Neurenteric cyst in the cervical spinal canal of a 10-week-old boy

1971 ◽  
Vol 35 (4) ◽  
pp. 472-476 ◽  
Author(s):  
Thomas E. Klump
Keyword(s):  
Spinal Canal ◽  
Neurological Symptoms ◽  
Neurenteric Cyst ◽  
Content Type ◽  
Cervical Spinal Canal ◽  
Fine Print

✓ A 10-week-old infant was found to have a cervicothoracic intradural neurenteric cyst which was operated on with resolution of the neurological symptoms. The discussion centers on the nature of the lesion and its possible pathogenesis.

Spontaneous migration of an intracranial bullet to the cervical spinal canal causing Lhermitte's sign

1982 ◽  
Vol 56 (1) ◽  
pp. 158-159 ◽  
Author(s):  
Ertekin Arasil ◽  
Ali O. Taşçioğlu
Keyword(s):  
Spinal Canal ◽  
Occipital Area ◽  
Vertebral Level ◽  
Content Type ◽  
X Ray ◽  
Cervical Spinal Canal ◽  
Spontaneous Migration ◽  
The Right ◽  
Neurologically Intact ◽  
Fine Print

✓ A case is presented of a woman who was shot in the left occipital area with a .32 caliber automatic pistol. She was neurologically intact on admission, and skull x-ray films revealed the bullet in the right suboccipital area. On the 2nd day of her admission she developed Lhermitte's sign. Repeat films showed that the bullet had migrated to the C-4 vertebral level. The bullet was subsequently removed via a total laminectomy at C3–4.

Transuncodiscal approach to dumbbell tumors of the cervical spinal canal

1984 ◽  
Vol 61 (6) ◽  
pp. 1100-1106 ◽  
Author(s):  
Akira Hakuba ◽  
Masaki Komiyama ◽  
Takeshi Tsujimoto ◽  
Myung Soo Ahn ◽  
Shuro Nishimura ◽  
...  
Keyword(s):  
Spinal Canal ◽  
Lateral Approach ◽  
Lateral Part ◽  
Anterolateral Approach ◽  
Large Tumor ◽  
Content Type ◽  
Cervical Spinal Canal ◽  
Iliac Bone Graft ◽  
Vertebral Bodies ◽  
Fine Print

✓ A combined anterior and lateral approach to the anterior cervical spinal canal with fusion was performed on five patients with cervical dumbbell-shaped tumors. The procedure consists of anterior discectomy and ipsilateral uncectomy, and removal of the posterolateral corners and posterior transverse ridges of the upper and lower vertebral bodies at the level of the tumor. In the case of a large tumor in the spinal canal, additional removal of a limited segment from the lateral part of the vertebral body was performed. The bone defect was filled with a T-shaped iliac bone graft. Two vertebral bodies were fused in each case. The highest level of the operation was C-2 and the lowest was T-1. The authors believe that any cervical dumbbell-shaped tumor below the C-2 level can be removed via an anterolateral approach as long as no more than three levels of the spine are involved.

Hemangiopericytoma of the spinal canal

1978 ◽  
Vol 49 (6) ◽  
pp. 914-920 ◽  
Author(s):  
Darrell J. Harris ◽  
Victor L. Fornasier ◽  
Kenneth E. Livingston
Keyword(s):  
Endothelial Cells ◽  
Differential Diagnosis ◽  
High Risk ◽  
Spinal Canal ◽  
Vertebral Column ◽  
Soft Tissues ◽  
Surgical Removal ◽  
Vascular Neoplasm ◽  
Content Type ◽  
Fine Print

✓ Hemangiopericytoma is a vascular neoplasm consisting of capillaries outlined by an intact basement membrane that separates the endothelial cells of the capillaries from the spindle-shaped tumor cells in the extravascular area. These neoplasms are found in soft tissues but have rarely been shown to involve the spinal canal. This is a report of three such cases. Surgical removal of the tumor from the spinal canal was technically difficult. A high risk of recurrence has been reported but in these three cases adjunctive radiotherapy appeared to be of benefit in controlling the progression of the disease. These cases, added to the six cases in the literature, confirm the existence of hemangiopericytoma involving the vertebral column with extension into the spinal canal. This entity should be included in the differential diagnosis of lesions of the spinal canal. The risk of intraoperative hemorrhage should be anticipated.

