scholarly journals Spinal intramedullary cysticercosis: a case report and literature review

2013 ◽  
Vol 32 (04) ◽  
pp. 245-249 ◽  
Author(s):  
Audrey Beatriz Santos Araujo ◽  
Marina Brugnoli Ribeiro Cambraia ◽  
Ricardo Azevedo Moraes Motta Filho ◽  
Gláucia Lara Rezende ◽  
Alander Sobreira Vanderlei
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Cystic Lesion ◽  
Surgical Excision ◽  
Lower Limbs ◽  
Motor Power ◽  
Irreversible Damage ◽  
Special Support ◽  
Active Portion ◽  
Back To Work

AbstractNeurocysticercosis is an endemic infeccion in Brazil, but the intramedullary cases are rare, 1,2% to 5,8% of all cases. There are only fifty cases reported until January of 2011. Intramedullary neurocysticerosis is a treatable pathology but if misdiagnosed it could lead to irreversible damage. Twenty eight year old female patient, previously healthy, was admitted due to a fall. She had progressive walking difficulties and impaired sensation in both lower limbs two months before admission. Contrast MRI revealed a round intramedullary cystic lesion at T2 e T3. The patient underwent laminectomy from T2 to T3, and the spinal cord was found locally swollen near the exit root at this level. A mielotomy was performed where a round protrusion was seen near the root. Histological examination of the resected sample showed cysticercosis. After surgical excision she received albendazol and streoids. The patient's neurological function postoperatively was unchanged. One week later, the motor power of her lower limbs were grade 4/5, and she could walk without special support. The function of anal sphincter and bladder regained without compromise. She was back to work. This reflects dramatically in an active portion of population since it affects mostly people between 20 to 45 years. So it still represents a challenge and this paper intend to show our experience and by that help future diagnostics.

scholarly journals Symptomatic Intramedullary Cavernous Angioma During Pregnancy. Case report

2018 ◽  
Vol 28 (2) ◽  
Author(s):  
Fernando Antonio De Oliveira Costa ◽  
Othelo Moreira Fabião Neto ◽  
Guilherme Gago ◽  
Frederico De Lima Gibbon ◽  
Otávio Garcia Martins
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Urinary Retention ◽  
Vascular Malformation ◽  
Surgical Excision ◽  
Cavernous Angioma ◽  
Pregnant Patient ◽  
Initial Presentation ◽  
Lower Limbs ◽  
Intramedullary Cavernous Angioma

The cavernous angioma is a vascular malformation that can affect various organs, and its location in the spinal cord is unusual. We report a case of a pregnant patient who presented with pain in the lower limbs and urinary retention, diagnosed with cavernous angioma of the spinal cord and treated with surgical excision. Our case highlights this rare pathology and its initial presentation during pregnancy.

scholarly journals Spinal Cord Stimulation as a Treatment Option for Refractory Chemotherapy-Induced Peripheral Neuropathy: Case Report

2020 ◽  
Vol 39 (03) ◽  
pp. 228-231 ◽  
Author(s):  
Arthur Lopes ◽  
Kleber Duarte ◽  
Catarina Lins ◽  
Gabriel Kubota ◽  
Valquíria Silva ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Spinal Cord ◽  
Neuropathic Pain ◽  
Case Report ◽  
Peripheral Neuropathy ◽  
Treatment Option ◽  
Spinal Cord Stimulation ◽  
Lower Limbs ◽  
Oncological Diseases ◽  
Good Treatment Option

AbstractColorectal cancer is one of the most common oncological diseases. Chemotherapy is usually recommended as an adjuvant treatment for stage-II, -III, and -IV tumors. Approximately 10% of the patients develop neuropathic pain after chemotherapy, and they may remain refractory despite the administration of drugs that are commonly used to treat neuropathic pain. Spinal cord stimulation is a good treatment option for neuropathic pain of the lower limbs, and it should be trialed in patients with chemotherapy-induced peripheral neuropathy. We report the case of a patient with oxaliplatin-induced neuropathy and neuropathic pain refractory to oral medication who was successfully treated by spinal cord stimulation.

