scholarly journals Case of Spastic Quadriplegia following Injury of the Spinal Cord in the Upper Cervical Region, showing Certain Unusual Reflex Phenomena

1920 ◽  
Vol 13 (Neurol_Sect) ◽  
pp. 44-47
Author(s):  
E. Farquhar Buzzard ◽  
George Riddoch
Keyword(s):  
Spinal Cord ◽  
Cervical Region ◽  
Spastic Quadriplegia ◽  
Upper Cervical

scholarly journals V.–Distribution of the Cells in the Intermedio-Lateral Tract of the Spinal Cord

1906 ◽  
Vol 45 (1) ◽  
pp. 105-131 ◽  
Author(s):  
Alexander Bruce
Keyword(s):  
Spinal Cord ◽  
Grey Matter ◽  
Central Canal ◽  
Substantia Gelatinosa ◽  
Lateral Margin ◽  
Cervical Region ◽  
Dorsal Region ◽  
Lateral Column ◽  
Upper Cervical ◽  
Lateral Tract

The term intermedio-lateral tract was introduced in 1859 (Phil. Trans., 1859, p. 445) by Lockhart Clarke to designate a tract or column of nerve cells in the spinal cord, which he had previously described in 1851 (Phil. Trans., 1851, ii. p. 613) as occupying that portion of the lateral margin of the grey matter which is intermediate between the anterior and posterior cornua. According to Clarke's original account, the column in question was very transparent in appearance, and resembled somewhat the substantia gelatinosa of the posterior horn. It was found in the upper part of the lumbar enlargement, extended upwards through the dorsal region, where it distinctly increased in size, to the lower part of the cervical enlargement. Here it disappeared almost entirely. In the upper cervical region it was again seen, and could be traced upwards into the medulla oblongata, where, in the space immediately behind the central canal, it blended with its fellow of the opposite side. In the more complete account of the tract published in 1859 (p. 446), its component cells are described as in part oval, fusiform, pyriform, or triangular, and as being smaller and more uniform in size than those of the anterior cornua. In the mid-dorsal region, where they are least numerous, they are found only near the lateral margin of the grey matter, with the exception of some cells which lie among the white fibres beyond the margin of the grey substance. In the upper dorsal region the tract is larger, and not only projects further outwards into the lateral column of the white fibres, but also tapers inwards across the grey substance, almost to the front of Clarke's column. In the cervical enlargement it gradually disappears, although it seems to contain, in part at least, a few scattered cells resembling those of the intermedio-lateral tract of the dorsal region. In the upper cervical region, as already stated, it is again seen occupying a lateral horn similar to that found in the dorsal region. It is composed of the same kind of cells, and can be followed up into the medulla, where it is said to give origin to some of the fibres of the vagus and the spinal accessory.

Intramedullary mature teratoma of the cervical spinal cord at C1–2 associated with occult spinal dysraphism in an adult

2007 ◽  
Vol 6 (6) ◽  
pp. 579-584 ◽  
Author(s):  
Raafat Makary ◽  
David Wolfson ◽  
Victor Dasilva ◽  
Amir Mohammadi ◽  
Sania Shuja
Keyword(s):  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Spinal Dysraphism ◽  
Treatment Options ◽  
Mature Teratoma ◽  
Postoperative Outcome ◽  
Complete Removal ◽  
Cervical Region ◽  
Upper Cervical ◽  
Spinal Malformations

✓There is a well-recognized association between dysontogenetic tumors of the spinal cord (including teratomas and enterogenous cysts) and dysraphic congenital spinal malformations. The authors present a case of an adult with an intramedullary mature teratoma (IMMT) at the level of C1–2 of the cord associated with dysraphic congenital spinal malformations. Intramedullary mature teratomas of the cervical region of the spinal cord are very rare in adults; only four such lesions have been reported, two of which involved upper cervical segments. Despite the potentially critical location of the tumor, monitored microsurgery resulted in complete removal of the tumor with an intact surrounding capsule, associated fibrous tract, and ellipse of skin with a central dimple. There was an excellent postoperative neurological outcome. The clinical features, imaging studies, treatment options, postoperative outcome, and plausible pathological correlations of IMMTs are discussed.

scholarly journals Case Reports of the Spinal Cord Tumor in the Upper Cervical Region

1977 ◽  
Vol 26 (1) ◽  
pp. 64-67
Author(s):  
S. Nitta ◽  
S. Hattori ◽  
M. Oyama ◽  
T. Isobe ◽  
T. Kochiyama
Keyword(s):  
Spinal Cord ◽  
Case Reports ◽  
Spinal Cord Tumor ◽  
Cervical Region ◽  
Upper Cervical

scholarly journals Anatomy and clinical relevance of sub occipital soft tissue connections with the dura mater in the upper cervical spine

PeerJ ◽  
2020 ◽  
Vol 8 ◽  
pp. e9716
Author(s):  
Rob Sillevis ◽  
Russell Hogg
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Cadaver Study ◽  
Cervicogenic Headache ◽  
Passive Movement ◽  
Cervical Region ◽  
Upper Cervical Spine ◽  
Posterior Aspect ◽  
Upper Cervical ◽  
Nuchal Ligament

