Spinal intradural myxoid chondrosarcoma

2012 ◽  
Vol 17 (4) ◽  
pp. 280-284 ◽  
Author(s):  
Ganeshwaran Shivapathasundram ◽  
Vanessa Sammons ◽  
Balsam Darwish
Keyword(s):  
Adjuvant Radiotherapy ◽  
Rare Case ◽  
Spinal Tumor ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Limb Weakness ◽  
Myxoid Chondrosarcoma ◽  
Lower Limb Weakness ◽  
Intradural Extramedullary ◽  
Multiple Recurrences

The authors present a rare case of intradural extramedullary spinal chondrosarcoma. This 38-year-old man presented with urinary retention and lower-limb weakness. Magnetic resonance imaging demonstrated a thoracic intradural extramedullary spinal tumor, which was resected. Histopathology revealed a meningeal myxoid chondrosarcoma. Despite adjuvant radiotherapy, the patient had multiple recurrences and metastases and died 18 months following his first surgery. The management of the rare entity of spinal canal chondrosarcoma is discussed.

scholarly journals Surgical Resection of a Cervical Intramedullary Schwannoma: A Case Report and Literature Review

2017 ◽  
Vol 3 (3) ◽  
pp. 151-158
Author(s):  
Peihai Zhang ◽  
Zhenxing Sun ◽  
Dan Yuan ◽  
Yaxing Sun ◽  
Zhanquan Zhang ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Spinal Tumor ◽  
Common Type ◽  
Preoperative Imaging ◽  
Tumor Type ◽  
Resonance Imaging ◽  
Surgical Experience ◽  
The Central Nervous System ◽  
Intradural Extramedullary ◽  
Intramedullary Schwannoma

Schwannomas are the most common type of spinal tumor, and they most commonly occur in intradural extramedullary locations. Intramedullary schwannomas of the central nervous system are very rare and are difficult to diagnose using preoperative imaging. Here, we report a rare, tiny cervical intramedullary schwannoma and review the literature regarding the clinical presentation, magnetic resonance imaging, pathology, and surgical experience associated with this rare tumor type.

scholarly journals Spinal cord compression secondary to vertebral echinococcosis

2016 ◽  
Vol 7 (01) ◽  
pp. 143-146 ◽  
Author(s):  
Abat Sahlu ◽  
Brook Mesfin ◽  
Abenezer Tirsit ◽  
Knut Wester
Keyword(s):  
Muscular Strength ◽  
Cord Compression ◽  
Lower Limbs ◽  
Resonance Imaging ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Cervical Approach ◽  
Anterior Cervical Approach ◽  
Anterior Plating

ABSTRACTWe describe a patient with progressive lower limb weakness and paresthesia 3 days after falling from a considerable height. Magnetic resonance imaging and computed tomography revealed collapsed Th2 and Th3 vertebrae. A tuberculous (TB) spondylitis was suspected, and anti-TB medication was started however with no clinical improvement. She was referred to our center and operated. A 3 level discectomy and 2 level corpectomy were performed with iliac bone grafting and anterior plating via an anterior cervical approach. The patient developed an esophagocutaneous fistula that was repaired and cured. The biopsy specimen showed a hydatid cyst of the vertebra as the cause of the lesion. After the result, she was started on oral albendazole. At follow-up nearly 4 months after surgery, the patient had regained significant power in her lower limbs with a muscular strength of 5/5 in both legs, thus making it possible to walk without support.

scholarly journals Surgical Experience in Pediatric Patients with Chiari-I Malformations Aged ≤18 Years

2019 ◽  
Vol 10 (01) ◽  
pp. 85-88 ◽  
Author(s):  
Ghanshyam Das Singhal ◽  
Shakti Singhal ◽  
Gunjan Agrawal ◽  
Deepti Singhal ◽  
Vipin Arora
Keyword(s):  
Pediatric Patients ◽  
Foramen Magnum ◽  
Chiari I Malformation ◽  
Neurological Deficits ◽  
Resonance Imaging ◽  
Surgical Experience ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Chiari I

ABSTRACT Objective: The objective of this study was to retrospectively study Chiari I malformation patients (<18 years) treated surgically. Materials and Methods: Chiari I malformation patients (<18 years) treated surgically at our institute were retrospectively studied. Results: During the study period between January 1999 and June 2011, fifty patients, aged ≤18 years with Chiari malformation, were treated surgically and formed the basis for this series. There were 21 female children (42%) and 29 male children (58%), with a female-to-male ratio of 1:1. At the last follow-up, oropharyngeal symptoms were improved in 33% (n = 3/9). Headache/neck/back pain improved in 69.56% of children (n = 16/23). Upper-extremity pain/weakness/numbness improved in 73.91% of children (n = 17/23). Ataxia improved in 66.66% of children (n = 4/6). Lower-limb weakness/hyperreflexia improved in 83.33% of children (n = 5/6). At follow-up, magnetic resonance imaging for patients with syrinx was available for 75% of patients (n = 30/50) and not available for 25% of patients (n = 10/40). Syrinx was diminished in size or resolved in 66.33% of patients (n = 19/30) and the remaining was same for 36.66% of patients (n = 11/30). Conclusions: The main goal of surgery is to arrest the progression of neurological deficits. Foramen magnum decompression with a lax duroplasty is the surgical procedure of choice.