scholarly journals Vallecular cyst in an infant with stridor: a case report

2018 ◽  
Vol 6 (1) ◽  
pp. 58-62
Author(s):  
Nabin Lageju ◽  
Rajendra Prasad Sharma Guragain
Keyword(s):  
Case Report ◽  
Ct Scan ◽  
Cystic Lesion ◽  
Failure To Thrive ◽  
Surgical Excision ◽  
Infants And Children ◽  
Solid Component ◽  
Feeding Difficulties ◽  
The Right ◽  
In Infants And Children

Background and Objectives: Vallecular cysts are rare and generally asymptomatic. In infants and children they present with stridor, feeding difficulties, failure to thrive. Treatment is surgical excision with cautery or laser.Presentation of Case: We discuss the clinical, radiological presentation of a 7 months old child with vallecular cyst which was surgically treated with deroofing and marsupialisation with elecrocautery. There was no recurrence even up 2 years of follow-up.Discussion: Flexible nasopharyngolaryngoscopic examination was done which showed present of swelling in the left vallecula pushing the epiglottis posteriorly and to the right with narrowed normal endolarynx. Radiological investigations with CT scan showed cystic lesion noted in left side of neck with no septation and solid component. The lesion was extending to ipsilateral vallecula and paraglottic region with narrowing of endolarynx.Conclusion: Vallecular cyst is rare cause of noisy breathing in infants and children. In adults it is usually asymptomatic. Treatment of choice is marsupialization with electrocautery or laser.

scholarly journals Isolated intramedullary spinal cord cysticercosis

2014 ◽  
Vol 05 (S 01) ◽  
pp. S066-S068 ◽  
Author(s):  
Zeeshan Qazi ◽  
Bal Krishna Ojha ◽  
Anil Chandra ◽  
Sunil Kumar Singh ◽  
Chhitij Srivastava ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Developing Countries ◽  
Cystic Lesion ◽  
Lower Limbs ◽  
Pathological Examination ◽  
Intramedullary Spinal Cord ◽  
Endemic Areas

ABSTRACTNeurocysticercosis is a major cause of epilepsy in developing countries. Cysticercal involvement of the spinal cord is rare even in endemic areas and accounts for 0.7 to 5.85% of all cases. We present a 19-year-old man who presented with weakness of both lower limbs and urinary complaints in the form of straining of micturition with increased frequency, in whom preoperative MRI revealed a well-defined cystic lesion in dorso-lumber cord extending from D11 to L1 level, which on pathological examination was found to be intramedullary cysticercosis.

Hemangiopericytoma – a case report of a rare tumour of the parapharyngeal space

2017 ◽  
Vol 6 (2) ◽  
pp. 56-63
Author(s):  
Klaudia Cybulska ◽  
Małgorzata Jarosz ◽  
Anna Rzepakowska ◽  
Kazimierz Niemczyk
Keyword(s):  
Case Report ◽  
Parapharyngeal Space ◽  
Histopathological Examination ◽  
Therapeutic Process ◽  
Surgical Excision ◽  
Lower Limbs ◽  
Diagnostic Process ◽  
Tumour Resection ◽  
Rare Tumour ◽  
Long Term Follow Up

Introduction: Hemangiopericytoma is a mesenchymal tumour originating from pericytes surrounding the capillary vessels. The etiology of this tumour is still unknown. It may be located in any part of the human body. The most common sites are pelvis and lower limbs and less often it occurs in the head and neck. The characteristic signs of hemangiopericytoma are slow growth regardless of the malignancy level and high vascularity. Surgical excision of the tumour with additional radiotherapy is the treatment of choice. Case report: A symptom presentation and diagnostic-therapeutic process in a 71-year-old woman admitted to the Department of Otolaryngology of the Medical University of Warsaw due to increasing bilateral nasal obstruction and dysphagia is herein described. Diagnostic imaging showed highly vascularized tumour in the parapharyngeal space also obstructing the left side of the nasopharynx. After evaluation, tumour resection from the external approach was planned and performed, followed by an uncomplicated postoperative course. Histopathological examination revealed hemangiopericytoma. The patient was qualified for adjuvant radiotherapy. She stays under observation with no signs of recurrence since surgery. Conclusions: Hemangiopericytoma is a rare tumour with a wide variety of clinical presentations and a relapse-free survival that is difficult to predict. Long-lasting asymptomatic tumour growth results in late diagnosis. Imaging and primarily, histopathological examination are fundamental for the diagnostic process. The best outcome is observed after radical surgical treatment. In order to reduce the risk of recurrence, additional radiotherapy is advised. Local recurrence may appear years after finished treatment, therefore long-term follow-up is essential.

