scholarly journals An Exploratory Electrical Stimulation Protocol in the Management of an Infant With Spina Bifida: A Case Report

2019 ◽  
Vol 6 ◽  
pp. 2329048X1983565
Author(s):  
Gerti Motavalli ◽  
Jan J. McElroy ◽  
Gad Alon
Keyword(s):  
Spinal Cord ◽  
Electrical Stimulation ◽  
Case Report ◽  
Spina Bifida ◽  
Thoracic Spinal Cord ◽  
Spontaneous Movements ◽  
Thoracic Spinal ◽  
Intervention Home ◽  
Somatosensory Responses ◽  
The Subject

An infant with myelomeningocele and underdevelopment of the thoracic spinal cord was treated with 2 protocols of electrical stimulation: functional electrical stimulation and transcutaneous spinal cord electrical stimulation. The protocols were incorporated into the infant’s outpatient early intervention home programs. Prior to initiation of electrical stimulation treatment at age 6 months, the infant exhibited complete loss of sensation below the level of T8 and muscular paralysis below the level of T10. The unexpected emergence of somatosensory responses and spontaneous movements in the trunk and lower extremities are described, focusing on the electrical stimulation protocols. Spinal cord electrical stimulation protocols were not previously described in the medical literature regarding the management of children with spina bifida. Both functional and spinal cord electrical stimulation protocols used with this infant proved safe and well tolerated. The experience gained over 12 months of treatment is the subject of this case report.

Spontaneous Herniation of the Thoracic Spinal Cord: A Case Report

2001 ◽  
Vol 45 (4) ◽  
pp. 353 ◽  
Author(s):  
Sung Chan Jin ◽  
Seoung Ro Lee ◽  
Dong Woo Park ◽  
Kyung Bin Joo
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Spontaneous Herniation

scholarly journals Percutaneous Epidural Hydrogel Sealant for the Treatment of Spontaneous Intracranial Hypotension: A Case Report of Chronic Thoracic Neuralgia and Technical Lessons Learned

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Michael G. Hillegass ◽  
Samuel F. Luebbert ◽  
Maureen F. McClenahan
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Intracranial Hypotension ◽  
Spontaneous Intracranial Hypotension ◽  
Lessons Learned ◽  
Injection Velocity ◽  
Thoracic Spinal Cord ◽  
Ct Guided ◽  
Thoracic Spinal ◽  
Needle Position

We report a case in which a 34-year-old female with refractory intracranial hypotension headaches due to a spontaneous dural tear was ultimately treated with CT-guided transforaminal epidural placement of a synthetic absorbable sealant (DuraSeal®). The procedure successfully resolved her headaches; however she subsequently developed thoracic neuralgia presumably due to mass effect of the sealant material on the lower thoracic spinal cord and nerve roots. This case report describes the potential for significant spinal cord and nerve root compression as well as the development of chronic neuralgia with the placement of epidural hydrogel and fibrin glue sealants. Careful consideration should be taken into the needle gauge, needle position, injectate volumes, and injection velocity when delivering the sealant to the epidural space. Use of an 18-gauge Tuohy needle with a slow but steady injection pressure, constant patient feedback, and a conservative injectate volume (less than 2 ml per level) may best optimize sealant delivery to minimize the risk of spinal cord compression and neurologic injury.

scholarly journals Intramedullary Solitary Fibrous Tumor of the Thoracic Spinal Cord—A Case Report—

2014 ◽  
Vol 28 (3) ◽  
pp. 282-286
Author(s):  
Osamu Kawakami ◽  
Keisuke Yamada ◽  
Masahiro Kojima ◽  
Keiko Matsubayashi ◽  
Yuichiro Tsuge ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Fibrous Tumor

Spina Bifida Associated with Subcutaneous Mass, Dural Ectasia and Thin Thoracic Spinal Cord

1991 ◽  
pp. 150-151
Author(s):  
Takamichi Yuguchi ◽  
Kazuyoshi Morimoto ◽  
Toshiki Yoshimine ◽  
Amami Kato ◽  
Yoshiyuki Masana ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spina Bifida ◽  
Thoracic Spinal Cord ◽  
Dural Ectasia ◽  
Thoracic Spinal ◽  
Subcutaneous Mass

scholarly journals Salvage carbon ion radiotherapy for recurrent solitary fibrous tumor: A case report and literature review

2020 ◽  
Vol 28 (1) ◽  
pp. 230949901989609
Author(s):  
Kazuma Murata ◽  
Kenji Endo ◽  
Takato Aihara ◽  
Yuji Matsuoka ◽  
Hirosuke Nishimura ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Solitary Fibrous Tumor ◽  
Clinical Course ◽  
Metastatic Lesion ◽  
Carbon Ion Radiotherapy ◽  
Thoracic Spinal Cord ◽  
Carbon Ion ◽  
Thoracic Spinal ◽  
Fibrous Tumor

Background: Malignant solitary fibrous tumor (MSFT) arising from the spinal cord is extremely rare and poorly understood mesenchymal neoplasms: only a few MSFT in the spinal canal has been described. We describe the clinical course of the patient with MSFT arising from the thoracic spinal cord. Case report: We describe the clinical course of the patient and the radiological and pathological findings of the tumor. The tumor had been resected by microscopic posterior approach and video-assisted thoracic surgery, but local recurrence was observed by MRI at 1-year follow-up period. No metastatic lesion was confirmed. Then, carbon ion radiotherapy (CIRT) was administered to the recurrent lesion. Local suppression has been observed for 40 months after irradiation. Conclusion: Dumbbell-shaped MSFT arising from thoracic spinal cord is a highly unusual presentation. CIRT might be effective for treatment of recurrent tumors.

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