scholarly journals Intradural Extramedullary Capillary Hemangioma in the Upper Thoracic Spine: A Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Yoichiro Takata ◽  
Toshinori Sakai ◽  
Kosaku Higashino ◽  
Yuichiro Goda ◽  
Fumitake Tezuka ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Thoracic Spine ◽  
Soft Tissues ◽  
Magnetic Resonance Images ◽  
Capillary Hemangioma ◽  
Benign Tumors ◽  
Review Of The Literature ◽  
Extramedullary Tumor ◽  
Intradural Extramedullary ◽  
Upper Thoracic

Capillary hemangiomas are benign tumors found in the skin and soft tissues in younger people. They occur in the central nervous system only rarely, and intradural occurrence is extremely rare. We report here a 60-year-old man presenting with thoracic girdle pain and progressive gait disturbance. Magnetic resonance images of the thoracic spine showed a12×8×20 mm, well-defined intradural mass at the T2 level, compressing the spinal cord laterally. Relative to the spinal cord, the mass was hypo- to isointense on T1-weighted images and relatively hyperintense on T2-weighted images, with strong enhancement on contrast-enhanced T1-weighted images. The patient underwent T1-2 hemilaminectomy with resection of the intradural extramedullary tumor, which showed characteristics of a capillary hemangioma on histologic examination. The patient’s symptoms improved following the surgery and no clinical or radiological evidence of recurrence was noted at the 2-year follow-up. We present this case with a review of the literature, highlighting features for differential diagnosis.

scholarly journals Intramedullary Capillary Hemangioma of the Thoracic Spine: Case Report and Review of the Literature

Rare Tumors ◽  
2009 ◽  
Vol 1 (1) ◽  
pp. 4-6 ◽  
Author(s):  
Rahul Kasukurthi ◽  
Wilson Z. Ray ◽  
Spiros L. Blackburn ◽  
Eriks A. Lusis ◽  
Paul Santiago
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Thoracic Spine ◽  
Rare Case ◽  
Capillary Hemangioma ◽  
Review Of The Literature ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Vascular Neoplasms ◽  
Spine Case

Capillary hemangiomas are benign vascular neoplasms. When associated with the spine, these growths frequently involve the vertebral body, but rarely have they been reported to occur as intradural lesions, while even more rarely occurring in a true intramedullary location. We report a rare case of an intramedullary capillary hemangioma of the thoracic spinal cord and a review of the literature.

scholarly journals Intradural extramedullary capillary hemangioma of lower thoracic spinal cord

2012 ◽  
Vol 46 (4) ◽  
pp. 475 ◽  
Author(s):  
DhirajVithal Sonawane ◽  
SanjayA Jagtap ◽  
AmbarishAvinash Mathesul
Keyword(s):  
Spinal Cord ◽  
Capillary Hemangioma ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Intradural Extramedullary

scholarly journals Intradural Extramedullary Tumor Causing Compression of the Thoracic and Lumbar Vertebrae in a 22-year-old Male with Acute Myeloid Leukemia

2020 ◽  
Vol 54 (2) ◽  
Author(s):  
Ronna Cheska V. De Leon ◽  
Camille Ariadne C. Tanchanco ◽  
Ma. Angelina L. Mirasol ◽  
Joven Jeremius Q. Tanchuco
Keyword(s):  
Spinal Cord ◽  
Lumbar Vertebrae ◽  
Cord Compression ◽  
Myeloid Sarcoma ◽  
Myelogenous Leukemia ◽  
Monocytic Differentiation ◽  
Extramedullary Tumor ◽  
Acute Myelogenous ◽  
Immature Myeloid Cells ◽  
Intradural Extramedullary

Myeloid sarcoma, characterized by the presence of immature myeloid cells occurring at an extramedullary site, is a rare manifestation of acute myelogenous leukemia (AML). Spinal cord compression as an initial presentation of AML is very rare with only a few reported cases. We discuss a case of a 22-year-old male who presented with bicytopenia and paraplegia. Workups were consistent with AML with monocytic differentiation. Chromosomal analysis revealed loss of Y and t (8;21). Spinal cord MRI showed intradural extramedullary-enhancing soft tissue lesions at levels T2 to T7 and L5 to S1, suspected to be myeloid sarcoma. Patient, however, succumbed to severe nosocomial infection prior to initiation of chemotherapy and radiotherapy.

