scholarly journals Ossification of the posterior longitudinal ligament at the craniocervical junction presenting with Brown-Séquard syndrome: A case report

2021 ◽  
Vol 12 ◽  
pp. 501
Author(s):  
Valérie Nicole Elise Schuermans ◽  
Jasper van Aalst ◽  
Alida A. Postma ◽  
Anouk Y. J. M. Smeets
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Case Reports ◽  
Posterior Longitudinal Ligament ◽  
Cord Compression ◽  
Craniocervical Junction ◽  
Canal Stenosis ◽  
History Of ◽  
Lumbar Spinal ◽  
Brown Sequard Syndrome

Background: Several case reports about spinal cord compression due to hyperostosis at the craniocervical junction are available. However, compression at C1-C2 solely due to ossification of the posterior longitudinal ligament (OPLL) is rare. Case Description: A 50-year-old Asian male, with a history of lumbar spinal canal stenosis, presented with a progressive quadriparesis within 3 months. Imaging showed central OPLL at the C1-C2 level contributing to severe spinal cord compression. The patient improved neurologically after a C1-C2 laminectomy. Conclusion: A patient presented with a progressive Brown-Séquard syndrome due to OPLL at the craniocervical junction (C1-C2 level) and improved following a decompressive laminectomy.

scholarly journals Acute Spinal Cord Compression due to Chloroma as the Initial Presenting Feature of Acute Myeloid Leukemia

2019 ◽  
Vol 08 (02) ◽  
pp. 130-132
Author(s):  
Sushant Kumar Patro ◽  
Biswaranjan Nayak ◽  
Arun Kumar ◽  
Balappa Holeppagol Krishnamurthy ◽  
Debabrata Biswal ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Case Reports ◽  
Cord Compression ◽  
Interesting Case ◽  
Leukemic Cells ◽  
Diagnostic Challenge ◽  
Antitubercular Drugs ◽  
Previous Diagnosis ◽  
Acute Back Pain

AbstractChloroma is the deposits in leukemic cells outside the bone marrow and is not common. It is extremely rare to find a chloroma compressing the spinal cord causing paraplegia without any prior symptoms. Only few case reports have been found in the literature till date. We report an interesting case of a 7-year-old boy who presented with acute back pain and paraplegia with a dorsal extradural mass, and with a previous diagnosis of tuberculosis of the dorsal spine, treated with antitubercular drugs without any other signs of systemic illness. After surgical decompression and histopathologic examination of the tissue, it was found to be chloroma. There are only few reported cases of this disease initially presented as paraplegia without any systemic signs of malignancy in the literature, and chloroma presents as a diagnostic challenge to the surgeon. Chloromas are a rare cause of acute spinal cord compression but should be diagnosed and treated promptly to prevent neurologic dysfunction.

scholarly journals Initial presentation of Hodgkin’s Lymphoma as Extradural Spinal Cord Compression: A case report

2020 ◽  
Vol 11 (2) ◽  
pp. 101-103
Author(s):  
Rishav Mukherjee ◽  
Sampurna Chowdhury
Keyword(s):  
Spinal Cord ◽  
Hodgkin Lymphoma ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Acute Onset ◽  
Initial Presentation ◽  
Classical Hodgkin Lymphoma ◽  
Night Sweats ◽  
History Of ◽  
Mediastinal Widening

A 23 year old female presented with acute onset paraparesis. She denied any history of fever, weight loss or drenching night sweats. Neither did she have any obvious lymphadenopathy on general examination. Chest Xray was however suggestive of mediastinal widening and her MRI spine showed metastases with superior mediastinal SOL. Biopsy of this SOL ultimately revealed classical Hodgkin lymphoma. Thus this was a very unusual initial presentation of Hodgkin lymphoma presenting as Epidural Spinal Cord Compression. Hasenclever IPS score was 2. Patient was treated with radiotherapy followed by ABVD chemotherapy and achieved remission in 3months.

