scholarly journals Traumatic lumbar spondylolisthesis resulting in complete thoracic spinal cord avulsion: an unusual presentation

2018 ◽  
Vol 29 (6) ◽  
pp. 635-638
Author(s):  
Jamie Toms ◽  
David L. Boyer ◽  
Craig R. Kelman ◽  
Rafael A. Vega
Keyword(s):  
Soft Tissues ◽  
Unusual Presentation ◽  
Thoracic Spinal Cord ◽  
Lumbar Drain ◽  
First Case ◽  
Thoracic Spinal ◽  
Initial Imaging ◽  
Lumbar Spondylolisthesis ◽  
A Site ◽  
Traumatic Spondylolisthesis

Traumatic spondylolisthesis is a known occurrence in trauma, but complete cord transection is relatively rare. Moreover, complete cord transection at a site distant from the traumatic spondylolisthesis without spondyloptosis is exceedingly rare. In this report, authors describe the first case of thoracic cord avulsion following a traumatic grade II lumbar spondylolisthesis. The unusual presentation of this case highlights the importance of further evaluating patients with neurological symptoms out of proportion with the injuries seen on initial imaging. Magnetic resonance imaging performed after initial imaging studies demonstrated T11 cord transection with the distal cord herniating into the lumbar paraspinal soft tissues, thus allowing for preoperative planning to prepare for a more significant intervention including complex dural repair and lumbar drain placement, in addition to instrumented fusion to stabilize the traumatic spondylolisthesis.

scholarly journals Upper thoracic spinal cord herniation after traumatic nerve root avulsion

2004 ◽  
Vol 16 (5) ◽  
pp. 306-309
Author(s):  
Victor R. DaSilva ◽  
Mubarak Al-Gahtany ◽  
Rajiv Midha ◽  
Dipanka Sarma ◽  
Perry Cooper
Keyword(s):  
Spinal Cord ◽  
Nerve Root ◽  
Signs And Symptoms ◽  
Root Avulsion ◽  
Thoracic Spinal Cord ◽  
First Case ◽  
Thoracic Spinal ◽  
Spinal Cord Herniation ◽  
Nerve Root Avulsion ◽  
Upper Thoracic

✓ Transdural herniation of the spinal cord, a rare but well-documented entity, has been reported sporadically for more than 25 years as a possible cause for various neurological signs and symptoms ranging from isolated sensory or motor findings to myelopathy and Brown–Séquard syndrome. The authors report, to the best of their knowledge, the first case of upper thoracic spinal cord herniation occurring after traumatic nerve root avulsion.

Upper thoracic spinal cord herniation after traumatic nerve root avulsion

2003 ◽  
Vol 99 (3) ◽  
pp. 306-309 ◽  
Author(s):  
Victor R. Dasilva ◽  
Mubarak Al-Gahtany ◽  
Rajiv Midha ◽  
Dipanka Sarma ◽  
Perry Cooper
Keyword(s):  
Spinal Cord ◽  
Nerve Root ◽  
Root Avulsion ◽  
Thoracic Spinal Cord ◽  
Content Type ◽  
First Case ◽  
Thoracic Spinal ◽  
Spinal Cord Herniation ◽  
Nerve Root Avulsion ◽  
Upper Thoracic

✓ Transdural herniation of the spinal cord, a rare but well-documented entity, has been reported sporadically for more than 25 years as a possible cause for various neurological signs and symptoms ranging from isolated sensory or motor findings to myelopathy and Brown—Séquard syndrome. The authors report, to the best of their knowledge, the first case of upper thoracic spinal cord herniation occurring after traumatic nerve root avulsion.

Growth of Intramedullary Spinal Cord Dermoid Cyst from a Congenital Thoracic Dermal Sinus Tract after Negative Screening Ultrasound Imaging

2021 ◽  
pp. 1-6
Author(s):  
Liam G. Coulthard ◽  
Craig Robert Vonhoff ◽  
Ahmad M. Badran ◽  
Thomas E. Robertson ◽  
Martin J. Wood
Keyword(s):  
Spinal Cord ◽  
Dermoid Cyst ◽  
English Literature ◽  
False Negative ◽  
Dermal Sinus ◽  
Thoracic Spinal Cord ◽  
Intramedullary Spinal Cord ◽  
First Case ◽  
Thoracic Spinal ◽  
Screening Ultrasound

<b><i>Introduction:</i></b> Intramedullary thoracic dermoid cysts are rare lesions that are associated with dermal sinus tracts (DSTs). Current recommendations advocate for imaging-based screening of suspected DSTs shortly after birth to exclude associated inclusion lesions. <b><i>Case Presentation:</i></b> A 6-year-old male child presented with a 2-week history of progressive ataxia, lower limb weakness, and hyperreflexia. He was suspected to have a thoracic DST at birth, though initial screening ultrasound was negative for an inclusion lesion or intradural tract. On representation, MRI demonstrated a 3.9-cm intramedullary thoracic dermoid cyst causing significant spinal cord compression. Intraoperatively, a DST extending intradurally was found. The associated dermoid cyst was removed via intracapsular resection. <b><i>Conclusions:</i></b> Whilst dermoid cysts are presumed to progressively develop from DSTs, to our knowledge, this is the first case in English literature documenting a thoracic spinal cord intramedullary dermoid cyst following a negative screening ultrasound for a suspected DST. We use this case to highlight the false-negative rates associated with postnatal screening and advocate for early neurosurgical referral of suspected DSTs, regardless of imaging findings.

