Radicular Compression Due to Lumbar Intraspinal Gas Pseudocyst: Case Report

Neurosurgery ◽  
1988 ◽  
Vol 22 (4) ◽  
pp. 731-733 ◽  
Author(s):  
Bertrand Demierre ◽  
Aymen Ramadan ◽  
Hermann Hauser ◽  
Alain Reverdin ◽  
Bénédict Rilliet ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Spinal Canal ◽  
Pain Syndrome ◽  
Herniated Disc ◽  
Unique Case ◽  
Vacuum Phenomenon ◽  
Sciatic Pain ◽  
Radicular Compression

Abstract A case of sciatic pain syndrome is reported. Computed tomography showed evidence of gas in the spinal canal, and at operation a gas-filled pseudocyst was found in the spinal canal, without herniated disc. The cause of this unique case is discussed in relation to the spinal vacuum phenomenon.

Tuboovarian Abscess Presenting as Sciatic Pain: Case Report

Neurosurgery ◽  
1987 ◽  
Vol 21 (1) ◽  
pp. 100-103 ◽  
Author(s):  
David W. Andrews ◽  
Neil B. Friedman ◽  
Linda Heier ◽  
Amelia Erickson ◽  
Michael H. Lavyne
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Conservative Treatment ◽  
Clinical Diagnosis ◽  
Epidural Abscess ◽  
Diagnosis And Treatment ◽  
Low Grade ◽  
First Report ◽  
Sciatic Pain ◽  
Tuboovarian Abscess

Abstract The authors report the successful conservative treatment of a tuboovarian abscess in a 25-year old woman who presented with low grade fever and severe right sciatic pain. Computed tomography and ultrasonography corroborated a clinical diagnosis of tuboovarian abscess after an initial diagnosis of epidural abscess had been made. This is the first report of a tuboovarian abscess presenting principally as sciatic pain. The diagnosis and treatment of this lesion are discussed. (Neurosurgery 21: 100-103, 1987)

scholarly journals Gas in the Lumbar Spinal Canal with Sciatic pain: Case Report.

1992 ◽  
Vol 41 (1) ◽  
pp. 452-456
Author(s):  
Tomoya Uchikawa ◽  
Hirosi Hieda ◽  
Hisao Takagi ◽  
Hirosi Gotou ◽  
Hitosi Kinosita ◽  
...  
Keyword(s):  
Case Report ◽  
Spinal Canal ◽  
Sciatic Pain ◽  
Lumbar Spinal Canal ◽  
Lumbar Spinal

scholarly journals Bilateral triple renal pelvis: A case report

2015 ◽  
Vol 72 (2) ◽  
pp. 185-187 ◽  
Author(s):  
Tomislav Pejcic ◽  
Miodrag Acimovic ◽  
Zoran Dzamic ◽  
Helena Maksimovic ◽  
Biljana Markovic ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Renal Pelvis ◽  
Bladder Tumor ◽  
Incidental Finding ◽  
Intravenous Urography ◽  
Unique Case ◽  
Rare Variation ◽  
Computed Tomography Urography ◽  
Collecting System

Introduction. Triple renal pelvis is an extremely rare variation of the renal collecting system. To the authors? knowledge, bilateral triple renal pelvis has not yet been described in the literature. Case report. A 55-year-old man was hospitalized due to papillary bladder cancer, detected on ultrasonography. As incidental finding, intravenous urography revealed bilateral triple renal pelvis. Six weeks after transurethral resection of the bladder tumor (TURB) the patient was admitted again, for the second TURB. Computed tomography- urography confirmed the presence of bilateral triple renal pelvis. Conclusion. The unique case of bilateral triple renal pelvis was presented as an extremely rare variation of the renal collecting system.

Laryngolith

2009 ◽  
Vol 123 (2) ◽  
Author(s):  
A H Hegab
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Interesting Case ◽  
Rare Entity ◽  
Review Of The Literature ◽  
Computed Tomography Scan ◽  
Unique Case ◽  
The Past ◽  
Tomography Scan ◽  
Biochemical Examination

AbstractObjective:To report an extremely rare and interesting case of a woman who developed a laryngeal stone.Case report:A 44-year-old woman was referred to our ENT clinic complaining of dyspnoea and stridor. She had been treated for chest problems for approximately 30 years. On examination, she had a large, spiky, subglottic lesion compromising the airway. A laryngeal computed tomography scan and histopathological and biochemical examination showed the lesion to be a calcium phosphate stone. Review of the literature from the past 50 years, using several search engines, revealed no similar cases.Conclusion:To the author's knowledge, this is a unique case of a stone that developed in the subglottis. This rare entity was the cause of long-standing chest problems unresponsive to medical treatment. The patient recovered completely from all her symptoms after removal of the laryngolith.

