Symptomatic Epidural Compression in Infants With Neuroblastoma

2013 ◽  
Vol 35 (4) ◽  
pp. 260-266 ◽  
Author(s):  
Maria Capasso ◽  
Giuseppe Cinalli ◽  
Anna Nastro ◽  
Maria Giuliano ◽  
Maria E. Errico ◽  
...  
Keyword(s):  
Epidural Compression

Spinal Epidural Compression Secondary to Osteoblastic Metastatic Vertebral Expansion

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 662-665 ◽  
Author(s):  
Alan Hirschfeld ◽  
William Beutler ◽  
Juliet Seigle ◽  
Herbert Manz
Keyword(s):  
Computed Tomography ◽  
Radiation Therapy ◽  
Spinal Canal ◽  
Surgical Decompression ◽  
The Other ◽  
Precise Nature ◽  
Osteoblastic Metastasis ◽  
Neurological Improvement ◽  
Epidural Compression ◽  
Spinal Epidural

Abstract We present two cases in which spinal epidural compression was caused by the expansion of bony elements into the spinal canal as a result of osteoblastic metastases. The precise nature of the compression was appreciated only on computed tomography. One patient had immediate and sustained neurological improvement after laminectomy. The other benefited temporarily, but widespread involvement of his spine ultimately led to paraplegia despite two more decompressive procedures. We think that bony expansion of the spine secondary to osteoblastic metastasis is not reversible with radiation therapy alone and is, therefore, an absolute indication for surgical decompression.

Craniocerebral missile injuries in the monkey: an experimental physiological model

1972 ◽  
Vol 36 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Arthur M. Gerber ◽  
Robert A. Moody
Keyword(s):  
Rhesus Monkeys ◽  
Common Factor ◽  
Blood Gases ◽  
Physiological Model ◽  
Content Type ◽  
Epidural Compression ◽  
The Brain ◽  
Strong Suspicion ◽  
Fine Print ◽  
Carotid Flow

✓ Experiments were carried out on rhesus monkeys to determine what physiological parameters were most closely correlated with death due to craniocerebral missile injuries. Observations of intracranial pressure, blood pressure, carotid flow, blood gases, respiratory rate, depth and volume, and electroencephalograms were made. These parameters were compared in survivors and nonsurvivors as were the pathological injuries. The most important single parameter that correlated with death was the drop in carotid flow. As this same correlation has been observed in epidural compression experiments in the monkey, there is a strong suspicion that reduced blood flow to the brain as measured by carotid flow is a common factor in craniocerebral missile injuries and epidural compression injuries.

scholarly journals Neuro-surgical considerations for treating IgG4-related disease with rare spinal epidural compression

2018 ◽  
Vol 9 (1) ◽  
pp. 209 ◽  
Author(s):  
ZacharyA Smith ◽  
Maia Winkel ◽  
CortD Lawton ◽  
OlabisiR Sanusi ◽  
CraigM Horbinski ◽  
...  
Keyword(s):  
Related Disease ◽  
Igg4 Related Disease ◽  
Epidural Compression ◽  
Spinal Epidural

scholarly journals Effects of epidural compression on stellate neurons and thalamocortical afferent fibers in the rat primary somatosensory cortex

2017 ◽  
Vol 77 (1) ◽  
pp. 1-17
Author(s):  
Tzu‑Yin Yeh ◽  
Guo‑Fang Tseng ◽  
Chi‑Yu Tseng ◽  
Yung‑Hsin Huang ◽  
Pei‑Hsin Liu
Keyword(s):  
Somatosensory Cortex ◽  
Primary Somatosensory Cortex ◽  
Afferent Fibers ◽  
Epidural Compression

Synovial Cyst of the Cervical Spine

Neurosurgery ◽  
1987 ◽  
Vol 20 (2) ◽  
pp. 316-318 ◽  
Author(s):  
Anthony Jabre ◽  
Set Shahbabian ◽  
Jeffrey T. Keller
Keyword(s):  
Synovial Cyst ◽  
Surgical Decompression ◽  
Radiographic Analysis ◽  
Facet Joints ◽  
Axial Tomography ◽  
Neurological Improvement ◽  
Plain Films ◽  
Computed Axial Tomography ◽  
Epidural Compression ◽  
Synovial Cysts