scholarly journals Burst Stimulation of the Thoracic Spinal Cord near a Cardiac Pacemaker in an Elderly Patient with Postherpetic Neuralgia: A Case Report

Medicina ◽  
2021 ◽  
Vol 57 (4) ◽  
pp. 337
Author(s):  
Yeon Joo Lee ◽  
Myoung Hoon Kong ◽  
Sang Sik Choi ◽  
Yong Deok Kwon ◽  
Mi Kyoung Lee ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Postherpetic Neuralgia ◽  
Cardiac Pacemaker ◽  
Functional Improvement ◽  
Spinal Cord Stimulator ◽  
Thoracic Spinal Cord ◽  
Burst Mode ◽  
First Case ◽  
Thoracic Spinal

New developments in spinal cord stimulation (SCS) have improved the treatment of patients with chronic pain. Although the overall safety of modern SCS has been established, there are no published reports regarding safety considerations when implanting a burst-mode spinal cord stimulator in patients with permanent cardiac pacemakers (PCPs). An 80-year-old man with a complete atrioventricular block implanted with a PCP was considered as a candidate for burst-mode SCS due to well-established postherpetic neuralgia (>180 days after rash). Cardiac monitoring during the burst-mode spinal cord stimulator trial and insertion did not indicate any interference. After the insertion of the burst-mode spinal cord stimulator, the patient showed functional improvement and significant pain relief. The safety of traditional tonic-mode SCS in patients with PCP has been previously reported. This is the first case report describing the safe and effective use of burst-mode SCS in a patient with PCP.

scholarly journals Thoracic spinal cord compression secondary to metastatic synovial sarcoma: case report

2009 ◽  
Vol 8 (2) ◽  
pp. 206-211 ◽  
Author(s):  
Paul M. Arnold ◽  
Michael C. Park ◽  
Kathy Newell ◽  
John J. Kepes ◽  
J. Brantley Thrasher
Keyword(s):  
Spinal Cord ◽  
Synovial Sarcoma ◽  
Spinal Cord Compression ◽  
Soft Tissues ◽  
Cord Compression ◽  
Posterior Fixation ◽  
Soft Tissue Neoplasm ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
History Of

Synovial sarcoma is an uncommon malignant soft tissue neoplasm, occurring primarily in adolescents and young adults. It is prevalent in the periarticular soft tissues near large joints of the extremities and rarely involves the trunk. Metastases are not uncommon and usually involve the lungs; metastasis to the thoracic spine is rare. We report the case of a 47-year-old man with a history of synovial sarcoma of the lower back, with subsequent metastases to the lung, penis, and perineum (all previously resected), presenting with a 3-month history of low back pain and lower extremity paresthesias. Magnetic resonance imaging (MRI) demonstrated multiple lesions involving multiple contiguous vertebral bodies, with the mass at T12 compressing the spinal cord. The patient underwent T11-T12 laminectomy, transpedicular decompression, tumor debulking, and posterior fixation and fusion. The patient died six months later due to disease progression. Although not curative, decompression and stabilization of the spine are often necessary in patients who present spinal cord compression.

scholarly journals Possible coexistence of MOG-IgG-associated disease and anti-Caspr2 antibody-associated autoimmune encephalitis: a first case report

2020 ◽  
Vol 13 ◽  
pp. 175628642096946
Author(s):  
Pei Liu ◽  
Miao Bai ◽  
Xu Yan ◽  
Kaixi Ren ◽  
Jiaqi Ding ◽  
...  
Keyword(s):  
Demyelinating Disease ◽  
Immunosuppressive Agents ◽  
Autoimmune Encephalitis ◽  
Myelin Oligodendrocyte Glycoprotein ◽  
Sustained Remission ◽  
Thoracic Spinal Cord ◽  
First Case ◽  
Thoracic Spinal ◽  
Fluid Attenuated Inversion Recovery ◽  
The Right

