scholarly journals Intramedullary Lesion- Aspetic subdural pyogenic abscess in dorsolumbar spinal cord with conus medularis cystic lesion with syringomelitis: A Case Report

2021 ◽  
Vol 7 (3) ◽  
pp. 07-13
Author(s):  
Dr. Rajesh K Ambulgekar ◽  
Dr. Mrityunjay P Sharma
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Cystic Lesion ◽  
Intramedullary Lesion ◽  
Pyogenic Abscess

scholarly journals Spinal intramedullary hamartoma with acute presentation in a 13-month old infant: case report

2016 ◽  
Vol 18 (2) ◽  
pp. 177-182 ◽  
Author(s):  
Eslam M. Samak ◽  
Assem M. Abdel Latif ◽  
Walid Abdel Ghany ◽  
Iman H. Hewedi ◽  
Aboubakr Amer ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Histopathological Examination ◽  
Preoperative Evaluation ◽  
Pathological Examination ◽  
Total Resection ◽  
Acute Presentation ◽  
Intramedullary Lesion ◽  
Acute Neurological Deterioration ◽  
Infant Case

True hamartomas of the spinal cord are very rare, and although several have been reported in the literature, there are few detailed radiological and pathological descriptions of the condition. There is also considerable overlap with other entities, the most common being spinal cord teratomas. The authors report the case of a 13-month-old child with a supragluteal sacral dimple who presented with acute neurological deterioration. MRI of the spine revealed a big intramedullary lesion with heterogeneous signal intensity. A near-total resection was performed, and histopathological examination demonstrated findings consistent with a spinal cord hamartoma. The authors believe that careful preoperative evaluation and rigorous pathological examination are mandatory to establish diagnosis and direct further management of cases in which such a lesion is suspected.

scholarly journals Spinal intramedullary cysticercosis: a case report and literature review

2013 ◽  
Vol 32 (04) ◽  
pp. 245-249 ◽  
Author(s):  
Audrey Beatriz Santos Araujo ◽  
Marina Brugnoli Ribeiro Cambraia ◽  
Ricardo Azevedo Moraes Motta Filho ◽  
Gláucia Lara Rezende ◽  
Alander Sobreira Vanderlei
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Cystic Lesion ◽  
Surgical Excision ◽  
Lower Limbs ◽  
Motor Power ◽  
Irreversible Damage ◽  
Special Support ◽  
Active Portion ◽  
Back To Work

AbstractNeurocysticercosis is an endemic infeccion in Brazil, but the intramedullary cases are rare, 1,2% to 5,8% of all cases. There are only fifty cases reported until January of 2011. Intramedullary neurocysticerosis is a treatable pathology but if misdiagnosed it could lead to irreversible damage. Twenty eight year old female patient, previously healthy, was admitted due to a fall. She had progressive walking difficulties and impaired sensation in both lower limbs two months before admission. Contrast MRI revealed a round intramedullary cystic lesion at T2 e T3. The patient underwent laminectomy from T2 to T3, and the spinal cord was found locally swollen near the exit root at this level. A mielotomy was performed where a round protrusion was seen near the root. Histological examination of the resected sample showed cysticercosis. After surgical excision she received albendazol and streoids. The patient's neurological function postoperatively was unchanged. One week later, the motor power of her lower limbs were grade 4/5, and she could walk without special support. The function of anal sphincter and bladder regained without compromise. She was back to work. This reflects dramatically in an active portion of population since it affects mostly people between 20 to 45 years. So it still represents a challenge and this paper intend to show our experience and by that help future diagnostics.

scholarly journals Motor tic disorder and traumatic cervical myelopathy: a case report

2011 ◽  
Vol 10 (2) ◽  
pp. 152-154
Author(s):  
Ericson Sfredo ◽  
Felipe Martins de Lima Cecchini ◽  
Sérgio Fernando Raupp ◽  
Julia Bertholdo Bossardi ◽  
Asdrubal Falavigna
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Functional Mri ◽  
Cervical Myelopathy ◽  
Cord Compression ◽  
Tic Disorder ◽  
Intramedullary Lesion ◽  
Abnormal Movements ◽  
Magnetic Resonance Imaging Mri ◽  
Motor Tics

