Hemorrhage into a lumbar synovial cyst causing an acute cauda equina syndrome

1994 ◽  
Vol 81 (3) ◽  
pp. 449-452 ◽  
Author(s):  
Stephen B. Tatter ◽  
G. Rees Cosgrove
Keyword(s):  
Back Pain ◽  
Surgical Treatment ◽  
Cauda Equina Syndrome ◽  
Unusual Case ◽  
Cauda Equina ◽  
Synovial Cyst ◽  
Pathological Features ◽  
Content Type ◽  
Gradual Onset ◽  
Fine Print

✓ Juxtafacet cysts of the lumbar spine have been reported with increasing frequency but their pathogenesis remains obscure. These cysts most frequently present with back pain, followed by chronic progressive radiculopathy or gradual onset of symptoms of spinal canal compromise. The authors report an unusual case of hemorrhage into a right L3–4 synovial cyst causing an acute cauda equina syndrome and describe its successful surgical treatment. The clinical, radiographic, and pathological features are discussed.

Posterior epidural migration of sequestered lumbar disc fragments

1999 ◽  
Vol 90 (2) ◽  
pp. 264-266 ◽  
Author(s):  
Pierre Robe ◽  
Didier Martin ◽  
Jacques Lenelle ◽  
Achille Stevenaert
Keyword(s):  
Cauda Equina Syndrome ◽  
Lumbar Disc ◽  
Contrast Material ◽  
Cauda Equina ◽  
Radicular Pain ◽  
Content Type ◽  
Diagnostic Pitfalls ◽  
Fine Print

✓ The posterior epidural migration of sequestered lumbar disc fragments is an uncommon event. The authors report two such cases in which patients presented with either intense radicular pain or cauda equina syndrome. The radiological characteristics were the posterior epidural location and the ring enhancement of the mass after injection of contrast material. The major diagnostic pitfalls are discussed.

Dermoid tumors of the spinal cord

1970 ◽  
Vol 33 (6) ◽  
pp. 676-681 ◽  
Author(s):  
Ian C. Bailey
Keyword(s):  
Spinal Cord ◽  
Low Back Pain ◽  
Back Pain ◽  
Cauda Equina ◽  
Complete Removal ◽  
Cord Compression ◽  
Conus Medullaris ◽  
Low Back ◽  
Content Type ◽  
Fine Print

✓ This is an analysis of 10 cases of dermoid tumor occurring in the spinal canal (8 lumbar and 2 thoracic). Low-back pain was the commonest presenting symptom, especially if the tumor was adherent to the conus medullaris. Other complaints included urinary dysfunction and motor and sensory disturbances of the legs. Clinical and radiological evidence of spina bifida was found in about half of the cases and suggested the diagnosis of a developmental type of tumor when patients presented with progressive spinal cord compression. At operation, the tumors were often found embedded in the conus medullaris or firmly adherent to the cauda equina, thus precluding complete removal. Evacuation of the cystic contents, however, gave lasting relief of the low-back pain and did not cause any deterioration in neurological function. In a follow-up study, ranging from 1 to 15 years, virtually no improvement in the neurological signs was observed. On the other hand, only one case has deteriorated due to recurrence of tumor growth.

Ankylosing spondylitis: cauda equina syndrome with multiple spinal arachnoid cysts

1971 ◽  
Vol 34 (2) ◽  
pp. 241-243 ◽  
Author(s):  
Wolf Rosenkranz
Keyword(s):  
Ankylosing Spondylitis ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Arachnoid Cysts ◽  
Content Type ◽  
Neural Canal ◽  
Fine Print

✓ A case of ankylosing spondylitis in a patient with a cauda equina syndrome is reported. A lumbar myelogram revealed erosions of the bones of the neural canal with enclosed multiple intraspinal cysts.

Sarcoid of the cauda equina

1977 ◽  
Vol 47 (1) ◽  
pp. 109-112 ◽  
Author(s):  
James N. Campbell ◽  
Perry Black ◽  
Peter T. Ostrow
Keyword(s):  
Nervous System ◽  
Unusual Case ◽  
Cauda Equina ◽  
Neurological Function ◽  
Content Type ◽  
Progressive Paraparesis ◽  
Fine Print

✓ An unusual case of sarcoid involving the cauda equina, resulting in progressive paraparesis, is presented. There was no evidence of sarcoid involvement outside the nervous system, and the diagnosis was established through thoracolumbar exploration. The patient was treated with steroids postoperatively, and had a moderate recovery of neurological function.

Giant gangliocytic paraganglioma of the filum terminale

1990 ◽  
Vol 73 (3) ◽  
pp. 459-461 ◽  
Author(s):  
Michel Djindjian ◽  
Patrick Ayache ◽  
Pierre Brugières ◽  
Denis Malapert ◽  
Marielle Baudrimont ◽  
...  
Keyword(s):  
Cauda Equina ◽  
Filum Terminale ◽  
Pathological Features ◽  
Gangliocytic Paraganglioma ◽  
Content Type ◽  
Considerable Similarity ◽  
Large Neurons ◽  
Clinical And Pathological Features ◽  
Fine Print

✓ The clinical and pathological features of a giant cauda equina paraganglioma arising from the intradural filum terminale is described. Scattered mature large neurons characterized the tumor as a gangliocytic paraganglioma. Histologically, these neoplasms have considerable similarity with ependymoma and the diagnosis can be easily missed unless special techniques are employed.