Myelin oligodendrocyte glycoprotein antibody-associated disease has been proposed as a separate inflammatory demyelinating disease of the central nervous system (CNS) since the discovery of pathogenic antibodies against myelin oligodendrocyte glycoprotein (MOG-IgG). Antibodies targeting contactin-associated protein-like 2 (Caspr2), a component of voltage-gated potassium channel (VGKC) complex, have been documented to be associated with a novel autoimmune synaptic encephalitis with a low incidence. Herein, we reported an adult female with initial presentation of decreased vision in the right eye and subsequent episodes of neuropsychiatric disturbance including hypersomnia, agitation, apatheia, and memory impairment. Magnetic resonance imaging (MRI) revealed multiple lesions scattered in brain, brainstem, and cervical and thoracic spinal cord, showing hypointensity on T1-weighted images, hyperintensity on T2-weighted and fluid attenuated inversion recovery (FLAIR) images. Heterogenous patchy or ring-like enhancement was observed in the majority of lesions. The detection of low-titer MOG-IgG exclusively in cerebrospinal fluid (CSF; titer, 1:1) and Caspr2-IgG in both serum and CSF (titers, 1:100 and 1:1) led to a possible diagnosis of coexisting MOG-IgG-associated disease (MOGAD) and anti-Caspr2 antibody-associated autoimmune encephalitis. The patient was treated with immunosuppressive agents including corticosteroids and immunoglobulin, and achieved a sustained remission. To the best of our knowledge, this is the first report on the possible coexistence of MOGAD and anti-Caspr2 antibody-associated autoimmune encephalitis, which advocates for the recommendation of a broad spectrum screening for antibodies against well-defined CNS antigens in suspected patients with autoimmune-mediated diseases of the CNS.

scholarly journals Symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele

2007 ◽  
Vol 65 (2A) ◽  
pp. 279-282 ◽  
Author(s):  
Arthur de Azambuja Pereira Filho ◽  
Gustavo de David ◽  
Gustavo de Azambuja Pereira Filho ◽  
Albert Vincent Berthier Brasil
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Thoracic Spinal Cord ◽  
Dural Closure ◽  
First Case ◽  
Thoracic Spinal ◽  
Full Neurological Recovery ◽  
Intradural Extramedullary ◽  
Loss Of Strength

We report the first case of symptomatic thoracic spinal cord compression caused by postsurgical pseudomeningocele. A 49-year-old man sought treatment for progressive loss of strength in the lower extremities ten months after full neurological recovery for a thoracic (T11) intradural-extramedullary schwannoma. Magnetic resonance imaging revealed a postsurgical thoracic (T11-T12) pseudomeningocele. The surgical approach showed an inadequate dural closure with spontaneous cerebrospinal fluid fistula. The defect was sealed with suture, muscle and biological glue covering. The patient had a good recovery. Pseudomeningocele must take part of the differential diagnosis of myelopathy after thoracic spine surgery.

First Case of Autonomic Dysreflexia Following Elective Lower Thoracic Spinal Cord Transection in a Spina Bifida Adult

2017 ◽  
Vol 108 ◽  
pp. 988.e1-988.e5 ◽  
Author(s):  
Juanita Garces ◽  
Mansour Mathkour ◽  
Tyler Scullen ◽  
Lora Kahn ◽  
Erin Biro ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spina Bifida ◽  
Spinal Cord Transection ◽  
Autonomic Dysreflexia ◽  
Thoracic Spinal Cord ◽  
First Case ◽  
Thoracic Spinal

Spontaneous Herniation of the Thoracic Spinal Cord: A Case Report

2001 ◽  
Vol 45 (4) ◽  
pp. 353 ◽  
Author(s):  
Sung Chan Jin ◽  
Seoung Ro Lee ◽  
Dong Woo Park ◽  
Kyung Bin Joo
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Spontaneous Herniation

Lipomeningocele associated with diplomyelia in a dog

2018 ◽  
Vol 46 (05) ◽  
pp. 323-329 ◽  
Author(s):  
Nele Ondreka ◽  
Sara Malberg ◽  
Emma Laws ◽  
Martin Schmidt ◽  
Sabine Schulze
Keyword(s):  
Spinal Cord ◽  
Neurological Status ◽  
Split Cord Malformation ◽  
Lumbar Spinal Cord ◽  
Histopathological Diagnosis ◽  
Type I ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Subcutaneous Mass ◽  
Lumbar Spinal

SummaryA 2-year-old male neutered mixed breed dog with a body weight of 30 kg was presented for evaluation of a soft subcutaneous mass on the dorsal midline at the level of the caudal thoracic spine. A further clinical sign was intermittent pain on palpation of the area of the subcutaneous mass. The owner also described a prolonged phase of urination with repeated interruption and re-initiation of voiding. The findings of the neurological examination were consistent with a lesion localization between the 3rd thoracic and 3rd lumbar spinal cord segments. Magnetic resonance imaging revealed a spina bifida with a lipomeningocele and diplomyelia (split cord malformation type I) at the level of thoracic vertebra 11 and 12 and secondary syringomyelia above the aforementioned defects in the caudal thoracic spinal cord. Surgical resection of the lipomeningocele via a hemilaminectomy was performed. After initial deterioration of the neurological status postsurgery with paraplegia and absent deep pain sensation the dog improved within 2 weeks to non-ambulatory paraparesis with voluntary urination. Six weeks postoperatively the dog was ambulatory, according to the owner. Two years after surgery the owner recorded that the dog showed a normal gait, a normal urination and no pain. Histopathological diagnosis of the biopsied material revealed a lipomeningocele which confirmed the radiological diagnosis.

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