scholarly journals Spinal Cord Infarction Complicating Embolisation of Vertebral Metastasis

1999 ◽  
Vol 5 (1) ◽  
pp. 61-65 ◽  
Author(s):  
H.J. Cloft ◽  
M.E. Jensen ◽  
H.M. Do ◽  
D.F. Kallmes
Keyword(s):  
Spinal Cord ◽  
Renal Cell Carcinoma ◽  
Back Pain ◽  
Contrast Material ◽  
Cord Compression ◽  
High Flow ◽  
Spinal Cord Infarction ◽  
Vertebral Metastasis ◽  
Lumbar Vertebral Body ◽  
Severe Back Pain

A 70-year-old woman presented with severe back pain secondary to metastasis of renal cell carcinoma to the second lumbar vertebral body. She had no evidence of spinal cord compression clinically or on MR imaging. Tumour embolisation was performed for pain relief. The embolisation was complicated by spinal cord infarction resulting from angiographic masking of a spinal artery by diversion of contrast material into the high-flow tumour.

scholarly journals Spinal Cord Infarction with Aortic Dissection

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Atsuyuki Kawabata ◽  
Masaki Tomori ◽  
Yoshiyasu Arai
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Aortic Dissection ◽  
Severe Pain ◽  
Clinical Course ◽  
Etiological Factor ◽  
Spinal Cord Infarction ◽  
Functional Scores

Spinal cord infarction is an uncommon but devastating disorder caused by various conditions. Aortic dissection is a possible etiological factor and is usually associated with severe chest or back pain. We encountered two cases of spinal cord infarction associated with aortic dissection that presented without typical severe pain, and each case resulted in a different clinical course. Aortic dissection should be considered a cause of spinal cord infarction even if there is little or no pain. The different outcomes in our two patients reflected a difference in their initial functional scores.

scholarly journals Acute thoracic disc heralded by change in spinal cord stimulation pattern: illustrative case

2021 ◽  
Vol 2 (20) ◽  
Author(s):  
Faraz Behzadi ◽  
Edvin Telemi ◽  
Tarek R. Mansour ◽  
Thomas M. Zervos ◽  
Muwaffak M. Abdulhak ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Back Pain ◽  
Cord Compression ◽  
Illustrative Case ◽  
Disc Protrusion ◽  
Stimulation Parameters ◽  
Spine Pathology ◽  
Thoracic Disc

BACKGROUND Spinal cord stimulation (SCS) uses unique electric stimulation parameters to selectively treat specific regions of chronic or refractory back pain. Changing these parameters can lead to spreading paresthesia and/or pain beyond the desired region. OBSERVATIONS A patient with a history of stable, successful SCS treatment presented with acute development of paresthesias that were relieved by reduction of stimulation parameters. The patient required paradoxically lower SCS settings for control of chronic back pain. This presentation prompted further investigation, which revealed a new disc protrusion and cord compression at the level of the paddle lead. LESSONS In patients with SCS, a new onset of back pain accompanied by acute paresthesia that is reversible by reducing the SCS amplitude warrants investigation for new spine pathology.

Dermoid tumors of the spinal cord

1970 ◽  
Vol 33 (6) ◽  
pp. 676-681 ◽  
Author(s):  
Ian C. Bailey
Keyword(s):  
Spinal Cord ◽  
Low Back Pain ◽  
Back Pain ◽  
Cauda Equina ◽  
Complete Removal ◽  
Cord Compression ◽  
Conus Medullaris ◽  
Low Back ◽  
Content Type ◽  
Fine Print

✓ This is an analysis of 10 cases of dermoid tumor occurring in the spinal canal (8 lumbar and 2 thoracic). Low-back pain was the commonest presenting symptom, especially if the tumor was adherent to the conus medullaris. Other complaints included urinary dysfunction and motor and sensory disturbances of the legs. Clinical and radiological evidence of spina bifida was found in about half of the cases and suggested the diagnosis of a developmental type of tumor when patients presented with progressive spinal cord compression. At operation, the tumors were often found embedded in the conus medullaris or firmly adherent to the cauda equina, thus precluding complete removal. Evacuation of the cystic contents, however, gave lasting relief of the low-back pain and did not cause any deterioration in neurological function. In a follow-up study, ranging from 1 to 15 years, virtually no improvement in the neurological signs was observed. On the other hand, only one case has deteriorated due to recurrence of tumor growth.

Primary Spinal Epidural Non-Hodgkin's Lymphoma the Contribution of Nuclear Magnetic Resonance Imaging, Therapeutic Approach and Review of the Literature

1992 ◽  
Vol 78 (6) ◽  
pp. 397-402 ◽  
Author(s):  
llan G. Ron ◽  
Irith Reider ◽  
Nelly Wigler ◽  
Samario Chaitchik
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Spinal Cord Compression ◽  
Hodgkin’S Lymphoma ◽  
Cord Compression ◽  
Hodgkin's Lymphoma ◽  
Characteristic Appearance ◽  
Non Hodgkin’S Lymphoma ◽  
Non Hodgkin's Lymphoma ◽  
Spinal Epidural

