Primary epidural Ewing's sarcoma presenting as a lumbar disc protrusion

1979 ◽  
Vol 51 (1) ◽  
pp. 120-123 ◽  
Author(s):  
Lawrence H. Fink ◽  
Michael W. Meriwether
Keyword(s):  
Epidural Space ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Lumbar Disc ◽  
Pertinent Literature ◽  
Disc Protrusion ◽  
Content Type ◽  
Primary Neoplasms ◽  
Spinal Epidural ◽  
Fine Print

✓ Primary neoplasms of the spinal epidural space are uncommon. One of the rarest of these is a soft tissue sarcoma indistinguishable from Ewing's sarcoma of the bone. Only 39 such cases have been reported previously, of which only three arose within the epidural space. The authors report an additional case, which presented in an atypical manner, and review the pertinent literature.

Brain and bone scans in primary Ewing's sarcoma of the petrous bone

1976 ◽  
Vol 44 (5) ◽  
pp. 608-612 ◽  
Author(s):  
Pete M. Fitzer ◽  
William R. Steffey
Keyword(s):  
Bone Scan ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Petrous Bone ◽  
Diagnosis And Treatment ◽  
Content Type ◽  
Brain Scan ◽  
Bone Scans ◽  
The Right ◽  
Fine Print

✓ The authors present a case in which primary Ewing's sarcoma of the right petrous pyramid in a 9-year-old girl showed no uptake on a 99mTc-pertechnetate nuclide angiogram. Intense uptake was present on a 99mTc-polyphosphate bone scan, but a static brain scan was only minimally abnormal. The diagnosis and treatment of Ewing's sarcoma are reviewed.

Lumbar disc protrusion in children

1981 ◽  
Vol 54 (4) ◽  
pp. 480-483 ◽  
Author(s):  
Robert G. Fisher ◽  
Richard L. Saunders
Keyword(s):  
Differential Diagnosis ◽  
Adult Patient ◽  
Lumbar Disc ◽  
Disc Protrusion ◽  
Content Type ◽  
Sciatic Pain ◽  
Major Complications ◽  
Refractory Case ◽  
Fine Print

✓ Forty-three cases of surgically treated lumbar disc protrusion in patients 21 years or younger are analyzed. The results were generally good. Ten percent of the patients required reoperation within 3 years. No major complications were experienced. Follow-up observation ranged from 4 to 30 years. Disc protrusion should be considered in the differential diagnosis of children with back and sciatic pain, and early myelography should be carried out in the refractory case. The symptoms, signs, myelograms, and surgical findings are usually similar to those of the adult patient with a disc protrusion.

scholarly journals Adult Primary Spinal Epidural Extraosseous Ewing’s Sarcoma: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Mark Bustoros ◽  
Cheddhi Thomas ◽  
Joshua Frenster ◽  
Aram S. Modrek ◽  
N. Sumru Bayin ◽  
...  
Keyword(s):  
Epidural Space ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Gross Total Resection ◽  
Review Of The Literature ◽  
Total Resection ◽  
Improved Outcomes ◽  
Rare Malignancy ◽  
Extraosseous Ewing’S Sarcoma ◽  
Spinal Epidural

Background. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare malignancy, especially in adults.Case Presentation. A 40-year-old male presented with back pain and urinary hesitancy. MRI revealed a thoracic extradural mass with no osseous involvement. He underwent surgery for gross total resection of the mass, which was diagnosed as Ewing’s sarcoma. He was subsequently treated with chemoradiotherapy. He remains disease-free 1 year after surgery. Review of the literature indicated only 45 previously reported cases of spinal epidural extraosseous Ewing’s sarcoma in adults.Conclusions. Extraosseous Ewing’s sarcoma in the spinal epidural space is a rare clinical entity that should be included in the differential for spinal epidural masses. Its treatment is multidisciplinary but frequently requires surgical intervention due to compressive neurologic symptoms. Gross total resection appears to correlate with improved outcomes.

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.

Intervertebral bone implants following excision of protruded lumbar discs

1975 ◽  
Vol 42 (4) ◽  
pp. 401-405 ◽  
Author(s):  
Lee A. Christoferson ◽  
Bradford Selland
Keyword(s):  
Conservative Treatment ◽  
Intervertebral Disc ◽  
Lumbar Disc ◽  
Leg Pain ◽  
Intervertebral Disc Space ◽  
Disc Space ◽  
Disc Protrusion ◽  
Content Type ◽  
Back Surgery ◽  
Fine Print

✓ The authors describe a technique whereby a portion of the lamina removed during exposure of an intervertebral lumbar disc protrusion is implanted in the intervertebral disc space following disc excision. An analysis of 456 consecutive cases operated on by this technique and followed from 1 to 10 years is presented. Of the 418 patients followed, 92% indicated they were able to return to their normal activities and were satisfied with the result. Thirty percent of the patients indicated they had required some conservative treatment for recurrent episodes of back or leg pain. Ten patients had subsequent back surgery; only one implant has dislocated.

