Intramedullary enterogenous cyst of the spinal cord

1982 ◽  
Vol 56 (2) ◽  
pp. 270-274 ◽  
Author(s):  
David M. F. Kwok ◽  
Richard V. Jeffreys
Keyword(s):  
Spinal Cord ◽  
Clinical Aspects ◽  
Histological Classification ◽  
Enterogenous Cyst ◽  
Content Type ◽  
Rare Lesion ◽  
Fine Print

✓ The authors describe a case of intramedullary enterogenous cyst of the spinal cord, and review the clinical aspects of this entity together with the histological classification. Discussions on the embryogenesis and pathogenesis of this rare lesion are reviewed and summarized.

Enterogenous cyst of the spinal cord with associated intestinal reduplication, vertebral anomalies, and a dorsal dermal sinus

1973 ◽  
Vol 38 (1) ◽  
pp. 73-77 ◽  
Author(s):  
Rosemary R. Millis ◽  
Alec E. Holmes
Keyword(s):  
Spinal Cord ◽  
Postmortem Examination ◽  
Dermal Sinus ◽  
Enterogenous Cyst ◽  
Pyogenic Meningitis ◽  
Content Type ◽  
Intramedullary Abscess ◽  
Vertebral Anomalies ◽  
Fine Print

✓ A case of midgut reduplication communicating with an enterogenous cyst of the spinal cord is described; midthoracic vertebral anomalies and an associated dorsal dermal sinus were present at the same level. The cyst presented as a pyogenic meningitis which at postmortem examination was seen to be associated with an extensive intraspinal and intramedullary abscess. The clinical and embryogenic features are discussed.

Intramedullary enterogenous cyst

1972 ◽  
Vol 36 (2) ◽  
pp. 235-238 ◽  
Author(s):  
William I. Silvernail ◽  
Richard B. Brown
Keyword(s):  
Spinal Cord ◽  
Surgical Management ◽  
Enterogenous Cyst ◽  
Associated Anomalies ◽  
Content Type ◽  
Radicular Symptoms ◽  
Fine Print

✓ A congenital enterogenous cyst lying within the spinal cord in the cervicothoracic region was investigated in a patient when it began to produce radicular symptoms. Its origin, associated anomalies, and surgical management are discussed.

Intramedullary spinal cord sarcoidosis

1972 ◽  
Vol 37 (2) ◽  
pp. 233-236 ◽  
Author(s):  
Howard Semins ◽  
G. Robert Nugent ◽  
Samuel M. Chou
Keyword(s):  
Spinal Cord ◽  
Mass Lesion ◽  
Intramedullary Spinal Cord ◽  
Content Type ◽  
Spinal Cord Sarcoidosis ◽  
Rare Lesion ◽  
Dorsal Laminectomy ◽  
Fine Print

✓ A dorsal laminectomy was performed on a 68-year-old woman with an intramedullary mass lesion, ultimately diagnosed as sarcoidosis. This rare lesion of the spinal cord is presented with references to similar cases.

High cervical spinal cord compression by an enterogenous cyst

1979 ◽  
Vol 51 (4) ◽  
pp. 556-559 ◽  
Author(s):  
Gavin C. A. Fabinyi ◽  
Judith E. Adams
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Clinical Course ◽  
Cervical Spinal Cord ◽  
Cord Compression ◽  
Enterogenous Cyst ◽  
Histological Findings ◽  
Content Type ◽  
High Cervical ◽  
Fine Print

✓ A case of enterogenous cyst causing compression of the spinal cord at C-1 is presented. The clinical course and radiological and histological findings are discussed.

Enterogenous cyst of the fourth ventricle

1981 ◽  
Vol 54 (6) ◽  
pp. 836-838 ◽  
Author(s):  
Farhad Afshar ◽  
Carl L. Scholtz
Keyword(s):  
Spinal Cord ◽  
Cyst Wall ◽  
Fourth Ventricle ◽  
Third Ventricle ◽  
Enterogenous Cyst ◽  
Content Type ◽  
The Third ◽  
Colloid Cysts ◽  
The Relationship ◽  
Fine Print

✓ A case of a benign cyst within the fourth ventricle is described. The histology of the cyst wall lining resembled that of an enterogenous cyst of the spinal cord. The relationship between this cyst, colloid cysts of the third ventricle, and enterogenous cysts of the spinal cord is discussed.

