Isolated Dorsal Thoracic Neuroenteric Cyst with Spinal Cord Compression: Case Reports in Pediatrics

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.

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Spinal Cord Compression: A Complication of Silicone-Coated Dacron Dural Grafts. Report of Two Cases

Neurosurgery ◽

10.1227/00006123-198901000-00022 ◽

1989 ◽

Vol 24 (1) ◽

pp. 115-118 ◽

Cited By ~ 14

Author(s):

Heldo Gomez ◽

John R. Little

Keyword(s):

Spinal Cord ◽

Spinal Cord Compression ◽

Cervical Spinal Cord ◽

Case Reports ◽

Cord Compression ◽

Tissue Reaction ◽

Synthetic Graft ◽

Surface Contaminants ◽

Two Factors

Abstract Two case reports of compression of the cervical spinal cord associated with silicone-coated Dacron dural grafts are presented. In both cases, the cervical spinal cord was distorted and compressed by an intense tissue reaction that encapsulated the synthetic graft. At least two factors are thought to play a role in precipitating this reaction: (1) the introduction of surface contaminants into the wound, and (2) repeated motion at the graft site.

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Spinal extradural arachnoid cysts

Coluna/Columna ◽

10.1590/s1808-18512013000200004 ◽

2013 ◽

Vol 12 (2) ◽

pp. 112-118 ◽

Cited By ~ 2

Author(s):

Abolfazl Rahimizadeh ◽

Mahmud Kaghazchi ◽

Majid Shariati ◽

Eidi Abdolkhani ◽

Enayatolah Abbasnejad ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Compression ◽

Single Case ◽

Case Reports ◽

Cauda Equina ◽

Cord Compression ◽

Arachnoid Cysts ◽

Imaging Features ◽

Benign Lesions ◽

Characteristic Imaging

OBJECTIVE: Extradural arachnoid cysts (EACs) are rare causes of spinal cord compression and cauda equina. These benign lesions appear in the literature mainly as single case reports. In this article, we present the largest series found in literature, with four new cases of spinal extradural arachnoid cysts. The characteristic imaging features, details of surgical steps and strategies to prevent postoperative kyphosis in this cystic pathology will be discussed.

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Hepatocellular carcinoma presenting as spinal cord compression in Native Americans with controlled hepatitis C: two case reports

Journal of Medical Case Reports ◽

10.1186/s13256-018-1807-8 ◽

2018 ◽

Vol 12 (1) ◽

Author(s):

Maksim Liaukovich ◽

Susan Wu ◽

Sydney Yoon ◽

Jeff Schaffer ◽

Jen C. Wang

Keyword(s):

Hepatocellular Carcinoma ◽

Spinal Cord ◽

Hepatitis C ◽

Native Americans ◽

Spinal Cord Compression ◽

Case Reports ◽

Cord Compression

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Late presentation of spinal cord compression in hereditary multiple exostosis: case reports and review of the literature

Journal of Children s Orthopaedics ◽

10.1302/1863-2548.13.180130 ◽

2019 ◽

Vol 13 (5) ◽

pp. 463-470

Author(s):

R. Gigi ◽

B. T. Kurian ◽

A. Cole ◽

J. A. Fernandes

Keyword(s):

Spinal Cord ◽

Spinal Cord Compression ◽

Case Reports ◽

Correct Diagnosis ◽

Cord Compression ◽

Late Presentation ◽

Level Of Evidence ◽

Hereditary Multiple Exostoses ◽

Clear Cut ◽

Cord Injury

Introduction Osteochondromas are usually found in the long bones of patients with hereditary multiple exostoses (HME). The spine is reported to be involved in over 50% of cases, but few of these patients are symptomatic as the result of an existing spinal exostosis. Methods We reviewed the current literature in order to find the right approach to patients with HME-complicated spinal exostosis and describe three paediatric patients that were diagnosed late with spinal cord compression due to cervical exostosis. Results Our three cases were all late presentations with neurology and unfortunately had minimal improvement of neurology after the lesion was surgically removed. There is general agreement that late presentation of spinal cord injury due to osteochondromas involving the cervical spine may cause severe and irreversible neurological sequelae. Our literature review revealed that there are no clear-cut guidelines to develop more comprehensive screening measures for these patients. Conclusions A high index of suspicion is the most important factor for correct diagnosis and appropriate management. Physicians who treat HME should bear in mind that thorough history taking and a neurological examination at follow up are essential for these patients. Clearer guidelines for the development of more comprehensive screening programmes are essential. Level of evidence IV

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Ossification of the posterior longitudinal ligament at the craniocervical junction presenting with Brown-Séquard syndrome: A case report

Surgical Neurology International ◽

10.25259/sni_704_2021 ◽

2021 ◽

Vol 12 ◽

pp. 501

Author(s):

Valérie Nicole Elise Schuermans ◽

Jasper van Aalst ◽

Alida A. Postma ◽

Anouk Y. J. M. Smeets

Keyword(s):

Spinal Cord ◽

Spinal Cord Compression ◽

Case Reports ◽

Posterior Longitudinal Ligament ◽

Cord Compression ◽

Craniocervical Junction ◽

Canal Stenosis ◽

History Of ◽

Lumbar Spinal ◽

Brown Sequard Syndrome

Background: Several case reports about spinal cord compression due to hyperostosis at the craniocervical junction are available. However, compression at C1-C2 solely due to ossification of the posterior longitudinal ligament (OPLL) is rare. Case Description: A 50-year-old Asian male, with a history of lumbar spinal canal stenosis, presented with a progressive quadriparesis within 3 months. Imaging showed central OPLL at the C1-C2 level contributing to severe spinal cord compression. The patient improved neurologically after a C1-C2 laminectomy. Conclusion: A patient presented with a progressive Brown-Séquard syndrome due to OPLL at the craniocervical junction (C1-C2 level) and improved following a decompressive laminectomy.

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Recurrent thoracic cord compression due to extramedullary haematopoiesis in thalassaemic patients–A case presentation and literature review

Journal of Orthopaedics Trauma and Rehabilitation ◽

10.1016/j.jotr.2018.03.006 ◽

2019 ◽

Vol 26 (1) ◽

pp. 43-47

Author(s):

Athena Cheuk Yiu Au ◽

Chun Kong Wong ◽

Ka Kin Li

Keyword(s):

Spinal Cord ◽

Literature Review ◽

Spinal Cord Compression ◽

Case Reports ◽

Case Series ◽

Cord Compression ◽

Surgical Decompression ◽

Thoracic Spinal Cord ◽

Thoracic Spinal ◽

Anaemia Management

Extramedullary haematopoesis (EMH) in thalassaemic patients to result in spinal cord compression is a rare phenomenon. EMH occurs as compensatory sequelae in those with chronic anaemia such as thalassaemia, other congenital haemolytic anaemia, haemoglobinopathies, and myelofibrosis. Common sites of EMH include liver, spleen, kidneys and lymph nodes, but rarely the paravertebral and spinal cord regions. In our literature review, it was found that only case reports and case series have been published. We present a case of recurrent thoracic spinal cord compression caused by EMH in a 32-year-old thalassaemic Chinese man treated with surgical decompression and spinal stabilisation. The key to successful treatment is prompt diagnosis with early clinical suspicion, magnetic resonance imaging and individualised treatment for each patient. Surgical decompression provides immediate neural decompression while subsequent anaemia management may reduce the risk of recurrence. In the present case, a combination therapy of blood transfusion, surgical decompression and radiotherapy has been shown to deliver successful outcomes in such cases.

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