Abstract A case of acute posttraumatic myelopathy resulting from hemorrhage into synovial cysts bilaterally at the C-6, C-7 facet joints is presented. The pathogenesis of synovial cysts remains unclear, although reports in the literature have implicated trauma leading to cyst enlargement. Hemorrhage into the cavity of the synovial cysts resulted in epidural compression of the spinal cord in this patient. Because spinal synovial cysts cannot be unequivocally diagnosed preoperatively, other more common conditions must be considered in the differential diagnosis. Radiographic analysis including plain films, computed axial tomography, and metrizamide myelography are of value in establishing a neurological diagnosis. Surgical decompression and excision of the lesion may result in significant neurological improvement.

Late sequelae of localized neuroblastoma presenting with epidural compression. A study of the Italian and French Neuroblastoma Groups

2008 ◽  
Vol 26 (15_suppl) ◽  
pp. 10053-10053
Author(s):  
P. Angelini ◽  
B. De Bernardi ◽  
D. Plantaz ◽  
C. Perrin ◽  
G. Pastore
Keyword(s):  
Late Sequelae ◽  
Epidural Compression ◽  
Localized Neuroblastoma

scholarly journals Treatment of spinal epidural compression due to hematological malignancies: a single institution’s retrospective experience

2012 ◽  
Vol 22 (3) ◽  
pp. 548-555 ◽  
Author(s):  
Charles-Henri Flouzat-Lachaniette ◽  
Jérôme Allain ◽  
Françoise Roudot-Thoraval ◽  
Alexandre Poignard
Keyword(s):  
Hematological Malignancies ◽  
Epidural Compression ◽  
Spinal Epidural

Nocardial Osteomyelitis of the Spine with Epidural Spinal Cord Compression-a Case Report

Neurosurgery ◽  
1984 ◽  
Vol 15 (2) ◽  
pp. 254-256 ◽  
Author(s):  
Issam Awad ◽  
Janet W. Bay ◽  
John M. Petersen
Keyword(s):  
Vertebral Osteomyelitis ◽  
Cord Compression ◽  
Nocardia Asteroides ◽  
Sensory Level ◽  
Thoracic Myelopathy ◽  
Underlying Malignancy ◽  
Rare Manifestation ◽  
Specimen Processing ◽  
Epidural Compression ◽  
Diagnostic Work

Abstract A 53-year-old man presented with complaints of back pain and weakness in his lower extremities. Physical examination demonstrated a thoracic myelopathy with a sensory level at T-4, The diagnostic work-up revealed vertebral osteomyelitis of the thoracic spine with epidural compression at T-2-T-4 causing a nearly complete block on myelography. A decompressive laminectomy and debridement were performed, followed by anterior spinal fusion. Nocardia asteroides was cultured from the epidural space. The patient was concurrently treated with sulfonamides. No underlying malignancy or immunosuppression could be demonstrated, but a primary pulmonary nocardial infection was suspected. A satisfactory recovery was accomplished. Only four other cases of nocardial osteomyelitis of the spine have been reported in the literature. These are discussed, and possible mechanisms are proposed for the pathophysiology of this rare manifestation. Current recommendations on the specimen processing, diagnosis, and therapy of nocardial infections are briefly reviewed.

Spinal epidural compression secondary to osteoblastic metastatic vertebral expansion

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 662???5 ◽  
Author(s):  
A Hirschfeld ◽  
W Beutler ◽  
J Seigle ◽  
H Manz
Keyword(s):  
Epidural Compression ◽  
Spinal Epidural

Laminectomy for thoracic spinal canal stenosis

2000 ◽  
Vol 9 (4) ◽  
pp. 1-3 ◽  
Author(s):  
Iain H. Kalfas
Keyword(s):  
Spinal Canal ◽  
Clinical Manifestations ◽  
Spinal Canal Stenosis ◽  
Rare Disorder ◽  
Surgical Approaches ◽  
Canal Stenosis ◽  
Thoracic Spinal ◽  
Epidural Compression

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.

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