Spinal subdural empyema complicating pregnancy

1974 ◽  
Vol 40 (5) ◽  
pp. 654-656 ◽  
Author(s):  
C. Craig Heindel ◽  
J. Paul Ferguson ◽  
Thampu Kumarasamy
Keyword(s):  
Successful Treatment ◽  
Subdural Empyema ◽  
Subdural Space ◽  
Content Type ◽  
Spinal Epidural ◽  
Fine Print

✓ The authors report the successful treatment of a patient with empyema of the spinal subdural space during the eighth month of pregnancy. The characteristics that distinguish this uncommon lesion from spinal epidural empyema are discussed.

Supratentorial and parafalcial subdural empyema diagnosed by computerized tomography

1981 ◽  
Vol 54 (1) ◽  
pp. 105-107 ◽  
Author(s):  
Bernardo Borovich ◽  
Jacob Braun ◽  
Silvia Honigman ◽  
Henry Z. Joachims ◽  
Eli Peyser
Keyword(s):  
Computerized Tomography ◽  
Subdural Empyema ◽  
Subdural Space ◽  
Carotid Angiography ◽  
Successful Result ◽  
Content Type ◽  
The Brain ◽  
Fine Print

✓ A case is presented in which computerized tomography (CT) demonstrated a supratentorial and parafalcial purulent collection. However, neither carotid angiography nor CT revealed the small scattered pockets of pus that were found over the convexity at operation. The entire subdural space was exposed by a wide craniectomy, permitting adequate subdural drainage and decompression of the brain. It is thought that thorough drainage of the entire subdural space is crucial for the attainment of a successful result in a singlestage operation.

Mitomycin C in preventing spinal epidural fibrosis in a laminectomy model in rats

2004 ◽  
Vol 100 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Jin-Yul Lee ◽  
Werner Stenzel ◽  
Heinrich Ebel ◽  
Christoph Wedekind ◽  
Ralf-Ingo Ernestus ◽  
...  
Keyword(s):  
Mitomycin C ◽  
Spinal Column ◽  
Failed Back Surgery Syndrome ◽  
Epidural Fibrosis ◽  
En Bloc ◽  
Content Type ◽  
Failed Back Surgery ◽  
Back Surgery ◽  
Spinal Epidural ◽  
Fine Print

Object. Extensive epidural fibrosis after lumbar surgery may be the underlying cause in most cases of failed—back surgery syndrome. Various materials have been used to prevent epidural fibrosis, but only moderate success has been shown. Mitomycin C, an alkylosing antibiotic substance isolated from Streptomyces caespitosus, potentially supresses fibroblast proliferation after surgery. In this study, the authors investigated the effect of mitomycin C by local application on spinal epidural fibrosis in a rat laminectomy model. Methods. Five Wistar rats underwent laminectomy at cervical, thoracic, and lumbar levels. Based on data obtained from ophthalmological studies, mitomycin C was applied to the laminectomy sites in various concentrations (0.01, 0.05, and 0.1 mg/ml). One laminectomy site in each rat was left untreated and thus served as a control. Evoked potentials were measured pre- and postoperatively, and all rats underwent clinical evaluation. Mobility status and evidence of neurological deficit were recorded. Twelve weeks later, the rats were killed, and the spinal column, including surrounding muscle tissue, was removed en bloc, decalcified, and fixed in formaldehyde. Epidural fibrosis was evaluated histologically. In all mitomycin C—treated laminectomy sites, epidural scarring was significantly reduced compared with control sites. Remarkably, dural adhesions were absent in laminectomy defects treated with mitomycin C concentrations of 0.05 and 0.1 mg/ml. Moderate to marked epidural fibrosis with adhesion to the dura mater was noted at sites receiving 0.01 mg/ml of mitomycin C. All control sites showed dense epidural fibrosis with marked dura adherence. Conclusions. In this experimental model, mitomycin C applied locally at a concentration of 0.1 mg/ml effectively reduced epidural fibrosis, completely avoided dural adherence, and induced no side effects.

Survival following gunshot wound of the pons: neuroanatomic considerations

1971 ◽  
Vol 35 (3) ◽  
pp. 342-347 ◽  
Author(s):  
David G. Kline ◽  
Hector J. Leblanc
Keyword(s):  
Sleep Apnea ◽  
Successful Treatment ◽  
Gunshot Wound ◽  
Content Type ◽  
Operative Findings ◽  
Fine Print

✓ The successful treatment of a civilian gunshot wound of the vermis and pons is described. A large missile fragment was removed from a depth of 2 cm within the pons at the level of the facial colliculus. Despite initial coma and subsequent irregular respiration with sleep apnea, the patient survived. Neurological, radiographic, and operative findings are correlated with the anatomy of the pons.

External carotid-cavernous fistula treated by arterial embolization

1974 ◽  
Vol 40 (1) ◽  
pp. 110-114 ◽  
Author(s):  
M. Stephen Mahalley ◽  
Stephan C. Boone
Keyword(s):  
Carotid Artery ◽  
Successful Treatment ◽  
Arterial Embolization ◽  
External Carotid Artery ◽  
External Carotid ◽  
Carotid Cavernous Fistula ◽  
Content Type ◽  
Cavernous Fistula ◽  
Unusual Occurrence ◽  
Fine Print

✓ The unusual occurrence of a carotid-cavernous fistula supplied entirely by branches of the external carotid artery is presented, and its successful treatment by arterial embolization described.