scholarly journals Extraosseous Ewing’s Sarcoma in Spinal Epidural Space

2018 ◽  
Vol 3 (4) ◽  
pp. 1003-1007
Author(s):  
Luis Espín ◽  
Julio Quispe-Alcocer ◽  
Gabriela Espín ◽  
Jorge Villacís-Sandoval ◽  
Jesús Castro-Viteri
Keyword(s):  
Neural Crest ◽  
Epidural Space ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Neuroectodermal Tumors ◽  
The Family ◽  
Extraosseous Ewing’S Sarcoma ◽  
Spinal Epidural

Extraosseous Ewing’s sarcoma belongs to the family of neuroectodermal tumors that de- rive from the neural crest, characteristic of its aggressiveness. Several locations have been described, however, epiduralpresentationisrare. Prognosishasbeenimprovedbynewoncologicalregimensandothertherapeutic targets are being studied.

Absence of limitation of straight leg raising in proved lumbar disc lesion

1980 ◽  
Vol 52 (6) ◽  
pp. 852-853 ◽  
Author(s):  
B. Ramamurthi
Keyword(s):  
Lumbar Disc ◽  
Full Range ◽  
Clinical Signs ◽  
The Other ◽  
Nerve Roots ◽  
Disc Protrusion ◽  
Content Type ◽  
Straight Leg Raising ◽  
Important Sign ◽  
Fine Print

✓ The absence of the classical clinical sign of limitation of straight leg raising is reported in one patient and summarized in 14 others who had all the other clinical signs of disc protrusion and in whom the disc lesion was proved by myelography and at surgery. It is postulated that the absence of this important sign may be explained by the daily habits of patients who stoop and bend to perform their household duties. Such posture leads to an elongation of the nerve roots, which permits a full range of straight leg raising. It is worth remembering that this sign may be absent in some patients with a disc lesion.

Microsurgical reoperation following lumbar disc surgery

1989 ◽  
Vol 70 (3) ◽  
pp. 397-404 ◽  
Author(s):  
Uwe Ebeling ◽  
H. Kalbarcyk ◽  
H. J. Reulen
Keyword(s):  
Lumbar Disc ◽  
Time Interval ◽  
Epidural Fibrosis ◽  
Lumbar Intervertebral Disc ◽  
Disc Protrusion ◽  
Content Type ◽  
Disc Surgery ◽  
True Recurrence ◽  
Working Capability ◽  
Fine Print

✓ Ninety-two patients who underwent microsurgical reoperation for persistent or new complaints following initial lumbar intervertebral disc surgery were evaluated retrospectively. Sixty percent of all pain relapses occurred within 1 year following the first operation; thereafter, the probability of a relapse declined steadily and was as low as 0.1% per year between 5 and 20 years. The results of microsurgical reoperation in terms of pain relief and working capability were considered “excellent” in 22% of patients, “good” in 30%, and “satisfactory” in 29%. Thus, 81% of the patients could be considered as treated successfully and in 19% the result was not successful. The most common intraoperative findings were: a true recurrence at the same level in 43% of cases, a new herniation at another level in 15%, and a small recurrent fragment embedded in epidural fibrosis in 23%. Five percent of patients had severe epidural fibrosis as the only pathology. In 15%, reoperation was performed within 1 month to treat persisting pain, and either a missed disc fragment, an inadequately decompressed lateral recess, or an unrecognized second-level disc protrusion was found. The clinical outcome is affected predominantly by the intraoperative pathology and the time interval between the first and second operation. An excellent or good outcome was usually achieved in patients with a recurrence of pain after 1 year resulting from a true recurrent disc or a new herniation at another level. In contrast, very unfavorable results were noted with most reoperations performed during the 1st year when extensive epidural fibrosis (or fibrosis with a small recurrence) was present.

Ewing's Sarcoma Arising Primarily in the Spinal Epidural Space: Fifth Case Report

Neurosurgery ◽  
1983 ◽  
Vol 12 (3) ◽  
pp. 337-341 ◽  
Author(s):  
Renato Spaziante ◽  
Enrico de Divitiis ◽  
Arcangelo Giamundo ◽  
Arturo Gambardella ◽  
Bartolo Di Prisco
Keyword(s):  
Case Report ◽  
Local Recurrence ◽  
Complete Remission ◽  
Epidural Space ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Neurological Condition ◽  
Spinal Epidural

Abstract Ewing's sarcoma is found exceptionally as a primary epidural tumor of the spine. Four cases have been described in the literature. We describe the fifth case: a 10-year-old boy who underwent operation followed by radiotherapy and chemotherapy. For 1 year he then had a complete remission with no local recurrence and his neurological condition was satisfactory, although metastases developed later. Comparison with the cases described previously shows all five to possess interesting features in common.

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