Background The upper cervical region is a complex anatomical structure. Myodural bridges between posterior suboccipital muscles and the dura might be important explaining conditions associated with the upper cervical spine dysfunction such as cervicogenic headache. This cadaver study explored the upper cervical spine and evaluated the myodural bridges along with position of spinal cord in response to passive motion of upper cervical spine. Methods A total of seven adult cadavers were used in this exploratory study. The suboccipital muscles and nuchal ligament were exposed. Connections between the Rectus Capitis Posterior major/minor and the Obliquus Capitis minor, the nuchal ligament, posterior aspect of the cervical spine, flavum ligament and the dura were explored and confirmed with histology. The position of the spinal cord was evaluated with passive motions of the upper cervical spine. Outcomes In all cadavers connective tissues attaching the Rectus Capitis Posterior Major to the posterior atlanto-occipital membrane were identified. In the sagittal dissection we observed connection between the nuchal ligament and the dura. Histology revealed that the connection is collagenous in nature. The spinal cord moves within the spinal canal during passive movement. Discussion The presence of tissue connections between ligament, bone and muscles in the suboccipital region was confirmed. The nuchal ligament was continuous with the menigiovertebral ligament and the dura. Passive upper cervical motion results in spinal cord motion within the canal and possible tensioning of nerve and ligamentous connections.

Percutaneous Computed Tomography-guided Radiofrequency Ablation of Upper Spinal Cord Pain Pathways for Cancer-Related Pain

2008 ◽  
Vol 62 (suppl_1) ◽  
pp. ONS226-ONS234 ◽  
Author(s):  
Ahmed M. Raslan
Keyword(s):  
Computed Tomography ◽  
Spinal Cord ◽  
Radiofrequency Ablation ◽  
Pain Relief ◽  
Cervical Spinal Cord ◽  
The Body ◽  
Cervical Region ◽  
Spinothalamic Tract ◽  
Upper Cervical ◽  
Ablative Procedures

Abstract Objective: The author presents data to support the continued need for ablative procedures, particularly cordotomy, in the management of cancer-related pain. Methods: Fifty-one patients with cancer-related body or face pain were treated with computed tomography-guided radiofrequency ablation of the spinothalamic tract or trigeminal tract nucleus in the upper cervical region of the spinal cord. Forty-one patients underwent a unilateral cervical cordotomy, and 10 patients underwent a trigeminal tractotomy–nucleotomy. Three methods to assess patient pain were used: degree of pain relief, Visual Analog Scale, and total sleeping hours. The Karnofsky scale was used to measure the patient's level of function pre- and postprocedure. Results: After surgical intervention, patients reported initial and 6-months follow-up pain relief as 98 and 80%, respectively. Conclusion: Computed tomography-guided ablation of the upper cervical spinal cord is a safe and effective procedure to treat cancer pain involving the body or face. There remains a need for ablative procedures, in particular cordotomy, in the management of cancer-related pain.

scholarly journals Arrow-Shot Injury to Pediatric Spinal Cord

2021 ◽  
Author(s):  
Vijayveer Singh ◽  
Sharad Thanvi
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injuries ◽  
Pediatric Population ◽  
Cervical Region ◽  
Cervical Cord ◽  
Cord Injury ◽  
Dural Suturing ◽  
Stab Injuries ◽  
Early Surgical Intervention

AbstractPenetrating spinal cord injuries (PSCI) in cervical region are extremely rare in pediatric population. Most injuries in pediatric population are accidental due to gunshot or a stab injury with a sharp or pointed object. Gun shots may result into a severe wound which is usually fatal and may result in death, quadriplegia, or serious long-term disability. Stab injuries are less severe and may result in neurological sequalae. In this paper, an unusual case of pediatric arrow shot partial cervical cord injury is reported which was managed by aggressive neurosurgical management. The arrow lodged in the cervical cord was very near to the vertebral artery leading to parapariesis which recovered well without any complications. Diagnostic imaging at admission included radiographs, computed tomography (CT), and CT angiography of the cervical region. The patient underwent early surgical intervention with removal of foreign body from the cord and subsequent dural suturing.

Upper cervical myelopathy due to arachnoiditis and spinal cord tethering from adjacent C-2 osteomyelitis

2007 ◽  
Vol 6 (1) ◽  
pp. 64-67 ◽  
Author(s):  
Sharad Rajpal ◽  
Krisada Chanbusarakum ◽  
Praveen R. Deshmukh
Keyword(s):  
Spinal Cord ◽  
Cervical Myelopathy ◽  
Complete Resolution ◽  
Magnetic Resonance Image ◽  
Epidural Abscess ◽  
Odontoid Process ◽  
Surgical Decompression ◽  
Upper Cervical ◽  
High Cervical ◽  
Spinal Cord Tethering

✓Myelopathy caused by a spinal cord infection is typically related to an adjacent compressive lesion such as an epidural abscess. The authors report a case of progressive high cervical myelopathy from spinal cord tethering caused by arachnoiditis related to an adjacent C-2 osteomyelitis. This 70-year-old woman initially presented with a methicillin-sensitive Staphylococcus aureus osteomyelitis involving the C-2 odontoid process. She was treated with appropriate antibiotic therapy but, over the course of 4 weeks, she developed progressive quadriparesis. A magnetic resonance image revealed near-complete resolution of the C-2 osteomyelitis, but new ventral tethering of the cord was observed at the level of the odontoid tip. She subsequently underwent open surgical decompression and cord detethering. Postoperatively she experienced improvement in her symptoms and deficits, which continued to improve 1 year after her surgery. To the authors’ knowledge, this is the first reported case of progressive upper cervical myelopathy due to arachnoiditis and cord tethering from an adjacent methicillin-sensitive S. aureus C-2 osteomyelitis.

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