Nonsurgical treatment of subdural empyema

1985 ◽  
Vol 63 (1) ◽  
pp. 128-130 ◽  
Author(s):  
Henk W. Mauser ◽  
Robert A. P. Ravijst ◽  
Arthur Elderson ◽  
Jan van Gijn ◽  
Cees A. F. Tulleken
Keyword(s):  
Computerized Tomography ◽  
Antibiotic Treatment ◽  
Ct Scanning ◽  
Subdural Empyema ◽  
Nonsurgical Treatment ◽  
Neurological Deficits ◽  
Content Type ◽  
Intracranial Infection ◽  
Fine Print

✓ The nonsurgical treatment of a case of interhemispheric subdural empyema is reported. At the time of diagnosis, the patient had a mild decrease in consciousness and only moderate focal neurological deficits. Computerized tomography (CT) confirmed the limited (interhemispheric) extent of the intracranial infection. After drainage of the nasal sinuses and antibiotic treatment, the patient recovered, although the lesion was initially increased in size on CT scanning.

Epidural spinal lymphoma in an infant

1973 ◽  
Vol 39 (3) ◽  
pp. 412-415 ◽  
Author(s):  
R. Sarasa Bharati ◽  
S. Kalyanaraman
Keyword(s):  
Malignant Lymphoma ◽  
Epidural Space ◽  
Content Type ◽  
Patient Reported ◽  
Spinal Epidural ◽  
Fine Print

✓ A malignant lymphoma involving the spinal epidural space is reported in a 1½-year-old-boy. This is probably the youngest patient reported with a spinal epidural lymphoma.

Production of clinical form of chronic subdural hematoma in experimental animals

1972 ◽  
Vol 37 (5) ◽  
pp. 552-561 ◽  
Author(s):  
Satoru Watanabe ◽  
Hironobu Shimada ◽  
Shozo Ishii
Keyword(s):  
Cerebrospinal Fluid ◽  
Subdural Hematoma ◽  
Chronic Subdural Hematoma ◽  
Subdural Space ◽  
Clinical Form ◽  
Content Type ◽  
Experimental Animals ◽  
Fine Print

✓ A method for producing a clinical form of experimental chronic subdural hematoma is reported. When blood is mixed with cerebrospinal fluid and incubated, a peculiar clot is formed which, when inoculated into the subdural space of dogs or monkeys, grows gradually. Histologically the capsule of the hematoma is comparable to that seen in human chronic subdural hematoma. In some animals progressive hemiparesis develops.

Angiographic demonstration of a spinal epidural arteriovenous malformation

1993 ◽  
Vol 79 (1) ◽  
pp. 119-120 ◽  
Author(s):  
William C. Olivero ◽  
William C. Hanigan ◽  
Kerry W. McCluney
Keyword(s):  
Magnetic Resonance Imaging ◽  
Arteriovenous Malformation ◽  
Epidural Hematoma ◽  
Spinal Angiography ◽  
Resonance Imaging ◽  
Thoracic Pain ◽  
Content Type ◽  
Angiographic Demonstration ◽  
Spinal Epidural ◽  
Fine Print

✓ A 16-year-old boy presented with acute midline thoracic pain followed by rapidly progressive paraplegia. The initial neurological examination demonstrated a complete sensory and motor paraplegia, which significantly improved spontaneously over the following 2 days. Magnetic resonance imaging revealed a posterior epidural hematoma extending from the T-4 to T-6 vertebrae, and spinal angiography demonstrated an arteriovenous malformation (AVM) with a nidus of abnormal epidural vessels at the level of the T-5 vertebra, which was confirmed surgically. This case represents one of the first reports of a spinal epidural AVM confirmed by angiography.

Lymphatic fistula following myelomeningocele repair

1976 ◽  
Vol 45 (4) ◽  
pp. 452-454
Author(s):  
Lawrence C. Dempsey ◽  
Byron C. Pevehouse
Keyword(s):  
Successful Treatment ◽  
Content Type ◽  
Lymphatic Fistula ◽  
Myelomeningocele Repair ◽  
Fine Print

✓ The authors report a lymphatic fistula as a complication of myelomeningocele repair and discuss its pathophysiology and successful treatment.

Evaluation of a subdural pressure transducer

1972 ◽  
Vol 37 (1) ◽  
pp. 117-121 ◽  
Author(s):  
George T. Tindall ◽  
Charles P. McGraw ◽  
Hans O. Wendenburg ◽  
Herbert H. Peel
Keyword(s):  
Head Injury ◽  
Intracranial Pressure ◽  
Pressure Transducer ◽  
Pressure Gauge ◽  
Practical Method ◽  
Absolute Pressure ◽  
Subdural Space ◽  
Content Type ◽  
Acute Head Injury ◽  
Fine Print

✓ A simple practical method for monitoring intracranial pressure has been developed; it is based on a diaphragm-type, full-bridge, absolute-pressure gauge that is stable. The transducer is calibrated to absolute pressure at body temperature. It is placed in a trephine opening where it is in contact with the subdural space. The transducer is contained in a self-threading case that will fit in a 14 mm trephine opening. Its use in 30 patients with acute head injury is reported.

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