CASE REPORT ON A RARE NEUROLOGICAL COMPLICATION OF MYCOBACTERIUM TUBERCULOSIS INFECTION IN HIV PATIENT

2021 ◽  
pp. 1-2
Author(s):  
K. Shivaraju ◽  
Mandhala Saikrishna
Keyword(s):  
Spinal Cord ◽  
Mycobacterium Tuberculosis ◽  
Case Report ◽  
Neurological Complication ◽  
Transverse Myelitis ◽  
Sudden Onset ◽  
Lower Limbs ◽  
Tuberculosis Infection ◽  
Mycobacterium Tuberculosis Infection ◽  
History Of

LETM is rarely caused by tuberculosis infection. LETM is a contiguous immune-mediated inammatory lesion of the spinal cord that extends to three or more segments of spinal cord. Here we presenting a case of 55 years old female patient with known HIV infection and no history of tuberculosis infection admitted in the hospital with complains of sudden onset of asymmetrical weakness of lower limbs and urinary incontinence from four days. on evaluation she was underwent some series of investigations, in that nally diagnosed with longitudinally extensive transverse myelitis due to tuberculosis infection. Then patient was treated with ART and ATT with steroids and supportive treatment along with physiotherapy. after some days patient condition was gradually improving with treatment and discharged, advised physiotherapy daily and followup on OPD basis. So based on this case report, we recommend that clinicians should suspect mycobacterium tuberculosis infection when patient diagnosed with transverse myelitis

scholarly journals Mesenchymal hamartoma of the liver in adults: Case report

2014 ◽  
Vol 67 (11-12) ◽  
pp. 399-403 ◽  
Author(s):  
Tanja Lakic ◽  
Mirjana Zivojinov ◽  
Milivoje Vukovic ◽  
Jelena Ilic-Sabo ◽  
Tamara Boskovic
Keyword(s):  
Case Report ◽  
Cystic Lesion ◽  
Benign Lesion ◽  
Abdominal Mass ◽  
Surgical Excision ◽  
Cystic Neoplasm ◽  
Mesenchymal Hamartoma ◽  
Transplantation Surgery ◽  
Clinical Center ◽  
The Right

Introduction. Mesenchymal hamartoma of the liver is a benign lesion presenting as an enlarging abdominal mass in children less than 2 years of age. Fewer than 5% cases are present in individuals over 5 years of age, and this lesion is extremely rare in adults. It may affect the left or the right lobe of liver as a cystic or solid mass or both components may be present. The pathogenesis remains incompletely understood, but these lesions have generally been considered to represent a development abnormality in the bile duct plate formation. Case Report. In this report, we present a case of a 44-year-old man who was surgically treated at the Department of Abdominal, Endocrine and Transplantation Surgery of the Clinical Center of Vojvodina due to cystic lesion in the liver segment IV that had been verified by computed tomography imaging diagnostics. The patient was sent from a smaller health center with the diagnosis of echinococcosis. After the adequate preparation of the patient, surgical excision of the liver cystic lesion was done. Once a thorough histological examination had been performed, the diagnosis of mesenchymal hamartoma was made. Conclusion. Mesenchymal hamartoma of the liver is a benign tumor resulting from abnormal, intra-uterine development of bile ducts and has a delayed clinical manifestation, thus this lesion appears to be related to the processes of maturation. It is potentially premalignant lesion presenting as a solid and/or cystic neoplasm. Symptoms, laboratory results and radiographic imaging are nonspecific and inconclusive, so surgical excision of the whole lesion is the imperative for the definitive diagnosis.

scholarly journals Spinal cord lesion and ischemic stroke after chiropractic: a case report

2021 ◽  
Author(s):  
Gabriel Bortoli Ramos ◽  
Rebecca Ranzani Martins ◽  
Júlia Carvalhinho Carlos de Souza ◽  
Cesar Castello Branco Lopes ◽  
Guilherme Diogo Silva
Keyword(s):  
Spinal Cord ◽  
Ischemic Stroke ◽  
Case Report ◽  
Cervical Spine ◽  
Ankylosing Spondylitis ◽  
Lower Limbs ◽  
Pain Patient ◽  
Cervical Pain ◽  
Ligamenta Flava ◽  
Cord Injury