Teratomatous cyst of the spinal canal

1978 ◽  
Vol 49 (2) ◽  
pp. 292-297 ◽  
Author(s):  
Thomas J. Rosenbaum ◽  
Edward H. Soule ◽  
Burton M. Onofrio
Keyword(s):  
Spinal Cord ◽  
Spinal Canal ◽  
English Literature ◽  
Additional Case ◽  
Content Type ◽  
Histological Features ◽  
Rare Lesion ◽  
Fine Print

✓ A search of the English literature revealed 46 cases of primary intraspinal teratomas, of which 22 were teratomatous cysts of the spinal cord. To clarify the confusion regarding this rare lesion, the definition, origin, presentation, and histological features of the lesion are discussed. An additional case is presented.

Safety and efficacy of stereotactic radiosurgery for tumors of the spine

2004 ◽  
pp. 413-418 ◽  
Author(s):  
Deborah L. Benzil ◽  
Mehran Saboori ◽  
Alon Y. Mogilner ◽  
Ronald Rocchio ◽  
Chitti R. Moorthy
Keyword(s):  
Spinal Cord ◽  
Single Dose ◽  
Pain Relief ◽  
Total Dose ◽  
Stereotactic Radiosurgery ◽  
Medical Center ◽  
Primary Tumors ◽  
Content Type ◽  
Increased Risk ◽  
Fine Print

Object. The extension of stereotactic radiosurgery treatment of tumors of the spine has the potential to benefit many patients. As in the early days of cranial stereotactic radiosurgery, however, dose-related efficacy and toxicity are not well understood. The authors report their initial experience with stereotactic radiosurgery of the spine with attention to dose, efficacy, and toxicity. Methods. All patients who underwent stereotactic radiosurgery of the spine were treated using the Novalis unit at Westchester Medical Center between December 2001 and January 2004 are included in a database consisting of demographics on disease, dose, outcome, and complications. A total of 31 patients (12 men, 19 women; mean age 61 years, median age 63 years) received treatment for 35 tumors. Tumor types included 26 metastases (12 lung, nine breast, five other) and nine primary tumors (four intradural, five extradural). Thoracic tumors were most common (17 metastases and four primary) followed by lumbar tumors (four metastases and four primary). Lesions were treated to the 85 to 90% isodose line with spinal cord doses being less than 50%. The dose per fraction and total dose were selected on the basis of previous treatment (particularly radiation exposure), size of lesion, and proximity to critical structures. Conclusions. Rapid and significant pain relief was achieved after stereotactic radiosurgery in 32 of 34 treated tumors. In patients treated for metastases, pain was relieved within 72 hours and remained reduced 3 months later. Pain relief was achieved with a single dose as low as 500 cGy. Spinal cord isodoses were less than 50% in all patients except those with intradural tumors (mean single dose to spinal cord 268 cGy and mean total dose to spinal cord 689 cGy). Two patients experienced transient radiculitis (both with a biological equivalent dose (BED) > 60 Gy). One patient who suffered multiple recurrences of a conus ependymoma had permanent neurological deterioration after initial improvement. Pathological evaluation of this lesion at surgery revealed radiation necrosis with some residual/recurrent tumor. No patient experienced other organ toxicity. Stereotactic radiosurgery of the spine is safe at the doses used and provides effective pain relief. In this study, BEDs greater than 60 Gy were associated with an increased risk of radiculitis.

