scholarly journals Waste not, want not: Report of a completely calcified C1-C2 juxtafacet cyst and literature review

2021 ◽  
Vol 12 ◽  
pp. 369
Author(s):  
Luca Ruggeri ◽  
Lara Brunasso ◽  
Giovanni Urrico ◽  
Raffaele Alessandrello ◽  
Giovanni Cinquemani ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Literature Review ◽  
Neck Pain ◽  
Cervical Cord ◽  
Surgical Removal ◽  
Case Description ◽  
Juxtafacet Cyst ◽  
Cervical Cyst ◽  
History Of ◽  
Ct Studies

Background: Calcified juxtafacet cysts in the cervical spine are extremely rate. Such symptomatic cysts commonly cause neck pain, radiculopathy, or even myelopathy. MR and CT studies typically document cord/ root compression. On occasion, some of these cysts will spontaneously regress, while many others may warrant surgical removal. Case Description: A 70-year-old male presented with a 2-year history of a progressive tetraparesis. The preoperative MR/CT studies showed a C1-C2 left extradural mass occupying more than half of the spinal canal. On MR, it was homogeneously hypointense on both T1- and T2-weighted images, while the CT showed a calcified cyst. Intraoperative and histopathological findings documented a calcified cervical juxtafacet cyst (i.e. ganglion subtype) that was fully excised without sequelae. Conclusion: C1-C2 juxtafacet cervical cyst should be considered when a patient presents with myelopathy due to a calcified MR/CT documented paraspinal lesion contributing to significant cervical cord/root compression.

scholarly journals A Nearly Lethal Screw: An Unusual Cause of Recurrent Bradycardia and Asystole Episodes after Fixation of the Cervical Spine

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Amit Frenkel ◽  
Yair Binyamin ◽  
Evgeni Brotfain ◽  
Leonid Koyfman ◽  
Aviel Roy-Shapira ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Spine Injury ◽  
Cervical Cord ◽  
Unstable Fracture ◽  
Cervical Spine Injuries ◽  
Cord Injury ◽  
Fixation Screw ◽  
Direct Pressure ◽  
History Of ◽  
High Cervical

We present a case of a 51-year-old man who was injured in a bicycle accident. His main injury was an unstable fracture of the cervical and thoracic vertebral column. Several hours after his arrival to the hospital the patient underwent open reduction and internal fixation (ORIF) of the cervical and thoracic spine. The patient was hospitalized in our critical care unit for 99 days. During this time patient had several episodes of severe bradycardia and asystole; some were short with spontaneous return to sinus and some required pharmacological treatment and even Cardiopulmonary Resuscitation (CPR). Initially, these episodes were attributed to the high cervical spine injury, but, later on, CT scan suggested that a fixation screw abutted on the esophagus and activated the vagus nerve by direct pressure. After repositioning of the cervical fixation, the bradycardia and asystole episodes were no longer observed and the patient was released to a rehabilitation ward. This case is presented in order to alert practitioners to the possibility that, after operative fixation of cervical spine injuries, recurrent episodes of bradyarrhythmia can be caused by incorrect placement of the fixation screws and might be confused with the natural history of the high cervical cord injury.

scholarly journals Cervical Spine Myelopathy from Metalloma Association with Chronic Retention of a Bullet

2021 ◽  
Author(s):  
Piyawat Bintachitt ◽  
Ratanaphorn Chamnan ◽  
Weera Chaiyamongkol ◽  
Wongthawat Liawrungrueawng
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Gunshot Wound ◽  
Foreign Bodies ◽  
Surgical Removal ◽  
History Of ◽  
Spine Fixation ◽  
Cervical Spine Fixation ◽  
Cervical Spine Myelopathy

     A Civilian gunshot wound associated with metallosis in the cervical spine region was an extremely rare case; hence, the clinician had difficulty with diagnosis and surgical treatment.      A 57–year-old gentleman had a history of a gunshot wound injury going back 30 years. He presented with neck pain, progress of paresthesia of upper extremities and progressively difficult ambulation for 3 months. Radiographic and pathological diagnosis from tissue of the 7th paravertebral of the cervical spine showed foreign bodies consistent with metallosis. The patient showed improvement of symptoms after posterior cervical spine fixation and decompression. He had full recovery at 1 year follow up.      Metallosis can occur in cases of chronic exposure to lead and metals. The results of this chronic process of metallosis will develop to metalloma, which then compresses the spinal cord and develops into myelopathy. The patient had a bullet, or piece of metal at the cervical spine, so surgical removal was performed to prevent further compression of the spinal cord from metalloma.

scholarly journals Clinical and surgical management of holocervical spinal cord ependymomas

2019 ◽  
Vol 10 ◽  
pp. 223
Author(s):  
Kevin Mckay ◽  
Mark Attiah ◽  
Tianyi Niu ◽  
Daniel Nagasawa ◽  
Kunal Patel ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Central Nervous System ◽  
Nervous System ◽  
Cervical Spine ◽  
Neck Pain ◽  
Case Description ◽  
Total Resection ◽  
Perioperative Morbidity ◽  
Sensory Deficits ◽  
The Central Nervous System