Primary spinal epidural lymphoma (Stage I) is diagnosed predominantly late after a long prodromal phase of local back pain resulting in spinal cord compression. The use of CT and NMR images in the early stage of investigation and their analysis may help to diagnose these cases prior to the appearance of neurologic deficit. We report on 2 patients who presented with prolonged localized back pain with sudden symptoms of spinal cord compression. CAT scan and NMR imaging demonstrated the characteristic appearance of lymphoma. Decompressive laminectomy supported the diagnosis. Radiotherapy treatment to the region of the non-Hodgkin's lymphoma resulted in complete resolution. Thereafter, systemic chemotherapy with CHOP achieved a good response.

scholarly journals Adhesive Arachnoiditis following Inadvertent Epidural Injection of 2% Chlorhexidine in 70% Alcohol—Partial Recovery over the Ensuing Eight Years

2018 ◽  
Vol 46 (6) ◽  
pp. 572-574 ◽  
Author(s):  
I. Mohamed Iqbal ◽  
R. Morris ◽  
M. Hersch
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Back Pain ◽  
Cognitive Function ◽  
Epidural Injection ◽  
Partial Recovery ◽  
Resonance Imaging ◽  
Neurologic Injury ◽  
Nerve Roots ◽  
Severe Back Pain

We report a case of serious neurologic injury due to inadvertent epidural injection of 8 ml of the antiseptic 2% chlorhexidine in 70% alcohol during a procedure aimed to relieve the pain of labour. This resulted in immediate severe back pain, progressive tetraparesis and sphincter dysfunction caused by damage to the spinal cord and nerve roots. Subacute hydrocephalus necessitated drainage, but cranial nerve and cognitive function were spared. Magnetic resonance imaging documented marked abnormality of the spinal cord and surrounding leptomeninges. In the ensuing eight years, there has been clinical and electrophysiological evidence of partial recovery, but neurologic deficit remains severe.

Back pain and epidural spinal cord compression

1988 ◽  
Vol 3 (2) ◽  
pp. 191-197 ◽  
Author(s):  
David W. Bates ◽  
James B. Reuler
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Spinal Cord Compression ◽  
Cord Compression

scholarly journals Cervical Spinal Cord Compression: A Rare Presentation of Hepatocellular Carcinoma

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Puvanalingam Ayyadurai ◽  
Kanthi Rekha Badipatla ◽  
Chukwunonso Chime ◽  
Shiva Arjun ◽  
Pavithra Reddy ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Spinal Cord ◽  
Cervical Spinal Cord ◽  
Skeletal Metastasis ◽  
Cord Compression ◽  
Vertebral Metastasis ◽  
Primary Malignancy ◽  
Rare Presentation ◽  
Work Up ◽  
Neurosurgical Intervention

Hepatocellular carcinoma (HCC) is the most common primary malignancy of liver. Distant metastasis to various organs is well known. Skeletal metastasis is also reported to various locations. Vertebral metastasis has been reported mostly to thoracic spine. However, cervical spinal cord involvement leading to cord compression has been reported very rarely in literature. We present a case of 58-year-old male with liver cirrhosis presenting as neck pain. Further work-up revealed metastatic HCC to cervical spinal cord resulting in acute cord compression. Patient has been treated with neurosurgical intervention.

Spinal Cord Compression by a Unifocal Eosinophilic Granuloma: A Case Report of an Adult with Unusual Roentgenological Features

Neurosurgery ◽  
1988 ◽  
Vol 23 (5) ◽  
pp. 666-668 ◽  
Author(s):  
Eduardo Kanterewicz ◽  
Enric Condom ◽  
Juan D. Cañete ◽  
Josá A. Del Olmo
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Unusual Case ◽  
Eosinophilic Granuloma ◽  
Cord Compression ◽  
Lytic Lesion ◽  
Resonance Imaging ◽  
X Ray ◽  
Lumbar Vertebral Body

Abstract We describe an unusual case of unifocal eosinophilic granuloma of the spine in a 38-year-old woman who presented with spinal cord compression. After 2 years of back pain, x-ray films of the spine were normal, but computed tomography and magnetic resonance imaging demonstrated a lytic lesion of the 1st lumbar vertebral body with cephalic extension in the epidural space. The lesion was later confirmed at operation to be an eosinophilic granuloma spreading into the surrounding tissues.

scholarly journals Symptomatic spinal extradural arachnoid cyst with cord compression in a family: case report

2017 ◽  
Vol 27 (3) ◽  
pp. 341-345 ◽  
Author(s):  
Arnold H. Menezes ◽  
Patrick W. Hitchon ◽  
Brian J. Dlouhy
Keyword(s):  
Spinal Cord ◽  
Back Pain ◽  
Case Report ◽  
Surgical Technique ◽  
Arachnoid Cyst ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Progressive Myelopathy ◽  
Family Case ◽  
Extradural Arachnoid Cyst

A family with familial spinal extradural arachnoid cyst is presented. A 14-year-old boy had an extensive T-8 through L-2 dorsal extradural arachnoid cyst with spinal cord compression and slowly progressive myelopathy. His mother had presented 4 years earlier with acute excruciating back pain due to the combination of a lumbar extradural arachnoid cyst at L2–4 and an extruded disc at L3–4. The literature is reviewed in light of the pathogenesis, imaging, and surgical technique required for treatment.

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