Spinal Cord Compression: A Complication of Silicone-Coated Dacron Dural Grafts. Report of Two Cases

Neurosurgery ◽  
1989 ◽  
Vol 24 (1) ◽  
pp. 115-118 ◽  
Author(s):  
Heldo Gomez ◽  
John R. Little
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cervical Spinal Cord ◽  
Case Reports ◽  
Cord Compression ◽  
Tissue Reaction ◽  
Synthetic Graft ◽  
Surface Contaminants ◽  
Two Factors

Abstract Two case reports of compression of the cervical spinal cord associated with silicone-coated Dacron dural grafts are presented. In both cases, the cervical spinal cord was distorted and compressed by an intense tissue reaction that encapsulated the synthetic graft. At least two factors are thought to play a role in precipitating this reaction: (1) the introduction of surface contaminants into the wound, and (2) repeated motion at the graft site.

Impact of Myelography on the Radiotherapeutic Management of Malignant Spinal Cord Compression

Neurosurgery ◽  
1986 ◽  
Vol 19 (4) ◽  
pp. 614-616 ◽  
Author(s):  
Alison R. Calkins ◽  
Margaret A. Olson ◽  
James H. Ellis
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Additional Information ◽  
Compression Syndrome ◽  
Plain Films ◽  
Port Design ◽  
Bony Lesions ◽  
History Of ◽  
Spinal Cord Compression Syndrome

Abstract From December 1981 through August 1984, 24 patients with spinal cord compression syndrome due to epidural neoplasms were evaluated for radiotherapy with clinical examination, radiographs of the spine, and myelography. All plain films were reviewed, and mock radiotherapy fields designed using specific criteria for margins. The same patients were reviewed a second time considering the additional information provided by myelography. The initial treatment fields were found to be inadequate in 69% of the patients. Even in patients with discrete bony lesions, the results of myelography affected the treatment 45% of the time. A history of previous spinal irradiation significantly influenced port design in only 1 of the 7 patients who had received previous radiotherapy. Although invasive, myelography is essential in planning the treatment of spinal cord compression.

scholarly journals T1 Mapping Quantifies Spinal Cord Compression in Patients With Various Degrees of Cervical Spinal Canal Stenosis

2020 ◽  
Vol 11 ◽  
Author(s):  
Ilko L. Maier ◽  
Sabine Hofer ◽  
Eva Eggert ◽  
Katharina Schregel ◽  
Marios-Nikos Psychogios ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
T1 Mapping ◽  
Cord Compression ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Cervical Spinal Canal

Epidural Venous Angioma Presenting with Spinal Cord Compression in a 42-Year-Old Woman with Previous History of Ovarian Malignancy

2016 ◽  
Vol 93 ◽  
pp. 488.e5-488.e7
Author(s):  
Atef Ben Nsir ◽  
Rym Hadhri ◽  
Mohamed Kilani ◽  
Mohamed Chabaane ◽  
Mehdi Darmoul ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Previous History ◽  
Cord Compression ◽  
Ovarian Malignancy ◽  
Venous Angioma ◽  
History Of

scholarly journals Minimally invasive spinal surgery in a young cat with vertebral hypertrophy

2021 ◽  
Vol 7 (2) ◽  
pp. 205511692110484
Author(s):  
Karin Sakamoto ◽  
Yuta Nozue ◽  
Mami Murakami ◽  
Kohei Nakata ◽  
Yukiko Nakano ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Endoscopic Surgery ◽  
Histopathological Examination ◽  
Neurological Status ◽  
Cord Compression ◽  
Good Prognosis ◽  
Minimally Invasive Spinal Surgery ◽  
Canal Stenosis ◽  
Resected Tissue ◽  
History Of

Case summary A 2-year-old neutered female Scottish Fold cat was presented with an 8-week history of progressive back pain, paraparesis and decrease of postural reactions in both pelvic limbs. MRI showed spinal cord compression from both ventral sides, which originated from the T4 vertebral body and pedicle. The lesion compressing the spinal cord had a bone-like density on CT, and endoscopic surgery was performed to excise it. Histopathological examination of the resected tissue showed no evidence of malignancy and the lesion was diagnosed as vertebral hypertrophy. After surgery, the neurological status of the cat gradually improved. The cat was ambulant at the follow-up evaluation 2 weeks after surgery. Six months later, hindlimb paresis had improved considerably, and no recurrence was observed on CT. Relevance and novel information This is the first description of thoracic vertebral canal stenosis due to hypertrophy of a single vertebra in a young cat. Excision of the hypertrophic vertebra by endoscopic surgery is less invasive than open surgery and may give a good prognosis.

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