Progressive neurological dysfunction secondary to postoperative cervical pseudomeningocele in a C-4 quadriplegic

1978 ◽  
Vol 48 (2) ◽  
pp. 289-291 ◽  
Author(s):  
Kenneth P. Burres ◽  
Frances K. Conley
Keyword(s):  
Neurological Deficit ◽  
Neurological Symptoms ◽  
Diagnostic Evaluation ◽  
Neurological Dysfunction ◽  
Previous Surgery ◽  
Content Type ◽  
Progressive Neurological Deficit ◽  
Operative Closure ◽  
Fine Print

✓ A case is detailed of a patient who developed progressive neurological deficit above a fixed quadriplegic level at C-4 18 years after posterior cervical decompression for trauma. Diagnostic evaluation revealed a pseudomeningocele at the site of his previous surgery. Subsequent operative closure resulted in reversal of his neurological symptoms.

Risk of late stroke and survival following carotid endarterectomy procedures for symptomatic patients

1990 ◽  
Vol 73 (2) ◽  
pp. 193-200 ◽  
Author(s):  
Dennis A. Turner ◽  
Jay Tracy ◽  
Stephen J. Haines
Keyword(s):  
Carotid Endarterectomy ◽  
Life Table ◽  
Stroke Risk ◽  
Neurological Symptoms ◽  
Treatment Modalities ◽  
Control Group ◽  
Content Type ◽  
Postoperative Stroke ◽  
Fine Print

✓ The long-term outcome following carotid endarterectomy for neurological symptoms was analyzed using a retrospective life-table approach in 212 patients who had undergone 243 endarterectomy procedures. The postoperative follow-up period averaged 38.9 ± 2.1 months (mean ± standard error of the mean). The endpoints of stroke and death were evaluated in these patients. Patient groups with the preoperative symptoms of amaurosis fugax, transient ischemic attack, and prior recovered stroke were similar in terms of life-table outcome over the follow-up period. Sixty-two percent of symptomatic patients were alive and free of stroke at 5 years. The late risk of stroke (after 30 days postoperatively) averaged 1.7% per year based on a linear approximation to the hazard at each life-table interval (1.3% per year for ipsilateral stroke). The trend of late stroke risk was clearly downward, however, and could be fitted more accurately by an exponential decay function with a half-life of 33 months. Thus, the risk of stroke following carotid endarterectomy for neurological symptoms was highest in the perioperative period, slowly declined with time, and occurred predominantly ipsilateral to the procedure. The definition of a prospective medical control group remains crucial for a critical analysis of treatment modalities following the onset of premonitory neurological symptoms. In the absence of an adequate control group for this series, the calculated perioperative and postoperative stroke risk from this study was compared to data obtained from the literature on stroke risk in medically treated symptomatic patients. This uncontrolled comparison of treatment modalities suggests the combined perioperative and postoperative stroke risk associated with carotid endarterectomy to be modestly improved over medical treatment alone.

Villonodular synovitis in the spinal canal

1980 ◽  
Vol 52 (6) ◽  
pp. 846-848 ◽  
Author(s):  
George M. Kleinman ◽  
T. Forcht Dagi ◽  
Charles E. Poletti
Keyword(s):  
Giant Cell Tumor ◽  
Spinal Canal ◽  
Giant Cells ◽  
Cell Tumor ◽  
Villonodular Synovitis ◽  
Rare Occurrence ◽  
Multinucleated Giant Cells ◽  
Content Type ◽  
Synovial Tissues ◽  
Fine Print

✓ Villonodular synovitis is believed to be an inflammatory, proliferative reaction of synovial tissues. The case of a 65-year-old woman with a cervical epidural mass is presented in which histological examination showed that the lesion was villonodular synovitis, an extremely rare occurrence. Because of its cellularity and occasional multinucleated giant cells, villonodular synovitis may be confused with metastatic malignancies or giant-cell tumor of bone.