Posterior approach for cervical intramedullary arteriovenous malformation with diffuse-type nidus

1999 ◽  
Vol 91 (1) ◽  
pp. 105-111 ◽  
Author(s):  
Kenji Ohata ◽  
Toshihiro Takami ◽  
Alaa El-Naggar ◽  
Michiharu Morino ◽  
Akimasa Nishio ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Poor Prognosis ◽  
Posterior Approach ◽  
The Other ◽  
Anterior Spinal Artery ◽  
Neural Element ◽  
Feeding Artery ◽  
Diffuse Type ◽  
Content Type ◽  
Fine Print

✓ The treatment of spinal intramedullary arteriovenous malformations (AVMs) with a diffuse-type nidus that contains a neural element poses different challenges compared with a glomus-type nidus. The surgical elimination of such lesions involves the risk of spinal cord ischemia that results from coagulation of the feeding artery that, at the same time, supplies cord parenchyma. However, based on evaluation of the risks involved in performing embolization, together with the frequent occurrence of reperfusion, which necessitates frequent reembolization, the authors consider surgery to be a one-stage solution to a disease that otherwise has a very poor prognosis. Magnetic resonance (MR) imaging revealed diffuse-type intramedullary AVMs in the cervical spinal cords of three patients who subsequently underwent surgery via the posterior approach. The AVM was supplied by the anterior spinal artery in one case and by both the anterior and posterior spinal arteries in the other two cases. In all three cases, a posterior median myelotomy was performed up to the vicinity of the anterior median fissure that divided the spinal cord together with the nidus, and the feeding artery was coagulated and severed at its origin from the anterior spinal artery. In the two cases in which the posterior spinal artery fed the AVM, the feeding artery was coagulated on the dorsal surface of the spinal cord. Neurological outcome improved in one patient and deteriorated slightly to mildly in the other two patients. Postoperative angiography demonstrated complete disappearance of the AVM in all cases. Because of the extremely poor prognosis of patients with spinal intramedullary AVMs, this surgical technique for the treatment of diffuse-type AVMs provides acceptable operative outcome. Surgical intervention should be considered when managing a patient with a diffuse-type intramedullary AVM in the cervical spinal cord.

Traumatic arteriovenous fistula of the vertebral artery with spinal cord symptoms

1977 ◽  
Vol 46 (5) ◽  
pp. 681-687 ◽  
Author(s):  
Chikao Nagashima ◽  
Takashi Iwasaki ◽  
Seiichi Kawanuma ◽  
Arata Sakaguchi ◽  
Akira Kamisasa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Artery ◽  
Arteriovenous Fistula ◽  
Rapid Improvement ◽  
Direct Closure ◽  
Content Type ◽  
Vertebral Arteriovenous Fistula ◽  
Fine Print

✓ The authors report a case of a traumatic vertebral arteriovenous fistula with spinal cord symptoms. Direct closure of the fistula was followed by rapid improvement.

Split spinal cord malformations in children

1998 ◽  
Vol 88 (1) ◽  
pp. 57-65 ◽  
Author(s):  
Yusuf Ersşahin ◽  
Saffet Mutluer ◽  
Sevgül Kocaman ◽  
Eren Demirtasş
Keyword(s):  
Spinal Cord ◽  
Neurological Deficits ◽  
Single Type ◽  
Type I ◽  
Type Ii ◽  
Content Type ◽  
Spinal Lesion ◽  
The Mean ◽  
Fine Print

Object. The authors reviewed and analyzed information on 74 patients with split spinal cord malformations (SSCMs) treated between January 1, 1980 and December 31, 1996 at their institution with the aim of defining and classifying the malformations according to the method of Pang, et al. Methods. Computerized tomography myelography was superior to other radiological tools in defining the type of SSCM. There were 46 girls (62%) and 28 boys (38%) ranging in age from less than 1 day to 12 years (mean 33.08 months). The mean age (43.2 months) of the patients who exhibited neurological deficits and orthopedic deformities was significantly older than those (8.2 months) without deficits (p = 0.003). Fifty-two patients had a single Type I and 18 patients a single Type II SSCM; four patients had composite SSCMs. Sixty-two patients had at least one associated spinal lesion that could lead to spinal cord tethering. After surgery, the majority of the patients remained stable and clinical improvement was observed in 18 patients. Conclusions. The classification of SSCMs proposed by Pang, et al., will eliminate the current chaos in terminology. In all SSCMs, either a rigid or a fibrous septum was found to transfix the spinal cord. There was at least one unrelated lesion that caused tethering of the spinal cord in 85% of the patients. The risk of neurological deficits resulting from SSCMs increases with the age of the patient; therefore, all patients should be surgically treated when diagnosed, especially before the development of orthopedic and neurological manifestations.

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