scholarly journals Pregnancy-related vertebral hemangioma

2005 ◽  
Vol 19 (3) ◽  
pp. 1-7 ◽  
Author(s):  
John H. Chi ◽  
Geoffrey T. Manley ◽  
Dean Chou
Keyword(s):  
Spinal Cord ◽  
Risk Factor ◽  
Surgical Decompression ◽  
Neurological Deficits ◽  
Vertebral Hemangioma ◽  
Review Of The Literature ◽  
Treatment Practices ◽  
History Of ◽  
Spastic Paresis ◽  
Vertebral Hemangiomas

Pregnancy is a recognized risk factor for quiescent vertebral hemangiomas becoming symptomatic; this usually occurs during the 3rd month of gestation. The natural history of these lesions is poorly understood, and treatment practices must consider the overall safety of the mother and fetus. The authors report a case of cervical vertebral hemangioma presenting during the 24th week of pregnancy and review the current literature. A 26-year-old woman in her 24th week of pregnancy presented with upper-back pain and progressive spastic paresis in the legs. Neuroimaging studies revealed a diffuse C-7 vertebral body lesion with extradural extension and compression of the spinal cord consistent with a vertebral hemangioma. Successful decompression was accomplished, and the fetus experienced no adverse effects from the surgery. In a review of the literature, 23 cases of pregnancy-related vertebral hemangioma dating back to 1927 were identified. Prepartum surgical decompression was performed in eight patients, postpartum surgery was performed in 12, and surgery was not performed in four. Overall, patients experienced excellent neurological recovery, regardless of the severity and duration of spastic paresis. Observation should be considered for symptomatic patients at greater than 32 weeks gestation. Surgery should be considered for patients with severe neurological deficits at less than 32 weeks of gestation.

Symptomatic vertebral hemangiomas during pregnancy

2014 ◽  
Vol 20 (5) ◽  
pp. 585-591 ◽  
Author(s):  
Alexis Moles ◽  
Olivier Hamel ◽  
Christophe Perret ◽  
Eric Bord ◽  
Roger Robert ◽  
...  
Keyword(s):  
Spinal Cord ◽  
The Body ◽  
Medical Emergency ◽  
Vascular Tumors ◽  
Posterior Arch ◽  
Vertebral Hemangioma ◽  
Review Of The Literature ◽  
Spontaneous Fracture ◽  
First Case ◽  
Vertebral Hemangiomas

Symptomatic vertebral hemangiomas during pregnancy are rare, as only 27 cases have been reported in the literature since 1948. However, symptomatic vertebral hemangiomas can be responsible for spinal cord compression, in which case they constitute a medical emergency, which raises management difficulties in the context of pregnancy. Pregnancy is a known factor responsible for deterioration of these vascular tumors. In this paper, the authors report 2 clinical cases of symptomatic vertebral hemangiomas during pregnancy, including 1 case of spontaneous fracture that has never been previously reported in the literature. The authors then present a brief review of the literature to discuss emergency management of this condition. The first case was a 28-year-old woman at 35 weeks of gestation, who presented with paraparesis. Spinal cord MRI demonstrated a vertebral hemangioma invading the body and posterior arch of T-3 with posterior epidural extension. Laminectomy and vertebroplasty were performed after cesarean section, allowing neurological recovery. The second case involved a 35-year-old woman who presented with spontaneous fracture of T-7 at 36 weeks of gestation, revealing a vertebral hemangioma with no neurological deficit, but it was responsible for pain and local instability. Treatment consisted of postpartum posterior interbody fusion. With a clinical and radiological follow-up of 2 years, no complications and no modification of the hemangiomas were observed. A review of the literature reveals discordant management of these rare cases, which is why the treatment course must be decided by a multidisciplinary team as a function of fetal gestational age and maternal neurological features.

scholarly journals Paraplegia after Gastrectomy in a Patient with Cervical Disc Herniation: A Case Report and Review of Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Qingfu Zhang ◽  
Wei Jiang ◽  
Quanhong Zhou ◽  
Guangyan Wang ◽  
Linlin Zhao
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Postoperative Complication ◽  
Disc Herniation ◽  
Surgical Decompression ◽  
Cervical Disc Herniation ◽  
Cervical Disc ◽  
Review Of Literature ◽  
History Of ◽  
Acute Paraplegia

Paraplegia is a rare postoperative complication. We present a case of acute paraplegia after elective gastrectomy surgery because of cervical disc herniation. The 73-year-old man has the medical history of cervical spondylitis with only symptom of temporary pain in neck and shoulder. Although the patient’s neck was cautiously preserved by using the Discopo, an acute paraplegia emerged at about 10 hours after the operation. Severe compression of the spinal cord by herniation of the C4-C5 cervical disc was diagnosed and emergency surgical decompression was performed immediately. Unfortunately the patient showed limited improvement in neurologic deficits even after 11 months.