Extradural spinal involvement by gout

1979 ◽  
Vol 50 (2) ◽  
pp. 236-239 ◽  
Author(s):  
Steven L. Wald ◽  
James E. McLennan ◽  
Richard M. Carroll ◽  
Harold Segal
Keyword(s):  
Differential Diagnosis ◽  
Spinal Canal ◽  
Lumbar Region ◽  
Content Type ◽  
Spinal Involvement ◽  
Gouty Tophus ◽  
Fine Print

✓ A case of extradural gouty tophus in the lumbar region in a teen-age girl is presented as an addition to the differential diagnosis of erosive lesions of the spinal canal.

Hemophilic pseudotumor of the spinal canal

1988 ◽  
Vol 69 (4) ◽  
pp. 624-627 ◽  
Author(s):  
Shih Sing Liu ◽  
William L. White ◽  
Peter C. Johnson ◽  
Charles Gauntt
Keyword(s):  
Computerized Tomography ◽  
Spinal Canal ◽  
High Index ◽  
Long Bones ◽  
Content Type ◽  
High Index Of Suspicion ◽  
Fine Print ◽  
Reactive Fibrosis ◽  
Uncommon Complication

✓ Hemophilic pseudotumor is an uncommon complication among hemophiliacs. Most of these lesions are located in the long bones and the pelvis. The authors describe a case of hemophilic pseudotumor in a patient who presented with symptoms of L-5 radiculopathy and evidence of a destructive lesion on computerized tomography scans. Histologically, the lesion consisted of an organizing hematoma with reactive fibrosis. The diagnosis requires a high index of suspicion. Surgery is recommended for symptomatic patients.

A comparison of radiographic methods of diagnosing constrictive lesions of the spinal canal

1978 ◽  
Vol 48 (3) ◽  
pp. 360-368 ◽  
Author(s):  
M. Judith Donovan Post ◽  
Fredie P. Gargano ◽  
Donald Q. Vining ◽  
Hubert L. Rosomoff
Keyword(s):  
Computerized Tomography ◽  
Cross Section ◽  
Spinal Canal ◽  
Relative Effectiveness ◽  
Ct Scanning ◽  
New Method ◽  
Cross Sectional ◽  
Content Type ◽  
Sectional Anatomy ◽  
Fine Print

✓ With the advent of computerized tomography (CT), a new method of visualizing the spinal canal in cross-section has been created. Before the introduction of CT scanning, evaluation of the cross-sectional anatomy of the spinal canal was accomplished chiefly by the Toshiba unit. This study compares these two forms of tomography and discusses their relative effectiveness in diagnosing constrictive lesions of the spinal canal.

Cervical myelopathy caused by developmental stenosis of the spinal canal

1979 ◽  
Vol 51 (3) ◽  
pp. 362-367 ◽  
Author(s):  
Joseph A. Epstein ◽  
Robert Carras ◽  
Roger A. Hyman ◽  
Sergio Costa
Keyword(s):  
Spinal Canal ◽  
Cervical Spondylotic Myelopathy ◽  
Transverse Plane ◽  
Intramedullary Tumor ◽  
Neural Arch ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Significant Evidence ◽  
X Ray ◽  
Fine Print

✓ The authors present six patients with myelopathy caused by developmental stenosis of the cervical spine. Hyperextension injuries precipitated the onset of symptoms in two patients, aged 19 and 20 years. In four, 41 to 69 years of age, symptoms were gradual in onset, progressing to severe disability. X-ray films revealed narrowing of the dorsoventral diameter of the spinal canal to as little as 1.0 cm. The myelograms showed widening of the cord in the transverse plane strongly suggestive of an intramedullary tumor. A unique finding was maldevelopment with flattening of the neural arch often hidden by the posterior portions of the articular facets when seen in the lateral views. These patients showed no significant evidence of spondylosis, arthrosis, or any of the structural stigmata usually observed in cervical spondylotic myelopathy. When indicated, decompressive laminectomy is the treatment of choice.

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