scholarly journals Spinal subdural hematoma after lumbar discectomy without dural injury – Is it possible? A case report and literature review

2019 ◽  
Vol 10 ◽  
pp. 66
Author(s):  
Juliano Nery Navarro ◽  
Francisco de Assis Ulisses Sampaio ◽  
Mario Sergio Duarte Andrioli ◽  
Francisco Ricardo Ribeiro ◽  
Mariano Ebram Fiore ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Literature Review ◽  
Subdural Hematoma ◽  
Rare Complication ◽  
Lumbar Discectomy ◽  
Diagnostic Study ◽  
Case Description ◽  
Lumbar Microdiscectomy ◽  
Spinal Subdural Hematoma

Background: Spinal subdural hematoma (SSDH) is a rare complication of lumbar discectomy. Here, the authors reviewed 10 articles concerning the etiology, clinical, diagnostic, and surgical management of SSDH. Case Description: A postoperative SSDH occurred following a lumbar microdiscectomy in an 80-year-old patient in the absence of a dural injury. Conclusion: SSDH is a rare complication of lumbar discectomy and may even occur without a dural fistula. Notably, magnetic resonance is the diagnostic study of choice to identify this pathology that may then be appropriately managed.

Acute Lumbar Spinal Subdural Hematoma Inducing Paraplegia After Lumbar Spinal Manipulation: Case Report and Literature Review

2019 ◽  
Vol 128 ◽  
pp. 182-185
Author(s):  
Zakariae Benyaich ◽  
Mehdi Laghmari ◽  
Mohamed Lmejjati ◽  
Khalid Aniba ◽  
Houssine Ghannane ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Subdural Hematoma ◽  
Spinal Manipulation ◽  
Spinal Subdural Hematoma ◽  
Lumbar Spinal ◽  
Manipulation Case

scholarly journals Flexor Pollicis Longus Rupture in a Scaphoid Nonunion: A Case Report

2020 ◽  
Vol 09 (04) ◽  
pp. 357-361
Author(s):  
Bruno E. Crepaldi ◽  
Courtney Andrijich ◽  
Jeff Ecker
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Clinical Relevance ◽  
Tendon Rupture ◽  
Rare Complication ◽  
Case Description ◽  
Scaphoid Nonunion ◽  
Flexor Pollicis Longus ◽  
Capsule Repair

Abstract Background Flexor pollicis longus (FPL) tendon rupture is a rare complication of scaphoid nonunion. Case Description A fit active 70-year-old woman ruptured her FPL when it abraded on a painless 50-year-old scaphoid nonunion. She had asymptomatic scaphoid nonunion advanced collapse (SNAC) arthritis. At surgery, the sharp mobile volar scaphoid osteophytes were excised and the volar wrist capsule was repaired. A vascularized fat flap based on a perforator of the radial artery was used to augment the volar wrist capsule repair and to create a smooth gliding surface for the FPL. The ruptured FPL tendon was reconstructed with a palmaris longus graft. Literature Review Complete rupture of the FPL tendon secondary to scaphoid nonunion is a rare complication. It can be easily misdiagnosed because the original injury may be unrecognized or forgotten. A consensus regarding the optimal surgical management has not been reached. Clinical Relevance The objective of surgery in this case was to restore FPL function and prevent a recurrent rupture. The asymptomatic SNAC arthritis was not treated. No further wrist surgery was required. The patient was asymptomatic with a functioning FPL tendon 4 years after surgery.

scholarly journals Giant dumbbell C2C3 neurofibroma invading prebulbar cistern: Case report and literature review

2019 ◽  
Vol 10 ◽  
pp. 77
Author(s):  
Julia Pinheiro Martinez Serrano ◽  
Maick Willen Fernandes Neves ◽  
Cassiano Marchi ◽  
Fabio Jundy Nakasone ◽  
Marcos Vinicius Calfat Maldaun ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
Literature Review ◽  
Broad Spectrum ◽  
Clinical Manifestations ◽  
Foramen Magnum ◽  
Spinal Tumors ◽  
Case Description ◽  
Café Au Lait Spots ◽  
Previous Diagnosis

Background: Neurofibromatosis 1 (NF1) has a broad spectrum of clinical manifestations, most typically involving café-au-lait spots and skin neurofibromas. Only 2% of patients with NF1 have symptomatic spinal tumors. Case Description: A patient with a previous diagnosis of NF1 presented with cervicalgia, dysphagia/mild dysphonia, gait alteration, and progressive hypoesthesia involving all four limbs. The magnetic resonance documented a giant dumbbell neurofibroma arising between the C2 and C3 levels which extended toward the foramen magnum, causing medullary and bulbar compression. The major challenge of surgical management was the enormous size and location this C2–C3 (5 cm × 4 cm × 5.1 cm) lesion. Conclusions: Compression of the foramen magnum attributed to a dumbbell giant spinal neurofibroma at the C2C3 level resulting in prebulbar cisterns should be among the differential diagnostic considerations for patients presenting with tetraparesis and underlying NF1.

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