scholarly journals Pneumocephalus and pneumorachis after blunt chest trauma without spinal fractures: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Etienne Allard ◽  
Jean Selim ◽  
Benoit Veber
Keyword(s):  
Computed Tomography ◽  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Blunt Trauma ◽  
Subcutaneous Emphysema ◽  
Spinal Canal ◽  
Skull Fractures ◽  
Computed Tomography Scan ◽  
Tomography Scan

Abstract Background Pneumocephalus and pneumorachis, presence of air inside the skull and spinal canal, are mostly seen after neurosurgical procedures and neuraxial anesthesia. They have also been described after penetrating trauma, but never after blunt trauma without adjacent bone fractures. Case description We present the case of an 85-year-old white male patient admitted to our intensive care unit after a high velocity car accident. On site clinical evaluation showed normal consciousness with 15/15 Glasgow Coma Scale after a short initial loss of consciousness. The patient was first sent to a nearby hospital where a whole-body computed tomography scan revealed pneumocephalus and pneumorachis and an important left hemopneumothorax with pneumomediastinum with extensive subcutaneous emphysema. The state of the patient quickly worsened with hemorrhagic shock. The patient was sent to our intensive care unit; upon neurosurgical evaluation, no surgical indication was retained due to the absence of skull and spine fracture. A computed tomography scan performed on day 6 showed total regression of the pneumocephalus and pneumorachis. A follow-up computed tomography scan performed on day 30 revealed no intracranial bleeding or stroke, but a left pleural hernia between ribs 5 and 6. Due to respiratory complications, our patient could not be weaned from ventilator support for a proper neurological examination. Our patient’s state finally worsened with septic shock due to ventilator-acquired pneumonia leading to multiple organ failure and our patient died on day 37. Conclusions This is the first case report to describe pneumorachis and pneumocephalus following blunt trauma with pneumothorax, but no spinal or skull fractures. The mechanism that is probably involved here is a migration of air with subcutaneous emphysema and a pleural hernia into the spinal canal. However, in cases of pneumorachis or pneumocephalus, skull fractures need to be investigated as these require surgery and appropriate vaccination to prevent meningitis.

scholarly journals Disc Herniation and Cyst Gas: A Rare Association Causing Radicular Compression

2017 ◽  
Vol 36 (02) ◽  
pp. 133-135
Author(s):  
Cherkaoui Mandour ◽  
Miloudi Gazzaz ◽  
Brahim Mostarchid
Keyword(s):  
Computed Tomography ◽  
Disc Herniation ◽  
Herniated Disc ◽  
Lumbar Pain ◽  
Intervertebral Space ◽  
Rare Association ◽  
Common Clinical Finding ◽  
Radicular Compression ◽  
Epidural Gas ◽  
Lateral Disc Herniation

Introduction Intraspinal gas is a common clinical finding, but an epidural gas pseudocyst in association with lateral disc herniation compressing a nerve root is an exceptional observation. Case Report A 49-year-old man was admitted to our department presenting with sciatica. The neurological examination demonstrated moderate lumbar pain without neurological deficit. A lumbosacral computed tomography showed the presence of degenerated disc herniation and epidural gas collection. Discussion The pathological association between the cyst and the hernia is probably due to the migration of gas pumped from the intervertebral space through a breaking point or lower in the annulus fibrosis, involving its contiguity with the herniated disc. Conclusion An association between a disc herniation and a gas pseudocyst can be a cause of sciatica.

Transient Prealbumin- Associated Hyperthyroxinemia in TSH-Producing Pituitary Adenoma

1990 ◽  
Vol 29 (01) ◽  
pp. 40-43 ◽  
Author(s):  
W. Langsteger ◽  
P. Költringer ◽  
P. Wakonig ◽  
B. Eber ◽  
M. Mokry ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Pituitary Adenoma ◽  
Thyroid Hormones ◽  
Protein Binding ◽  
Alpha Subunit ◽  
Normal Range ◽  
Thyroxine Binding Globulin ◽  
Free Thyroid Hormones ◽  
Transmission Computed Tomography

This case report describes a 38-year-old male who was hospitalized for further clarification of clinically mild hyperthyroidism. His increased total hormone levels, the elevated free thyroid hormones and the elevated basal TSH with blunted response to TRH strongly suggested a pituitary adenoma with inappropriate TSH incretion. Transmission computed tomography showed an intrasellar expansion, 16 mm in diameter. The neoplastic TSH production was confirmed by an elevated alpha-subunit and a raised molar alpha-sub/ATSH ratio. However, T4 distribution on prealbumin (PA, TTR), albumin (A) and thyroxine binding globulin (TBG) showed a clearly increased binding to PA (39%), indicating additional prealbumin-associated hyperthyroxinemia. The absolute values of PA, A and TBG were within the normal range. After removal of the TSH-producing adenoma, basal TSH, the free thyroid hormones and T4 binding to prealbumin returned to normal. Therefore, the prealbumin-associated hyperthyroxinemia had to be interpreted as a transitory phenomenon related to secondary hyperthyroidism (T4 shift from thyroxine binding globulin to prealbumin) rather than a genetically conditioned anomaly of protein binding.

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