The association between motor tics and cervical myelopathy is rare and not well understood. Only a few papers in the literature reported this disorder until the present date. This is a case report of a cervical myelopathy case secondary to a motor tic disorder. A 23-year-old male with a 10-year history of motor tic disorder, involving sudden forced extension of the head and cervical spine. Disturbed tactile sensation and kinetic posturing that progressed to the Lhermitte sign every time he made the movement were detected over the last six months. Magnetic resonance imaging (MRI) showed hyperintense intramedullary lesion at C2-C3, degeneration at C3-C4, and no signs of spinal cord compression. On sagittal view, functional MRI with head extension showed anterior compression with protrusion of the intervertebral disc and posterior compression of the yellow ligaments causing spinal cord stenosis. Anterior discectomy and fixation of C3-C4 were performed. There were no complications. The patient showed improvement and the motor tics were controlled by haloperidol. The patient remains symptom-free after 2 years of follow-up. Uncontrolled motor tics can compromise spinal cord function. Functional MRI can reproduce the abnormal movements and clarify the physiopathology.

Intramedullary Ectopic Choroid Plexus: Report of a Rare Case

Neurosurgery ◽  
2005 ◽  
Vol 56 (4) ◽  
pp. E869-E869 ◽  
Author(s):  
Srinivas Dwarakanath ◽  
Ashish Suri ◽  
Ashok Kumar Mahapatra ◽  
Veer Singh Mehta ◽  
Meher Chand Sharma
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Choroid Plexus ◽  
Rare Case ◽  
Case Reports ◽  
Symptomatic Improvement ◽  
Lower Limbs ◽  
Intramedullary Lesion ◽  
First Case ◽  
Intramedullary Cyst

Abstract OBJECTIVE AND IMPORTANCE: Intracranial cysts containing an ectopic choroid plexus or choroid plexus-like tissue have seldom been described in the literature. However, there has been no report of a spinal intramedullary cyst containing an ectopic choroid plexus. This is the first case report in the available literature of an ectopic choroid plexus tissue in the spinal cord. CLINICAL PRESENTATION: A 30-year-old man presented with complaints of progressive descending weakness of both upper limbs and increasing stiffness of the lower limbs along with numbness of all four limbs without a history of any bowel or bladder disturbances. Examination was suggestive of a C5–T2 intramedullary lesion. Magnetic resonance imaging revealed a C6–T2 intramedullary cystic lesion along with a small anterosuperiorly placed lesion enhancing with contrast. INTERVENTION: A C6–T2 laminotomy and exploration of the intramedullary cyst and gross total microsurgical excision of the reddish vascular frond-like structure resembling the choroid plexus were performed along with a syringostomy. A laminoplasty with miniplates and screws was performed. Histopathological and immunohistochemical studies revealed a normal choroid plexus. The patient has been followed for 1 year and has demonstrated symptomatic improvement. CONCLUSION: Although there have been rare case reports of drop metastasis of choroid plexus papillomas in the spine, this is the first case report in the available literature of normal but ectopic choroid plexus tissue in the spinal cord.

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

Odontoid cervical gout causing atlantoaxial instability: case report

2019 ◽  
Vol 30 (4) ◽  
pp. 541-544
Author(s):  
Justin Slavin ◽  
Marcello DiStasio ◽  
Paul F. Dellaripa ◽  
Michael Groff
Keyword(s):  
Rheumatoid Arthritis ◽  
Spinal Cord ◽  
Case Report ◽  
Physical Examination ◽  
Odontoid Process ◽  
Signs And Symptoms ◽  
Cord Compression ◽  
Atlantoaxial Instability ◽  
Posterior Stabilization ◽  
Rotatory Subluxation

The authors present a case report of a patient discovered to have a rotatory subluxation of the C1–2 joint and a large retroodontoid pannus with an enhancing lesion in the odontoid process eventually proving to be caused by gout. This patient represented a diagnostic conundrum as she had known prior diagnoses of not only gout but also sarcoidosis and possible rheumatoid arthritis, and was in the demographic range where concern for an oncological process cannot fully be ruled out. Because she presented with signs and symptoms of atlantoaxial instability, she required posterior stabilization to reduce the rotatory subluxation and to stabilize the C1–2 instability. However, despite the presence of a large retroodontoid pannus, she had no evidence of spinal cord compression on physical examination or imaging and did not require an anterior procedure to decompress the pannus. To confirm the diagnosis but avoid additional procedures and morbidity, the authors proceeded with the fusion as well as a posterior biopsy to the retroodontoid pannus and confirmed a diagnosis of gout.

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