Background: Spinal ependymomas are rare tumors of the central nervous system, and those spanning the entire cervical spine are atypical. Here, we present two unusual cases of holocervical (C1-C7) spinal ependymomas. Case Description: Two patients, a 32-year-old female and a 24-year-old male presented with neck pain, motor, and sensory deficits. Sagittal MRI confirmed hypointense lesions on T1 and hyperintense regions on T2 spanning the entire cervical spine. These were accompanied by cystic cavities extending caudally into the thoracic spine and rostrally to the cervicomedullary junction. Both patients underwent gross total resection of these lesions and sustained excellent recoveries. Conclusion: Two holocervical cord intramedullary ependymomas were safely and effectively surgically resected without incurring significant perioperative morbidity.

scholarly journals An investigation into the efficacy of a first rib manipulation in individuals experiencing mechanical neck pain : a pilot study

2004 ◽  
Author(s):  
◽  
Bruce Sholto Douglas
Keyword(s):  
Cervical Spine ◽  
Pilot Study ◽  
Neck Pain ◽  
Chest Wall ◽  
Anterior Chest Wall ◽  
First Rib ◽  
History Of ◽  
Awkward Posture ◽  
Interscapular Region

Mechanical neck pain is defined as a restriction of movement of the neck, which frequently refers pain to the occiput, shoulders, nuchal muscles, interscapular region and anterior chest wall, and is usually due to a history of trauma or awkward posture of the cervical spine

scholarly journals Analysis on the Acupuncture Contents of the Domestic Neck Pain and HIVD-Cervical Spine Clinical Studies : a literature review

2017 ◽  
Vol 34 (2) ◽  
pp. 113-125
Author(s):  
Min Ju Mo ◽  
Doo Ree Hwang ◽  
Ju Hyeon Lee ◽  
Dong Hoo Kim ◽  
Seon Hye Hwang ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Literature Review ◽  
Neck Pain ◽  
Clinical Studies

scholarly journals Zosteriform lichen planus as a manifestation of Wolf’s isotopic response

2021 ◽  
Vol 5 (5) ◽  
pp. 549-553
Author(s):  
George Glinos ◽  
Madeline Hooper ◽  
G. Eli Morey ◽  
Lucai Seminario-Vidal
Keyword(s):  
Herpes Zoster ◽  
Literature Review ◽  
Lichen Planus ◽  
Topical Therapy ◽  
Skin Lesions ◽  
Case Description ◽  
Inflammatory Dermatosis ◽  
Histopathological Evaluation ◽  
History Of ◽  
Tissue Reactions

Background Wolf’s isotopic response has been described in association with malignancy, infections, and inflammatory disorders. Lichenoid tissue reactions are a rare but recognized example of this phenomenon; only 41 cases of zosteriform lichen planus exist in publication. This case adds to the minimal literature describing lichenoid inflammatory dermatosis compatible with Wolf’s isotopic response.   Methods Literature review and case description.   Results A man in his 30s with a history of herpes zoster presented with a pruritic rash on his left arm. Clinical and histopathological evaluation were consistent with lichen planus in the distribution of a healed herpes zoster rash. The skin lesions improved after six weeks of treatment with clobetasol 0.05% ointment twice daily.   Conclusions The presentation of lichen planus as Wolf’s isotopic response is uncommon, but responsive to standard topical therapy.

Picture Quiz (Questions)

2005 ◽  
Vol 4 (3) ◽  
pp. 105-105
Author(s):  
Hamid Aizaz Chatha ◽  
◽  
Shaun Nakash ◽  
Keyword(s):  
Atrial Fibrillation ◽  
Heart Disease ◽  
Cervical Spine ◽  
Neck Pain ◽  
Ischemic Heart Disease ◽  
Neurological Examination ◽  
Past History ◽  
Ischemic Heart ◽  
History Of

A 75-year- old man was referred to hospital with a 24 hour history of severe neck pain, associated with fever, rigors and mild confusion. The pain radiated into his arms and was exacerbated by neck movements. Eight days prior to admission he had developed loose stools for 3 days. There was no history of trauma, and no other features of meningism. He gave a past history of ischemic heart disease and atrial fibrillation for which he was taking warfarin. Examination revealed a pyrexia of 38.3c. There was tenderness over the cervical spine but no other positive findings. Neurological examination was unremarkable.

scholarly journals Cervical Spine Inhomogeneously Enhancing Lesion: Avoiding Confirmation Bias

2022 ◽  
Author(s):  
Federica Penner ◽  
Pietro Zeppa ◽  
Fabio Cofano ◽  
Andrea Bianconi ◽  
Marco Ajello ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Cervical Spine ◽  
Neck Pain ◽  
Anterior Approach ◽  
Confirmation Bias ◽  
Upper Limbs ◽  
Radiological Findings ◽  
Spinal Meningioma ◽  
Need To Evaluate ◽  
History Of

AbstractConfirmation bias is the tendency to seek information and evidence in order to confirm a preexisting hypothesis while giving less importance and overlook an alternative solution. This report describes the case of a 52-year-old man with a long history of neck pain and bilateral upper limbs paresthesias with a cervical intracanal inhomogeneously enhancing lesion. Despite all the preoperative radiological findings, a spinal meningioma an anterior approach was performed. The mass ended up being a large migrated hernia with the involvement of two levels. Before suggesting treatment, especially surgery, physicians and practitioners need to evaluate all of the possible alternatives in order to optimize patient outcome.

Sign in / Sign up

Export Citation Format

Share Document