scholarly journals A rare case of a gigantic myxoid liposarcoma of vulva: case report

2021 ◽  
Vol 10 (3) ◽  
pp. 1174
Author(s):  
Tanudeep Kaur ◽  
Ravinder P. Singh
Keyword(s):  
Magnetic Resonance Imaging ◽  
Adjuvant Radiotherapy ◽  
Rare Case ◽  
Soft Tissue Mass ◽  
Case Reports ◽  
Myxoid Liposarcoma ◽  
Resonance Imaging ◽  
Tissue Mass ◽  
Per Se

Vulval malignancies per se are very rare and a liposarcoma in this location is rarer still. The literature consists only of case reports of patients, often with a very limited follow up. We present a rare case of a young 30 year old unmarried nulliparous woman presenting with a giant vulval mass of 30×20 cm and weighing nearly 6 kilograms. Ultrasonography, Computed Tomography, Magnetic Resonance Imaging and biopsy were done. Local resection with adjuvant radiotherapy was given. Histopathology was suggestive of myxoid liposarcoma and the patient is presently recurrence free with over 8 years of follow up. Though rare, myxoid liposarcoma should be kept in differential diagnosis of vulval soft tissue mass. Management includes a combination of surgery and radiation. Excision of lymph nodes is not recommended. Strict prolonged follow up for recurrence or metastasis is mandatory, and any new complaints should be addressed promptly. This is particularly true in the setting of liposarcoma, which may exhibit unusual patterns of spread and recurrence.

scholarly journals Intradural Extramedullary Spinal Sarcoidosis Mimicking Meningioma

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Sho Ishiwata ◽  
Yoichi Iizuka ◽  
Tokue Mieda ◽  
Junko Hirato ◽  
Hiromi Koshi ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Spinal Cord Tumors ◽  
Total Resection ◽  
Case Presentation ◽  
Dural Tail Sign ◽  
Dural Tail ◽  
Intradural Extramedullary ◽  
Magnetic Resonance Imaging Mri

Background. Spinal sarcoidosis is a rare subgroup of neurosarcoidosis. Although most sarcoid lesions develop in the intramedullary compartment, intradural extramedullary (IDEM) spinal sarcoidosis is an extremely rare entity. Case Presentation. We herein report a case of IDEM spinal sarcoidosis mimicking a meningioma. A 32-year-old man presented to the hospital with clumsy hands and was unable to walk without assistance. Magnetic resonance imaging (MRI) of the cervical spine revealed a dural tail sign that is common in meningiomas. The patient underwent gross total resection. The pathological findings consisted with a sarcoid leision of the spinal cord. The patient’s myelopathy recovered after surgery. Conclusions. Physicians should be alert for the possibility of IDEM sarcoidosis mimicking a meningioma in the differential diagnosis of IDEM spinal cord tumors.

scholarly journals Postepidural Spinal Intradural Arachnoid Cyst: A Rare Case Report

2017 ◽  
Vol 08 (04) ◽  
pp. 677-679 ◽  
Author(s):  
Muhammad Sohail Umerani ◽  
Gabr Ahmed Mostafa ◽  
Mona A. F. Nada ◽  
Amjad Abdel Qader Darwish
Keyword(s):  
Arachnoid Cyst ◽  
Incidental Finding ◽  
Epidural Injection ◽  
Rare Entity ◽  
Spinal Level ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Rare Case Report ◽  
Spinal Epidural

ABSTRACTCompression of the neural structures in spine by an intradural arachnoid cyst is a rare entity. At times such a cyst is an incidental finding. Spinal epidural injection is one of the few rare etiological factors for its development. Symptomatic cysts can present with variable neurological manifestations depending on the spinal level involved. This includes back pain, lower limb weakness, and sphincteric dysfunction. If asymptomatic, they can be followed radiologically. Surgical decompression along with a histological diagnosis is reserved for cysts that are enlarging, symptomatic or the ones for whom the diagnosis is uncertain. Incomplete excision of cyst wall or simple fenestration and decompression mandates close follow-up, clinically and radiologically for further recurrences.

scholarly journals Progressive left lower extremity weakness in a patient with multiple myeloma: A diagnostic dilemma