scholarly journals SURGICAL TREATMENT OF TUMORS OF THE UPPER-THORACIC SPINE

2010 ◽  
Vol 16 (2) ◽  
pp. 143-145
Author(s):  
A. L. Heylo ◽  
A. G. Aganesov
Keyword(s):  
Spinal Cord ◽  
Surgical Treatment ◽  
Surgical Procedures ◽  
Thoracic Spine ◽  
Surgical Approach ◽  
Long Term Results ◽  
Upper Thoracic Spine ◽  
Short And Long Term ◽  
Upper Thoracic

The experience of surgical treatment of 19 patients with tumors of the upper-thoracic spine is analyzed. All the patients had undergone decompressive-stabilizing surgical procedures. Surgical approach, form of decompression and fixation were determined depending on the signs of compression of the spinal cord and neural structures, etiology and degree of the vertebral body destruction. Good and satisfactory short- and long-term results were achieved in all the patients. The case of surgical treatment of female patient with giant neurofibromas of Th2 vertebrae is also reported.

scholarly journals Painless Legs and Moving Toes Presenting as a Tardive Phenomenon: Case Report and Review of the Literature

2020 ◽  
Vol 11 (02) ◽  
pp. 341-342
Author(s):  
Elanagan Nagarajan ◽  
Lakshmi P Digala ◽  
Pradeep C Bollu
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Peripheral Neuropathy ◽  
Soft Tissues ◽  
Spinal Cord Trauma ◽  
Lumbar Radiculopathy ◽  
Review Of The Literature ◽  
Neuroleptic Treatment ◽  
Traumatic Lesions ◽  
Chronic Neuroleptic

AbstractPainless legs and moving toes syndrome is a rare movement disorder. Various conditions like spinal cord trauma, lumbar radiculopathy, peripheral neuropathy, neuroleptic treatment, or traumatic lesions of the soft tissues of the foot can present with this disorder. In our case report, we aim to report a case of a young woman who developed painless legs and moving toes in the setting of chronic neuroleptic usage, which improved after the discontinuation of antipsychotics and treatment with clonazepam. We describe in detail her presentation and clinical examination, along with the review of the literature.

scholarly journals Hypertrophy in the cervical muscles and thoracic discs in bed rest?

2013 ◽  
Vol 115 (5) ◽  
pp. 586-596 ◽  
Author(s):  
Daniel L. Belavý ◽  
Tanja Miokovic ◽  
Gabriele Armbrecht ◽  
Dieter Felsenberg
Keyword(s):  
Thoracic Spine ◽  
Bed Rest ◽  
Exercise Group ◽  
Magnetic Resonance Images ◽  
Disc Height ◽  
Whole Body ◽  
Resistive Exercise ◽  
Upper Thoracic ◽  
Thoracic Disc ◽  
The Impact

The impact of prolonged bed rest on the cervical and upper thoracic spine is unknown. In the 2nd Berlin BedRest Study (BBR2-2), 24 male subjects underwent 60-day bed rest and performed either no exercise, resistive exercise, or resistive exercise with whole body vibration. Subjects were followed for 2 yr after bed rest. On axial cervical magnetic resonance images from the skull to T3, the volumes of the semispinalis capitis, splenius capitis, spinalis cervicis, longus capitis, longus colli, levator scapulae, sternocleidomastoid, middle and posterior scalenes, and anterior scalenes were measured. Disc height, anteroposterior width, and volume were measured from C2/3 to T6/7 on sagittal images. The volume of all muscles, with the exception of semispinalis capitis, increased during bed rest ( P < 0.025). There were no significant differences between the groups for changes in the muscles. Increased upper and midthoracic spine disc height and volume ( P < 0.001) was seen during bed rest, and disc height increases persisted at least 6 mo after bed rest. Increases in thoracic disc height were greater ( P = 0.003) in the resistive vibration exercise group than in control. On radiological review, two subjects showed new injuries to the mid-lower thoracic spine. One of these subjects reported a midthoracic pain incident during maximal strength testing before bed rest and the other after countermeasure exercise on day 3 of bed rest. We conclude that bed rest is associated with increased disc size in the thoracic region and increases in muscle volume at the neck. The exercise device needs to be modified to ensure that load is distributed in a more physiological fashion.

