scholarly journals Cervical epidural hematoma with Brown-Sequard syndrome caused by an epidural injection: a case report

2021 ◽  
Vol 8 (4) ◽  
pp. 336-339
Author(s):  
Young Jun Cho ◽  
Haewon Jung ◽  
Sungbae Moon ◽  
Hyun Wook Ryoo
Keyword(s):  
Epidural Hematoma ◽  
Unusual Case ◽  
Epidural Injection ◽  
Sensory Loss ◽  
Resonance Imaging ◽  
Temperature Sensation ◽  
Spinal Lesions ◽  
Spinal Lesion ◽  
Brown Sequard Syndrome ◽  
Spine Magnetic Resonance Imaging

Epidural hematoma with Brown-Sequard syndrome caused by an epidural injection is a rarely found condition in the emergency department (ED). We report an unusual case of Brown-Sequard syndrome in a 55-year-old man who presented at the ED with right-sided weakness and contralateral loss of pain and temperature sensation after a cervical epidural injection for shoulder pain. Cervicla spine magnetic resonance imaging showed an epidural hematoma from C4 to C6. After admission, his right hemiparesis and contralateral sensory loss improved within eight days, and surgical decompression was not required. Diagnosing spinal lesions in the ED is challenging, especially in patients with acute neurological signs requiring immediate evaluation for stroke. In this case, definite hemiparesis and some contralateral sensory loss were noted. Therefore, a potential spinal lesion was suspected rather than a stroke. This case emphasized the importance of conducting a focused neurological examination after history taking.

A single spinal lesion arising from an intradural meningioma contiguous with an extradural lymphoma

2012 ◽  
Vol 17 (3) ◽  
pp. 263-267
Author(s):  
Pawel P. Jankowski ◽  
Lissa C. Baird ◽  
Sassan Keshavarzi ◽  
Mary E. Goolsby ◽  
William R. Taylor ◽  
...  
Keyword(s):  
Cell Lymphoma ◽  
Spinal Column ◽  
B Cell Lymphoma ◽  
Leg Pain ◽  
Sensory Loss ◽  
Resonance Imaging ◽  
Vertebral Level ◽  
Unique Case ◽  
Mr Image ◽  
Spinal Lesion

The authors describe here a unique case of contiguous, synchronous meningioma and lymphoma in the spinal column. Both tumors were present at the same vertebral level, one intradural and the other extradural. A patient presented with bilateral leg pain, acute weakness, and sensory loss in the lower extremities. Magnetic resonance imaging revealed an intradural mass at T6–7 with ambiguous boundaries relative to the thecal sac and compressing the spinal cord. The patient underwent resection of the epidural and intradural mass at T6–7. Histopathology revealed the epidural specimen to be a double-hit B-cell lymphoma and the intradural mass to be a transitional meningioma. Postoperatively, the patient did well, with an immediate return of strength and sensation. A postoperative MR image showed complete resection of the intradural mass. The authors suggest that biopsy may be prudent in patients with known systemic lymphoma presenting with a spinal lesion that has unclear boundaries relative to the thecal sac prior to commencing radiation and chemotherapy.

Cyclic sciatica from extrapelvic endometriosis affecting the sciatic nerve

2011 ◽  
Vol 14 (2) ◽  
pp. 281-289 ◽  
Author(s):  
John R. Floyd ◽  
Elizabeth R. Keeler ◽  
Elizabeth D. Euscher ◽  
Ian E. McCutcheon
Keyword(s):  
Sciatic Nerve ◽  
Unusual Case ◽  
Leg Pain ◽  
Sensory Loss ◽  
Pelvic Endometriosis ◽  
Resonance Imaging ◽  
Agonist Therapy ◽  
Gonadotropin Releasing Hormone Agonist ◽  
Uncommon Condition ◽  
Extrapelvic Endometriosis

Sciatic (catamenial) radiculopathy, waxing and waning with the menstrual cycle, is an uncommon condition typically caused by pelvic endometriosis affecting the lumbosacral plexus or proximal sciatic nerve. The authors describe a woman with catamenial sciatica caused by endometriosis affecting the sciatic nerve trunk in the upper thigh. Symptomatic with leg pain for 5 years, this patient developed gluteal atrophy and sensory loss and decreased strength in the L-5 dermatomyotome, a distribution confirmed by electromyography. Magnetic resonance imaging suggested thickening of the sciatic nerve at and distal to the sciatic notch. At operation the nerve showed extrinsic and intrinsic abnormality, proven to be endometriosis. Her symptoms improved, and she began gonadotropin-releasing hormone agonist therapy for further suppression. This very unusual case shows that endometriosis can affect the sciatic nerve over a range of territory inside and outside the pelvis, and that surgery must be appropriately directed to avoid negative exploration. Surgical decompression achieves good relief of symptoms, and medical therapy also allows sustained suppression of this disease.

scholarly journals An unusual case of ventral spontaneous spinal epidural hematoma: Case report with review of literature

2021 ◽  
Vol 16 (8) ◽  
pp. 2207-2210
Author(s):  
Darshan Gandhi ◽  
Anisa Chowdhary ◽  
Asim Kichloo ◽  
Jagmeet Singh ◽  
Love Patel ◽  
...  
Keyword(s):  
Case Report ◽  
Epidural Hematoma ◽  
Unusual Case ◽  
Spinal Epidural Hematoma ◽  
Review Of Literature ◽  
Spontaneous Spinal Epidural Hematoma ◽  
Spinal Epidural
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