Context: Chiropractic is a form of spinal manipulation used to treat cervical pain. This therapy is considered safer than chronic use of anti-inflammatory drugs, opioids or spine surgery. However, chiropractic may cause severe complications such as myelopathy and ischemic stroke. Case report: A 48-year-old woman was admitted to our hospital due to acute tetraparesis. During a chiropractic session for chronic neck pain, patient referred lancinating cervical pain, weakness in the upper and lower limbs, and numbness below the level of the neck. Neurologic examination showed grade two tetraparesis with preserved arm abduction. Pain and vibratory sensation were reduced in trunk, upper and lower limbs. We considered a C5 level spinal cord injury. Cervical spine magnetic resonance imaging revealed a transdiscal fracture of C5-C6 vertebrae. The fracture led to an epidural hematoma and spinal cord compression. Cervical spine displayed ligamenta flava thickening, which may be associated with an undiagnosed ankylosing spondylitis. We also found bilateral vertebral occlusion of V1 and V2 segments. Cerebellar restricted diffusion suggested posterior circulation stroke. We believe that rigidity associated with ankylosing spondylitis favored spinal fracture during chiropractic. Patient was treated with 24mg/day of dexamethasone and 100mg/day of aspirin. Spinal cord decompression surgery was indicated. Unfortunately, in the last followup there was no improvement in patient motor status. Conclusions: Transdiscal C5-C6 fracture led to compressive myelopathy and cerebellar stroke. Safety of chiropractic should be better investigated in specific populations such as ankylosing spondylitis patients.

Fibrodysplasia Ossificans Progressiva and Its Implications in Podiatric Medicine: A Case Report

2019 ◽  
Vol 109 (4) ◽  
pp. 317-321
Author(s):  
Nicholas Bolognini ◽  
Neil Navendu Trivedi ◽  
Andrew S. Au ◽  
Nishit Vora
Keyword(s):  
Case Report ◽  
Endochondral Ossification ◽  
Pediatric Patients ◽  
Soft Tissues ◽  
Clinical Presentation ◽  
Genetic Disorder ◽  
Surgical Excision ◽  
Fibrodysplasia Ossificans Progressiva ◽  
Irreversible Damage ◽  
Dental Procedures

The purpose of this case report is to show the clinical presentation of a rare genetic disorder, called fibrodysplasia ossificans progressiva, on the development of the foot in a newborn. Shortened great toes and malformations of the first metatarsals are present in all affected individuals at birth. Irreversible heterotopic endochondral ossification of soft tissues occurs in the first decade of life, often resulting in permanent immobility by the third decade of life. Trauma caused by surgical excision of nodules, dental procedures, or injections can further exacerbate this condition. Early diagnosis is imperative for these patients to prevent irreversible damage that may result from unnecessary invasive interventions. This case report presents a boy aged 2 years 3 months who was born with bilateral bunion deformity. The goal is to raise awareness of this disorder in the podiatric community, especially for those who work with pediatric patients.

scholarly journals Metastatic spinal cord compression by gastric cancer: a case report

2019 ◽  
Vol 2019 (9) ◽  
Author(s):  
Teiko Kawahigashi ◽  
Takashi Kawabe ◽  
Hirokazu Iijima ◽  
Yuto Igarashi ◽  
Yuma Suno ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Gastric Cancer ◽  
Spinal Cord ◽  
Case Report ◽  
Spinal Cord Compression ◽  
Early Treatment ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Lower Limbs ◽  
Prompt Diagnosis

Abstract Metastatic spinal cord compression (MSCC) is one of the serious complications of malignancy. Most cases of MSCC occur from breast or prostate cancer primaries; MSCC secondary to gastric cancer is rare. We herein report a case of a patient with gastric cancer with weakness of the lower limbs and urinary retention on initial presentation. This case demonstrates that although rare, bone metastases and MSCC may occur from gastric primaries. It also highlights the importance of prompt diagnosis and early treatment of MSCC.

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