scholarly journals Metastatic epidural spinal column compression due to pancreatic ductal adenocarcinoma causing subacute Cauda equina syndrome: A case report

2020 ◽  
Vol 11 ◽  
pp. 279
Author(s):  
Luis Diaz-Aguilar ◽  
Usman Khan ◽  
Ronald Sahyouni ◽  
Nolan James Brown ◽  
Scott Olson ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Lumbar Spine ◽  
Pancreatic Ductal Adenocarcinoma ◽  
Cauda Equina ◽  
Spinal Column ◽  
Cord Compression ◽  
Surgical Decompression ◽  
Ductal Adenocarcinoma ◽  
Case Description

Background: Pancreatic ductal adenocarcinoma (PDAC) is the most common pancreatic malignancy, which rarely metastasizes to the spine. Case Description: Here, we present a lytic lumbar metastatic PDAC resulting in severe epidural spinal cord compression (ESCC) with instability. The lesion required preoperative particle embolization, surgical decompression, and fusion. Conclusion: This case report shows that PDAC may metastasize to the lumbar spine requiring routine decompression with fusion.

scholarly journals Spinal Cord Compression in Paget's Disease of Bone Treated Medically

1987 ◽  
Vol 80 (5) ◽  
pp. 319-321 ◽  
Author(s):  
A S M Jawad ◽  
H Berry
Keyword(s):  
Spinal Cord ◽  
Lumbar Spine ◽  
Spinal Cord Compression ◽  
Vertebral Column ◽  
Paget’S Disease ◽  
Cauda Equina ◽  
Cord Compression ◽  
Paget's Disease ◽  
Paget’S Disease Of Bone ◽  
Paget's Disease Of Bone

The most common sites for Paget's disease of the spine are the sacrum followed by the lumbar spine1, but paraparesis is more common with dorsal involvement. Over 100 cases of dysfunction of the spinal cord or cauda equina secondary to Paget's disease of the vertebral column have been described since it was first reported by Wyllie2. We report a patient with paraparesis secondary to Paget's disease of the dorsal vertebrae with complete myelographic obstruction, who was treated medically with disodium etidronate.

scholarly journals Dorsal migration of lumbar disc fragments causing cauda equina syndromes: A three case series and literature review

2020 ◽  
Vol 11 ◽  
pp. 175
Author(s):  
Shawn Singh Rai ◽  
Carlos Rodrigo Goulart ◽  
Sepehr Lalezari ◽  
Michael Anthony Galgano ◽  
Satish Krishnamurthy
Keyword(s):  
Spinal Cord ◽  
Literature Review ◽  
Current Literature ◽  
Lumbar Disc ◽  
Correct Diagnosis ◽  
Cauda Equina ◽  
Case Series ◽  
Surgical Decompression ◽  
Case Description ◽  
Cauda Equina Compression

Background: Dorsal migration of an intervertebral lumbar disc fragment is exceedingly rare and may result in spinal cord or cauda equina compression. Radiologically, these lesions may be misdiagnosed as extradural masses or epidural hematomas. Case Description: We present three cases involving dorsal migration of sequestered lumbar disc fragments resulting in cauda equina syndromes. A 31-year-old male, 79-year-old female, and 47-year-old female presented with cauda equina syndromes attributed to the migration of dorsal sequestered lumbar disc fragments. Prompt surgical decompression resulted in adequate outcomes. Here, we review the three cases and the current literature for such lesions. Conclusion: Dorsal migration of sequestered lumbar disc fragments is exceedingly rare, and these lesions are frequently misdiagnosed as extradural masses of other origin or epidural hematomas. Here and in the literature, prompt epidural decompression both confirmed the correct diagnosis and resulted in excellent outcomes.

scholarly journals Unilateral atlantoaxial pseudoarticulation: A case report, literature review, and proposed mechanism

2020 ◽  
Vol 11 ◽  
pp. 20
Author(s):  
Ryan G. Eaton ◽  
Stephanus V. Viljoen
Keyword(s):  
Computed Tomography ◽  
Spinal Cord ◽  
Case Report ◽  
Neck Pain ◽  
Cord Compression ◽  
Case Description ◽  
Dorsal Spinal Cord ◽  
Radiographic Findings ◽  
Embryologic Development ◽  
Dorsal Spinal

