Ruptured temporal lobe arachnoid cyst presenting with severe back pain

2013 ◽  
Vol 12 (3) ◽  
pp. 281-283 ◽  
Author(s):  
Subash Lohani ◽  
Richard L. Robertson ◽  
Mark R. Proctor

Arachnoid cyst is a common congenital anomaly in the pediatric population. The cysts are often asymptomatic, but they can cause headache and other symptoms. Occasionally a cyst may rupture after head trauma producing a subdural hematoma. The authors present the case of an 11-year-old boy who presented after a week of progressive and severe back pain radiating to the back of his thighs. Imaging revealed a spinal subdural blood collection at the L4–S1 level. This finding prompted further cephalad imaging of the spine and the brain, which revealed a sylvian fissure arachnoid cyst with intracystic hemorrhage and frontoparietal subdural hematoma. The child did not have headache at this time, although he had experienced chronic headaches since the age of 4 years. He was treated with a course of oral steroids, which immediately relieved his back and leg pain. Subsequent imaging showed resolution of the cranial and spinal subdural blood collections and diminished size of the arachnoid cyst. No surgical treatment was necessary.

2009 ◽  
Vol 4 (3) ◽  
pp. 298 ◽  
Author(s):  
Amar P. Patel ◽  
Patrick J. Oliverio ◽  
Khalid H. Kurtom ◽  
Fabio Roberti

1994 ◽  
Vol 17 (3) ◽  
pp. 229-232 ◽  
Author(s):  
Faruk İldan ◽  
Erdal Cetinalp ◽  
Hüeyin Bağdatoğlu ◽  
Bülent Boyar ◽  
Ziya Uzuneyüoglu

2018 ◽  
Vol 13 (1) ◽  
pp. 116 ◽  
Author(s):  
ManishKumar Kasliwal ◽  
MeganChristine Kaszuba ◽  
LeeAng Tan ◽  
Roham Moftakhar

Author(s):  
R.F.M.R. Kersten ◽  
J. Fikkers ◽  
N. Wolterbeek ◽  
F.C. Öner ◽  
S.M. van Gaalen

BACKGROUND: Low back pain is a common health problem for which there are several treatment options. For optimizing clinical decision making, evaluation of treatments and research purposes it is important that health care professionals are able to evaluate the functional status of patients. Patient reported outcome measures (PROMs) are widely accepted and recommended. The Roland Morris Disability Questionnaire (RMDQ) and the Oswestry Disability Index (ODI) are the two mainly used condition-specific patient reported outcomes. Concerns regarding the content and structural validity and also the different scoring systems of these outcome measures makes comparison of treatment results difficult. OBJECTIVE: Aim of this study was to determine if the RMDQ and ODI could be used exchangeable by assessing the correlation and comparing different measurement properties between the questionnaires. METHODS: Clinical data from patients who participated in a multicenter RCT with 2 year follow-up after lumbar spinal fusion were used. Outcome measures were the RMDQ, ODI, Short Form 36 – Health Survey (SF-36), leg pain and back pain measured on a 0–100 mm visual analogue scale (VAS). Cronbach’s alpha coefficients, Spearman correlation coefficients, multiple regression analysis and Bland-Altman plots were calculated. RESULTS: three hundred and seventy-six completed questionnaires filled out by 87 patients were used. The ODI and RMDQ had both a good level of internal consistency. There was a very strong correlation between the RMDQ and the ODI (r= 0.87; p< 0.001), and between the VAS and both the ODI and RMDQ. However, the Bland-Altman plot indicated bad agreement between the ODI and RMDQ. CONCLUSIONS: The RMDQ and ODI cannot be used interchangeably, nor is there a possibility of converting the score from one questionnaire to the other. However, leg pain and back pain seemed to be predictors for both the ODI and the RMDQ.


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