinal cord compression. The use of CT and NMR images in the early stage of investigation and their analysis may help to diagnose these cases prior to the appearance of neurologic deficit. We report on 2 patients who presented with prolonged localized back pain with sudden symptoms of spinal cord compression. CAT scan and NMR imaging demonstrated the characteristic appearance of lymphoma. Decompressive laminectomy supported the diagnosis. Radiotherapy treatment to the region of the non-Hodgkin's lymphoma resulted in complete resolution. Thereafter, systemic chemotherapy with CHOP achieved a good response.


1988 ◽  
Vol 3 (2) ◽  
pp. 191-197 ◽  
Author(s):  
David W. Bates ◽  
James B. Reuler

2017 ◽  
Vol 27 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Arnold H. Menezes ◽  
Patrick W. Hitchon ◽  
Brian J. Dlouhy

A family with familial spinal extradural arachnoid cyst is presented. A 14-year-old boy had an extensive T-8 through L-2 dorsal extradural arachnoid cyst with spinal cord compression and slowly progressive myelopathy. His mother had presented 4 years earlier with acute excruciating back pain due to the combination of a lumbar extradural arachnoid cyst at L2–4 and an extruded disc at L3–4. The literature is reviewed in light of the pathogenesis, imaging, and surgical technique required for treatment.


2010 ◽  
Vol 3 (3) ◽  
pp. 291-295 ◽  
Author(s):  
L. M. Kampschreur ◽  
E. K. Hoogeveen ◽  
J. W. op den Akker ◽  
J. J. Beutler ◽  
T. Beems ◽  
...  

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Giulia Salomone ◽  
Milena La Spina ◽  
Giuseppe Belfiore ◽  
Gregoria Bertuna ◽  
Laura Cannavò ◽  
...  

Abstract Background Spinal cord compression (SCC) is an uncommon, severe complication of Hodgkin lymphoma (HL), occurring in 0.2% of cases at the onset and in 6% during disease progression. We present a teenager with SCC with clinical onset of HL; her pre-existing neurological abnormalities covered the presence of an epidural mass, which could have misled us. Case presentation A 13-year-old girl presented with a three-month history of lower back pain and degrading ability to walk. She suffered from a chronic gait disorder due to her preterm birth. A magnetic resonance imaging of the spine revealed an epidural mass causing collapse of twelfth thoracic vertebra and thus compression and displacement of the spinal cord. Histological examination with immunohistochemical analysis of the epidural mass demonstrated a classic-type Hodgkin lymphoma. Early pathology-specific treatment allowed to avoid urgent surgery, achieve survival and restore of neurological function. Conclusions Children and adolescents with back pain and neurological abnormalities should be prioritized to avoid diagnostic delay resulting in potential loss of neurological function. SCC requires a prompt radiological assessment and an expert multidisciplinary management.


1929 ◽  
Vol 25 (7-8) ◽  
pp. 852-854
Author(s):  
I. Tsimkhes

Doctor. V. I. Nizner. Demonstration of the patient after laminectomy for a spinal fracture. B-th, a worker, 35 years old, fell from a staircase 372 meters high. Dizziness, vomiting, back pain, stulag and urine retention. Swelling in the area of the spinous processes of the 12th thoracic and 1st lumbar vertebrae. Spinal cord compression and spinal injury in the lumbar region are suspected.


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