Background: Atlantoaxial pseudoarticulation rarely involves the cervical spine, and its etiology is unclear. In theory, pseudoarticulation is comparable to Bertolotti’s syndrome in the lumbar spine or may be attributed to an aberrant focal fusion between C0-C1-C2 that occurs during the gastrulation of embryologic development. Case Description: A 39-year-old female presented with neck pain and upper extremity weakness. Magnetic resonance/computed tomography studies documented a left-sided unilateral pseudoarticulation between the lamina of C1 and C2 causing compression of the dorsal spinal cord. Following resection of the accessory C1/C2 joint utilizing a C1 hemilaminectomy and partial C2 laminectomy, the patient’s neck pain and weakness resolved. Histologically, the tissue showed benign osteocartilaginous tissue with no synovial capsule. Conclusion: Here, the authors present a case of occiput-C1-C2 pseudojoint formation, leading to clinical and radiographic findings of cord compression due to boney outgrowth.

Metastatic spinal cord compression

2020 ◽  
Vol 81 (4) ◽  
pp. 1-10
Author(s):  
Surendra Patnaik ◽  
Joseph Turner ◽  
Praveen Inaparthy ◽  
Will KM Kieffer
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cauda Equina ◽  
Spinal Column ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression ◽  
Neurological Injury ◽  
Clinical Approach ◽  
Mobility Function ◽  
Ongoing Development

Metastatic spinal cord compression is compression of the spinal cord or cauda equina as a result of metastatic deposits in the spinal column. It affects approximately 4000 cases per year in England and Wales. Prompt identification and treatment of metastatic spinal cord compression is necessary to prevent irreversible neurological injury, treat pain and maintain patients' mobility, function and independence. Survival of patients with common malignancies has improved significantly with the ongoing development of radiotherapy and chemotherapy, as well as improved surgical treatment of resectable primary tumours. This article outlines the clinical approach to presentation, pathophysiology, diagnosis and management.

scholarly journals Postoperative Brown-Séquard syndrome: case report and review of the literature

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Diogo Belo ◽  
Joaquim Cruz Teixeira ◽  
José Pedro Lavrador
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Cord Compression ◽  
Surgical Decompression ◽  
Review Of The Literature ◽  
Pain Sensation ◽  
Spinal Level ◽  
Dorsal Spinal Cord ◽  
Dorsal Spinal ◽  
Brown Sequard Syndrome

Abstract Brown-Séquard syndrome (BSS) is a rare neurological condition caused by a hemi-lesion of the spinal cord and was first described in the 1800s. BSS is characterized by an ipsilateral absence of motor control and discriminatory/proprioceptive/vibratory sensation at and below the spinal level involved, associated with loss of contralateral temperature and pain sensation a couple of vertebral segments below the lesion. BSS is commonly associated with trauma, but can also be iatrogenic. The authors report a case of a patient who presented with neoplastic dorsal spinal cord compression and developed a BSS after surgical decompression and review of the literature of postoperative BSS cases.

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.

Thoracic spinal cord compression masquerading as cauda equina syndrome

2016 ◽  
Vol 34 (4) ◽  
pp. 756.e3-756.e5 ◽  
Author(s):  
Katherine Stolper ◽  
Erin R. Hanlin ◽  
Michael D. April ◽  
John L. Ritter ◽  
Curtis J. Hunter ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Cord Compression ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal

Four cases of spinal cord compression: The need for early diagnosis

1985 ◽  
Vol 71 (2) ◽  
pp. 92-95
Author(s):  
R. K. Bradley ◽  
S. H. Murch
Keyword(s):  
Spinal Cord ◽  
Early Diagnosis ◽  
Clinical Diagnosis ◽  
Spinal Cord Compression ◽  
Cauda Equina ◽  
Cord Compression ◽  
Symptoms And Signs

SummaryFour cases of spinal cord compression, with symptoms and signs evolving over several years or as quickly as two days, are presented. The symptoms and signs of extrinsic cord compression are described and briefly contrasted with those of intrinsic cord or cauda equina lesions. The need for early clinical diagnosis is emphasised.

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