Delayed Aneurysm Clip Migration from the Posterior Fossa to the Thoracic Spinal Canal

Author(s):  
Ruba Kiwan ◽  
Alistair Jukes ◽  
David Peck ◽  
Manas Sharma ◽  
Thomas Mattingly ◽  
...  
1986 ◽  
Vol 22 (4) ◽  
pp. 582
Author(s):  
D Jang ◽  
G H Chung ◽  
H Y Song ◽  
M H Sohn ◽  
C S Kim ◽  
...  

Author(s):  
R Mercure-Cyr ◽  
D Fourney

Background: Non-gunshot wound penetrating injury to the spinal canal have been known to have variable injury patterns with respect to trajectory and depth. Methods: We present a case of a penetrating glass fragment injury to the T11-12 level with a cerebrospinal fluid leak. Results: A T11-12 bilateral laminectomy and duraplasty with motor-evoked potential monitoring was performed to remove the foreign object and associated hematoma. The clinical presentation and surgical management are discussed with respect to other non-gunshot-related penetrating spine injuries in the literature. Conclusions: This case demonstrates a very rare injury pattern, as the vast majority of intradural penetrating injuries to the thoracic spine result in complete or incomplete spinal cord injury. This patient was neurologically intact, which is remarkable, given the 7cm glass fragment crossing the thoracic spinal canal transversely from the right to left.


2010 ◽  
Vol 35 (4) ◽  
pp. 364-369 ◽  
Author(s):  
Ruben A. Lee ◽  
André A. J. van Zundert ◽  
Charl P. Botha ◽  
L. M. Arno Lataster ◽  
Tom C. R. V. van Zundert ◽  
...  
Keyword(s):  

1989 ◽  
Vol 29 (9) ◽  
pp. 834-837 ◽  
Author(s):  
Katsuhiro YAMASHITA ◽  
Tatsuo AKIMURA ◽  
Katsunori KAWANO ◽  
Naoto ADACHI ◽  
Tsutomu NAGAMITSU ◽  
...  

2015 ◽  
Vol 10 (4) ◽  
pp. 2333-2336 ◽  
Author(s):  
RUNZHE CHEN ◽  
ZENGXIN GAO ◽  
XIAOTAO WU ◽  
JOS L. CAMPBELL ◽  
PEI ZHANG ◽  
...  

2000 ◽  
Vol 9 (4) ◽  
pp. 1-3 ◽  
Author(s):  
Iain H. Kalfas

Stenosis of the thoracic spinal canal is a relatively rare disorder with numerous causes. Clinical manifestations include signs and or symptoms consistent with focal thoracic radiculopathy and/or myelopathy. Several surgical approaches for the decompression of the stenotic thoracic canal have been described. Laminectomy is typically reserved for only those cases in which dorsal compression of the neural elements is demonstrated; it is contraindicated when the epidural compression is primarily ventral in location.


Neurosurgery ◽  
1990 ◽  
Vol 27 (4) ◽  
pp. 638-640 ◽  
Author(s):  
Patrick L. Valls ◽  
Gill L. Naul ◽  
Steven L. Kanter

Abstract Arachnoid cysts of the spinal canal are relatively common lesions that may be either intra- or extradural. These cysts are usually asymptomatic but may produce symptoms by compressing the spinal cord or nerve roots. We report a case in which an intradural thoracic arachnoid cyst became symptomatic after a routine decompressive lumbar laminectomy for spinal stenosis. Myelography revealed no abnormality, although magnetic resonance imaging and computed tomography after myelography demonstrated a mass within the posterior aspect of the thoracic spinal canal associated with anterior displacement and compression of the spinal cord. A change in the flow dynamics of the cerebrospinal fluid probably allowed the development of spinal cord compression due to one of the following: expansion of the cyst, decreased cerebrospinal fluid buffer between the cord and the cyst, or epidural venous engorgement. A concomitant and more cephalad lesion such as an arachnoid cyst should be considered when myelopathic complications arise after lumbar surgery. Magnetic resonance imaging and computed tomography after myelography are useful to demonstrate the additional pathological processes.


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