A Mobile Schwannoma of the Cervical Spinal Cord

Neurosurgery ◽  
2015 ◽  
Vol 78 (1) ◽  
pp. E156-E159 ◽  
Author(s):  
Yukinori Terada ◽  
Hiroki Toda ◽  
Akiyoshi Yokote ◽  
Koichi Iwasaki
Keyword(s):  
Spinal Cord ◽  
Subarachnoid Space ◽  
Magnetic Resonance Image ◽  
Clinical Presentation ◽  
Cervical Spinal Cord ◽  
Intraoperative Ultrasonography ◽  
Vertebral Level ◽  
Left Hand ◽  
Extramedullary Tumor ◽  
Intradural Extramedullary

Abstract BACKGROUND AND IMPORTANCE: Mobile schwannomas have been reported in the lumbar spine and occasionally in the thoracic spine. However, to the best of our knowledge, this is the first known report of a cervical mobile schwannoma. Mobile schwannomas require careful preoperative and intraoperative evaluation of their localization because tumor mobility may result in surgery at the wrong level. CLINICAL PRESENTATION: A 68-year-old man had complained of clumsiness in his left hand for 10 years. An initial magnetic resonance image (MRI) showed an intradural extramedullary tumor at the C5 to C7 levels, deformation of the adjacent spinal cord, and unusual dilatation of the subarachnoid space from the C7 to T1 levels. A subsequent MRI revealed that the tumor had moved to the C6 to T1 levels. We diagnosed the lesion as a mobile tumor of the cervical spinal cord. The patient underwent a C6-C7 laminectomy with an additional partial laminectomy of C5 and T1. Intraoperative ultrasonography helped localize the tumor. Transdural ultrasonography and direct observation confirmed the tumor mobility. The tumor was completely removed. The histological diagnosis was schwannoma. CONCLUSION: We observed an extremely rare case of a mobile schwannoma of the cervical spine. Unusually dilated subarachnoid space adjacent to the tumor can be a diagnostic sign of tumor mobility, regardless of vertebral level. Repeated MRI studies are useful to preoperatively confirm tumor mobility. Intraoperative ultrasonography is valuable for the real-time localization of such mobile tumors to avoid potentially performing surgery at the wrong vertebral level.

Bilateral vidian nerve schwannomas associated with facial palsy

2006 ◽  
Vol 104 (5) ◽  
pp. 835-839 ◽  
Author(s):  
Jin Hwan Cheong ◽  
Jae Min Kim ◽  
Koang Hum Bak ◽  
Choong Hyun Kim ◽  
Young Ha Oh ◽  
...  
Keyword(s):  
Facial Palsy ◽  
Clinical Presentation ◽  
Bone Erosion ◽  
Histopathological Examination ◽  
Cranial Nerves ◽  
Magnetic Resonance Images ◽  
Benign Tumors ◽  
Review Of The Literature ◽  
Vestibulocochlear Nerve ◽  
The Masses

✓ Intracranial schwannomas are relatively common benign tumors arising from Schwann cells. Among the cranial nerves, the vestibular division of the vestibulocochlear nerve is the site most commonly affected by these lesions, followed by the trigeminal nerve. The authors report a case of bilateral schwannomas arising from both of the pterygoid canals. A 13-year-old girl presented with intermittent headaches and left-sided facial palsy. Preoperative computerized tomography scans and magnetic resonance images revealed nonenhancing round masses within the bilateral vidian canals, bone erosion, and sclerosis. The transnasal transseptal transsphenoidal approach was used to remove the masses. Postoperatively, the patient recovered uneventfully. On histopathological examination, the masses were confirmed as schwannomas. The clinical presentation and probable histogenesis of schwannomas arising in this location are discussed together with a review of the literature.

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