An Intramedullary Ependymal Cyst in a 71-Year-Old Woman

Neurosurgery ◽  
1983 ◽  
Vol 13 (1) ◽  
pp. 52-54 ◽  
Author(s):  
Marc Rousseau ◽  
Francis Lesoin ◽  
Guy Combelles ◽  
Yvan Krivosic ◽  
Pierre Warot
Keyword(s):  
Spinal Cord ◽  
Abdominal Pain ◽  
Spinal Trauma ◽  
Review Of The Literature ◽  
Ependymal Cyst ◽  
History Of ◽  
Late Discovery ◽  
Slow Evolution

Abstract An intraspinal ependymal cyst of the thoracolumbar spinal cord was found in a 71-year-old woman with a history of right side abdominal pain since the age of 18. The late discovery of the cyst is related to the extremely slow evolution of this type of cyst in the absence of spinal trauma. Etiopathogenic problems are discussed after a review of the literature.

scholarly journals Symptomatic Vertebral Hemangioma in a Young Child

2017 ◽  
Vol 08 (03) ◽  
pp. 458-460
Author(s):  
William Martin ◽  
Ravi Rajmohan ◽  
Muhittin Belirgen
Keyword(s):  
Spinal Cord ◽  
Rare Case ◽  
Tumor Tissue ◽  
Pathological Fracture ◽  
Cord Compression ◽  
Vertebral Hemangioma ◽  
Tumor Removal ◽  
Vertebral Hemangiomas ◽  
Pathological Report

ABSTRACTVertebral hemangiomas (VHs) are the most common benign vertebral neoplasm and typically are asymptomatic, only to be discovered incidentally on imaging from the fourth to fifth decade of life. Seldom do they enlarge to a point of compression, causing pain and focal neurologic deficits. We present the rare case of an 8-year-old female who presented with paraparesis after a fall. Imaging revealed a pathological fracture of the T8 vertebra with retropulsion and spinal cord compression from both fracture and epidural tumor tissue. The patient underwent an anterior and posterior removal of the tumor, decompression, and fusion. Pathological report of specimen biopsy confirmed a benign hemangioma. To the best of our knowledge, this is the same age as the youngest previously reported case of symptomatic VH and it is the longest to be recurrence-free at follow-up. The hemangioma was successfully treated with tumor removal, decompression, and fusion. No adjuvant treatment was required, and she remained asymptomatic without recurrence at her 4-year follow-up.

scholarly journals Recurrent symptomatic vertebral hemangioma in pregnancy managed with decompression and vertebroplasty

2021 ◽  
Vol 12 ◽  
pp. 150
Author(s):  
Rudra Mangesh Prabhu ◽  
Tushar N. Rathod
Keyword(s):  
Post Partum ◽  
Vascular Tumor ◽  
Cord Compression ◽  
Surgical Decompression ◽  
Vertebral Hemangioma ◽  
Resonance Imaging ◽  
Endothelial Lining ◽  
Early Recovery ◽  
Routine Magnetic Resonance Imaging ◽  
Vertebral Hemangiomas

Background: Vertebral hemangioma is a benign vascular tumor of the spine that occurs in the endothelial lining of blood vessels. The majority of these lesions are detected incidentally on routine magnetic resonance imaging scans. Rarely, lesions can increase in size and result in neurological deterioration. Case Description: A 19-year-old post-partum female, presented with paraplegia due to a recurrent vertebral hemangioma with exophytic extension into the epidural space resulting in spinal cord compression. Early decompressive surgery facilitated adequate early recovery of neurological function. Conclusion: Exophytic vertebral hemangiomas that have extended into the spinal canal resulting in cord compression require urgent surgical decompression.

scholarly journals Migraine as a risk factor for glaucoma

2016 ◽  
Vol 15 (4) ◽  
pp. 17-29
Author(s):  
Yu. S. Astakhov ◽  
D. M. Nefedova ◽  
V. A. Turgel
Keyword(s):  
Risk Factor ◽  
Significant Role ◽  
Angle Closure Glaucoma ◽  
Angle Closure ◽  
Review Of The Literature ◽  
Vascular Dysregulation ◽  
Primary Vascular Dysregulation ◽  
History Of ◽  
Controversial Nature

This article contains a review of the literature on the issue of migraine and glaucoma interrelation. At the present time, despite the controversial nature of the results of global research, we can talk about an authentic increase of glaucoma risk in patients with a history of migraine. It is assumed a significant role of the primary vascular dysregulation in the pathogenesis of both diseases. Also we considered the issue of increasing the risk of angle-closure glaucoma during a migraine therapy with anticonvulsant called «Topiramate».

scholarly journals Thoracic ventral spinal cord herniation with progressive myelopathy – A case report and review of the literature

2021 ◽  
Vol 12 ◽  
pp. 382
Author(s):  
Taylor Anne Wilson ◽  
Ramachandran Pillai Promod Kumar ◽  
Emmanuel Omosor
Keyword(s):  
Spinal Cord ◽  
Neurological Deficits ◽  
Case Description ◽  
Review Of The Literature ◽  
Imaging Studies ◽  
Thoracic Myelopathy ◽  
Progressive Myelopathy ◽  
Spinal Cord Herniation ◽  
Idiopathic Spinal Cord Herniation ◽  
Ventral Spinal Cord

Background: Idiopathic spinal cord herniation (ISCH) is a rare, underrecognized, and often misdiagnosed entity of unclear pathogenesis that typically presents as a slowly progressive thoracic myelopathy. There are less than 200 such cases reported in the literature. ISCH diagnosis and treatment are often delayed contributing to greater fixed neurological deficits, often leading to costly, unnecessary imaging studies, and inappropriate surgery. Case Description: Here, a 48-year-old female presented with trauma-induced ISCH characterized by gradually worsening lower extremity myelopathy. Conclusion: Idiopathic spinal cord herniation (ISCH) is rare, often underdiagnosed posttraumatic myelopathy that, when accurately diagnosed and treated, can result in good outcomes.

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