2019 ◽  
Vol 7 ◽  
pp. 2050313X1983350
Author(s):  
Muhammad Sardar ◽  
Nasreen Shaikh ◽  
Saad Ullah Malik ◽  
Warda Faridi ◽  
Eli Balshan ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Multiple Myeloma ◽  
Lower Limb ◽  
Extramedullary Plasmacytoma ◽  
Left Thigh ◽  
Resonance Imaging ◽  
Limb Weakness ◽  
Lower Extremity Weakness ◽  
Left Lower Extremity ◽  
Lower Limb Weakness

Extramedullary plasmacytoma is a type of plasma cell dyscrasia that can present as solitary tumor or secondary to multiple myeloma. We experienced a case of intramuscular plasmacytoma in the left thigh muscles of a patient secondary to multiple myeloma. A 73-year-old male with relapsed multiple myeloma and bilateral hip arthroplasty complained of lxeft lower limb weakness and hip pain 3 months after relapse. He underwent contrast-enhanced magnetic resonance imaging of lumbar spine and hip which was inconclusive. Subsequently, patient had multiple admissions for progressive lower limb weakness. His clinical course was complicated by a biopsy-proven plasmacytoma of the neck. He received localized radiation therapy to the neck in addition to a change in multiple myeloma chemotherapy regimen, resulting in resolution of the neck mass but his left lower extremity weakness continued to worsen. Repeat magnetic resonance imaging of hip and spine revealed an intramuscular mass in left thigh which was consistent with the diagnosis of extramedullary plasmacytoma on biopsy. Localized radiation to the thigh accompanied with a change in chemotherapy improved his symptoms and a significant reduction in size of plasmacytoma was observed. When an unexplained lower limb weakness is encountered with a history of multiple myeloma, secondary intramuscular plasmacytoma should be considered.

scholarly journals A Rare Case of Radiculopathy: Monostotic Fibrous Dysplasia of the Sacrum

2019 ◽  
Vol 32 (6) ◽  
pp. 466
Author(s):  
Joaquim Cruz Teixeira ◽  
Diogo Cardoso Simão ◽  
José Pimentel ◽  
Sérgio Livraghi
Keyword(s):  
Magnetic Resonance Imaging ◽  
Fibrous Dysplasia ◽  
Rare Case ◽  
Low Back ◽  
Rare Entity ◽  
Resonance Imaging ◽  
Computed Tomography Scan ◽  
Medullary Bone ◽  
The Right ◽  
Tomography Scan

Fibrous dysplasia is a bone disease characterized by an osteoblastic dysfunction resulting in a fibrous replacement of the normal medullary bone. We describe the case of a 33-year-old who presented with low back pain irradiating to her right leg. Both the computed tomography scan and magnetic resonance imaging showed an osteolytic, multicystic lesion of the right hemi-sacrum with invasion of the right S1 foramen. She underwent foraminotomy and curettage of the lesion. Histological diagnosis was fibrous dysplasia, without features of malignant transformation. Three years after surgery the patient is asymptomatic and imaging is stable. This is the fifth known case of monostotic fibrous dysplasia involving the sacrum, a rare entity that must be considered in the differential diagnosis when approaching patients with sacral lesions.

scholarly journals Corpus callosum infarction: a case report

2020 ◽  
Vol 7 (11) ◽  
pp. 1751
Author(s):  
Ziyad Almushayti
Keyword(s):  
Magnetic Resonance Imaging ◽  
Corpus Callosum ◽  
Lower Limb ◽  
Case Reports ◽  
Resonance Imaging ◽  
Limb Weakness ◽  
Lower Limb Weakness ◽  
Left Lower Limb ◽  
History Of ◽  
Artery Disease

Infarctions of corpus callosal are rare due to an abundant collateral blood supply. Few case reports published in the literature regarding the corpus callosum infarction. We present a case of corpus callosum infarction in a 66-year-old man with a history of diabetes mellitus, hypertension, and coronary artery disease who presented to the emergency room with left lower limb weakness. Diagnosed was made based on magnetic resonance imaging and treated conservatively.  

Management of an extensive spinal epidural abscess from C-1 to the sacrum

2010 ◽  
Vol 13 (6) ◽  
pp. 780-783 ◽  
Author(s):  
Muhammad Z. Tahir ◽  
Rameez Ul Hassan ◽  
S. Ather Enam
Keyword(s):  
Lower Limb ◽  
Rare Case ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Low Grade ◽  
Limb Weakness ◽  
Minimally Invasive Surgical ◽  
Lower Limb Weakness ◽  
Whole Spine ◽  
Spinal Epidural

The authors report a rare case of extensive spinal epidural abscess in an immunocompromised young woman. The patient presented with low-grade fever, back pain, and progressive lower limb weakness. The MR imaging of her whole spine revealed an epidural abscess extending from C-1 to the sacrum. She was treated using a minimally invasive surgical technique and showed excellent recovery. The authors review the current literature along with different modes of surgical treatment available for this unusual clinical entity.

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