Posttraumatic lumbar epidural true synovial cyst

1973 ◽  
Vol 39 (2) ◽  
pp. 246-248 ◽  
Author(s):  
George W. Sypert ◽  
Richard W. Leech ◽  
A. Basil Harris
Keyword(s):  
Surgical Therapy ◽  
Cauda Equina ◽  
Synovial Cyst ◽  
Content Type ◽  
Cauda Equina Compression ◽  
Satisfactory Recovery ◽  
Fine Print

✓ A case is reported of posttraumatic epidural true synovial cyst causing cauda equina compression. Surgical therapy resulted in satisfactory recovery.

Surgical correction of lumbar kyphotic deformity: posterior reduction “eggshell” osteotomy

2000 ◽  
Vol 92 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Olumide A. Danisa ◽  
Dennis Turner ◽  
William J. Richardson
Keyword(s):  
Back Pain ◽  
Thoracolumbar Spine ◽  
Cauda Equina ◽  
Surgical Correction ◽  
Kyphotic Deformity ◽  
Lumbar Region ◽  
Content Type ◽  
The Mean ◽  
Fine Print

Object. Progressive kyphotic deformity of the lumbar or thoracolumbar spine may lead to back pain, cosmetic deformity, and risk of neurological compromise. The authors describe a series of patients in whom they performed a singlestage, posterior reduction (“eggshell”) osteotomy procedure to improve sagittal contour by creating lordosis within a single vertebral body. Methods. From 1995 to 1997 the authors performed 12 osteotomy procedures in 11 patients with thoracolumbar or lumbar kyphosis. Seven patients presented with iatrogenic deformity, three with deformity secondary to traumatic injury, and one patient with ankylosing spondylitis. Their mean age at time of surgery was 46.6 years (range 23–78 years). All patients suffered from back pain and were unable to stand upright, but in only one patient were neurological findings demonstrated. The mean preoperative deformity was −26° (range −90 to 0°). At 6-month follow-up examination the mean sagittal contour measured 17.5° (range −17 to 44°), indicating that the mean surgical correction was 40.1° (range 25 to 58°). All patients reported decreased back pain at follow up, and none required narcotic analgesic medication. Complications included a dense paresis that developed immediately postoperatively in a patient who was found to have residual dural compression, which was corrected by emergency decompressive surgery. One elderly patient suffered a perioperative cerebrovascular accident, and three patients suffered neurapraxia with transient muscle weakness of the quadriceps. There was one case of a dural tear. There were no deaths, and prolonged intensive care stays were not required. Conclusions. Single-level posterior reduction osteotomy provides excellent sagittal correction of kyphotic deformity in the lumbar region, with a risk of cauda equina and root and plexus compromise due to the extensive neural exposure.

Cauda equina syndrome of long-standing ankylosing spondylitis

1990 ◽  
Vol 73 (3) ◽  
pp. 441-447 ◽  
Author(s):  
Micam W. Tullous ◽  
Holger E. I. Skerhut ◽  
Jim L. Story ◽  
Willis E. Brown ◽  
Eduardo Eidelberg ◽  
...  
Keyword(s):  
Ankylosing Spondylitis ◽  
Magnetic Resonance ◽  
Mr Imaging ◽  
Cauda Equina Syndrome ◽  
Neurological Complication ◽  
Cauda Equina ◽  
Valuable Insight ◽  
Content Type ◽  
Insight Into ◽  
Fine Print

✓ Cauda equina syndrome as a neurological complication of long-standing ankylosing spondylitis was first reported in 1961. The syndrome is relatively uncommon and its pathophysiology is still poorly understood. Based on their experience with such a case, the authors review the clinical, electrographic, histological, and radiographic features of the syndrome, including the findings of magnetic resonance (MR) imaging. The addition of MR imaging to the evaluation of patients with ankylosing spondylitis and the cauda equina syndrome not only aids in the diagnosis of the syndrome but may also provide valuable insight into the pathophysiology of this condition.

Surgical treatment of cerebral metastases from lung cancer

1971 ◽  
Vol 35 (4) ◽  
pp. 416-420 ◽  
Author(s):  
Edwin E. MacGee
Keyword(s):  
Lung Cancer ◽  
Surgical Treatment ◽  
Operative Mortality ◽  
Cerebral Metastases ◽  
Cerebral Metastasis ◽  
Metastatic Lung Cancer ◽  
Content Type ◽  
Intracranial Surgery ◽  
Metastatic Lung ◽  
Fine Print

✓ Results in 27 cases of intracranial surgery for metastatic lung cancer are evaluated with regard to both the quality and duration of survival; 56% of the patients lived more than 1 year, with the longest survivor still living 32 months after operation. The operative mortality was 26%. These data suggest that intracranial surgery is worthwhile in patients with lung cancer when the cerebral metastasis is either solitary or single.

Circumferential fracture of the skull base causing craniocervical dislocation

2002 ◽  
Vol 97 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Ganesh Rao ◽  
Adam S. Arthur ◽  
Ronald I. Apfelbaum
Keyword(s):  
High Speed ◽  
Unusual Case ◽  
Motor Vehicle ◽  
Neurological Impairment ◽  
Craniocervical Junction ◽  
Motor Vehicle Accidents ◽  
Review Of The Literature ◽  
Content Type ◽  
Vehicle Accidents ◽  
Fine Print

✓ Fractures of the craniocervical junction are common in victims of high-speed motor vehicle accidents; indeed, injury to this area is often fatal. The authors present the unusual case of a young woman who sustained a circumferential fracture of the craniocervical junction. Despite significant trauma to this area, she suffered remarkably minor neurological impairment and made an excellent recovery. Her injuries, treatment, and outcome, as well as a review of the literature with regard to injuries at the craniocervical junction, are discussed.

Sign in / Sign up

Export Citation Format

Share Document