scholarly journals Spinal Cord Compression Due to Hypertrophic Dorsal Pachymeningitis in a Patient with ANCA + Vasculitis

2021 ◽  
pp. 1-2
Author(s):  
Jose Pablo Martinez Barbero ◽  
Jose Pablo Martinez Barbero ◽  
M. Revelles-Paniza ◽  
P. Perez-Naranjo

Hypertrophic pachymeningitis is an infrequent cause of spinal cord compression, secondary to an intracanal and extramedullary inflammatory infiltrate in patients with Wegener’s disease, and it produces canal stenosis and spinal cord compression. We present the case of a patient with this rare entity, providing explanatory images, who was treated with corticosteroids with partial remission of the lesions.

2020 ◽  
Vol 347 ◽  
pp. 577325 ◽  
Author(s):  
Hong-xing Li ◽  
Lin Zuo ◽  
Xiao-xiao Peng ◽  
Qiang Zong ◽  
Kai Zhang ◽  
...  

2020 ◽  
Vol 11 ◽  
Author(s):  
Ilko L. Maier ◽  
Sabine Hofer ◽  
Eva Eggert ◽  
Katharina Schregel ◽  
Marios-Nikos Psychogios ◽  
...  

Neurosurgery ◽  
1991 ◽  
Vol 29 (2) ◽  
pp. 283-287 ◽  
Author(s):  
John R. Adler ◽  
William Sheridan ◽  
Jon Kosek ◽  
Steven Linder

Abstract The authors report a case of hypertrophic pachymeningitis, a rare cause of spinal cord compression. In this patient, dural inflammation was associated with a histologically identical pulmonary lesion. Such an association has not been described previously and supports the hypothesis that this disease is related to other connective tissue disorders.


1998 ◽  
Vol 88 (1) ◽  
pp. 155-157 ◽  
Author(s):  
Tetsuya Morimoto ◽  
Hiroyuki Ohtsuka ◽  
Toshisuke Sakaki ◽  
Masahiko Kawaguchi

✓ This 32-year-old man had undergone C3–7 laminectomy for posttraumatic cervical myelopathy associated with spinal canal stenosis. He developed recurrent myelopathy 5 years after the initial operation. Dynamic magnetic resonance (MR) imaging of the cervical spine demonstrated spinal cord compression with diffuse canal stenosis while the neck was in the extended position, whereas no significant stenosis was visualized in the neutral position. Sagittal and axial MR images of the affected levels demonstrated striking changes in the cervical spinal cord configuration. Because of an associated hard osteophyte formation and protruded disc, as well as a hypertrophied posterior longitudinal ligament, an anterior decompression and fusion with plate fixation were performed from C-4 to C-7. The postoperative course was uneventful, with subsequent neurological improvement. It is concluded that dynamic MR imaging aids the search for the cause of recurrent postlaminectomy cervical myelopathy after initial improvement following decompressive surgery.


Author(s):  
Swati S.More ◽  
Anita R. Gune ◽  
Jeetendra K. Patil

Degenerative changes, history of trauma or inflammation usually progressed to cervical spinal canal stenosis.  This condition leads to cervical spondylosis neuropraxia and cervical spondylotic myelopathy (CSM). SAC (space available for the cord) value is important to understand the symptoms of spinal cord compression in cervical canal stenosis. The aim of our study is to establish cervical spinal canal morphometry in Western Maharashtra population observed by MRI of cervical region.70 subjects aged between 18-70 years. The sagittal vertebral body diameter, the sagittal spinal canal diameter and the sagittal spinal-cord diameter were measured at the C3 - C7 level. The SAC was determined. For each variable a two-way ANOVA was performed, sagittal canal diameter, sagittal spinal cord diameter and SAC were significant with p-value P< 0.0001**. Mean vertebral body diameters observed were 1.49-1.51. Values of SAC observed were C3-1.5 cm, C4- 1.51cm, C5- 1.49cm, C6- 1.5cm, C7- 1.49cm. Average sagittal spinal canal diameter from C3-C7 was 14.1± 1.3 mm. The range of SAC was between 6.4-9.5mm, least at the C5 level. We conclude that subjects in our study do not have an increased risk of spinal cord compression.


2020 ◽  
Vol 11 ◽  
pp. 185
Author(s):  
Shailesh Hadgaonkar ◽  
Amogh Zawar ◽  
Anoop Patel ◽  
Ajay Kothari ◽  
Ashok Shyam ◽  
...  

Background: Metastatic spinal cord compression with carcinoid tumor as primary is a rare entity with its own diagnostic dilemmas and surgical challenges. Most of these neuroendocrine tumors arise from the gastrointestinal tract or lungs with metastasis to spine in <2% cases. Early diagnosis in an orderly manner is of significance as most of it is delayed due to slowly developing symptoms. Furthermore, prompt management has been an important factor as morbidity and mortality are high in such cases and surgical intervention if needed, which can be a challenge due to disturbed alignment, complex regional anatomy, and careful handling of spinal cord. Case Description: The authors describe a case report on similar lines of a middle aged gentleman presenting with low back pain and weakness in both lower limbs which on further investigations revealed a pathological fracture causing spinal cord compression due to metastasis from small cell carcinoma in the lungs, managed with surgical intervention, and subsequently with radiotherapy. Conclusion: Secondary metastatic deposits in the lumbar vertebrae due to carcinoid tumors in the lungs are a rare entity and can be difficult to diagnose and manage further. However, it should be included in the list of differential diagnosis. The case report emphasizes on using investigative modalities such as PET-CT scan to aid an early diagnosis and plan further treatment plan as early as possible to offer a better quality of life to the patients.


2019 ◽  
Vol 21 ◽  
pp. 101639 ◽  
Author(s):  
Ilko L. Maier ◽  
Sabine Hofer ◽  
Arun A. Joseph ◽  
K. Dietmar Merboldt ◽  
Eva Eggert ◽  
...  

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