Uterus-like mass of müllerian origin in the lumbosacral region causing cord tethering

2007 ◽  
Vol 6 (1) ◽  
pp. 73-76 ◽  
Author(s):  
Mehar Chand Sharma ◽  
Chitra Sarkar ◽  
Deepali Jain ◽  
Vaishali Suri ◽  
Ajay Garg ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spinal Dysraphism ◽  
Tethered Cord ◽  
Conus Medullaris ◽  
Mass Lesion ◽  
Pathological Examination ◽  
Low Back ◽  
Lumbosacral Region ◽  
First Case

✓The presence of müllerian-origin tissue in the lumbosacral region is extremely uncommon. The authors report two cases of müllerian-origin tissue in that region. In the first case a 33-year-old woman harbored a conus medullaris mass lesion. Spinal dysraphism, tethered cord syndrome (TCS), and diastematomyelia were also present. In the second case a 24-year-old woman presented with low-back pain and a conus medullaris lesion, which was a cause of the TCS. Pathological examination in both cases revealed a uterus-like structure with evidence of fresh and old hemorrhage. The rarity of this lesion and its association with diastematomyelia requires documentation.

scholarly journals Spina Bifida Occulta in an Adult Presenting as Perilesional Hemorrhage

2016 ◽  
Vol 06 (01) ◽  
pp. 079-081
Author(s):  
Amit Agrawal ◽  
Vissa Santhi ◽  
Ranjan Jena ◽  
Umamaheswara Reddy V ◽  
Yashwant Sandeep
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Spina Bifida ◽  
Histopathological Examination ◽  
Spinal Dysraphism ◽  
Spina Bifida Occulta ◽  
Lumbosacral Spine ◽  
Low Back ◽  
Lumbosacral Region ◽  
Altered Blood

AbstractOccult spinal dysraphism with spinal lipoma, is a rare congenital spinal dysraphic anomaly which usually involves lumbosacral region and manifests in childhood. In the present article, we discuss a case of a 26-year-old man who developed sudden low back pain following intercourse. Magnetic resonance imaging of the lumbosacral spine was suggestive of spina bifida occulta with hemorrhage. The patient underwent a L4–5 laminectomy in the emergency. There was the presence of altered blood in the vicinity of the lesion suggestive of recent hemorrhage. Histopathological examination of the lesion was suggestive of the lipoma. In the present case, the patient had occult spina bifida due to lumbosacral lipoma leading to the tethering of the dura. Strenuous activity resulted in overstretching of the tethered structures and subsequent hemorrhage and intense low back pain which responded well to the surgical treatment.

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.

Low back pain and sciatica as the presenting symptoms of neurinoma near the conus medullaris. Contribution of magnetic resonance imaging

2005 ◽  
Vol 72 (2) ◽  
pp. 187-189 ◽  
Author(s):  
Latifa Harzallah ◽  
Elyès Bouajina ◽  
Mehdi Ghannouchi ◽  
Habib Amara ◽  
Lamia Ben Chérifa ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Low Back Pain ◽  
Back Pain ◽  
Magnetic Resonance ◽  
Conus Medullaris ◽  
Low Back ◽  
Resonance Imaging ◽  
Presenting Symptoms

scholarly journals The many faces of primary cauda equina myxopapillary ependymoma: clinicoradiological manifestations of two cases and review of the literature

2017 ◽  
Vol 31 (3) ◽  
pp. 385-390
Author(s):  
Mohammad Zare Mehrjardi ◽  
Samira Mirzaei ◽  
Hamid Reza Haghighatkhah
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Imaging Modality ◽  
Cauda Equina ◽  
Young Patients ◽  
Clinical Manifestations ◽  
Conus Medullaris ◽  
Lower Limbs ◽  
Myxopapillary Ependymoma ◽  
Low Back

Abstract Introduction: Myxopapillary ependymoma (MPE) is a benign and slow growing tumor that originates exclusively from the conus medullaris and cauda equina nervous tissue. It occurs more commonly in young patients. In addition, clinical presentations are non-specific and may mimic benign conditions. Magnetic resonance imaging (MRI) is the imaging modality of choice for evaluating this tumor. We hereby report on two young patients with long-lasting non-specific symptoms, which were clinically attributed to benign conditions. However, cauda equina tumor was revealed on MRI in both patients. Case report: Two cases of cauda equina MPE, a 19-year-old female and a 38-year-old male, with different clinical manifestations are reported. The first patient presented with paresis and paresthesia of the lower limbs, and the second patient’s complaint was chronic low-back pain and urinary incontinence. In both cases, MRI detected a tumor originated from the cauda equina, and histopathologic examination was compatible with MPE. Conclusion: Cauda equina tumors should be considered as a differential diagnosis in the young patients presented with neurologic deficits in the lower limbs, sphincter or erectile dysfunction, and even a simple low-back pain (particularly when symptoms are long-lasting and/or progressive).

Adipose Tissue in the Filum Terminale: A Computed Tomographic Finding That May Indicate Tethering of the Spinal Cord

Neurosurgery ◽  
1988 ◽  
Vol 22 (5) ◽  
pp. 873-876 ◽  
Author(s):  
Roger E. McLendon ◽  
Jerry W. Oakes ◽  
Ralph E. Heinz ◽  
Andrew E. Yeates ◽  
Peter C. Burger
Keyword(s):  
Spinal Cord ◽  
Adipose Tissue ◽  
Low Back Pain ◽  
Back Pain ◽  
Ct Scan ◽  
Tethered Cord ◽  
Ct Scanning ◽  
Low Back ◽  
Filum Terminale ◽  
Computed Tomographic

Abstract Adipose tissue in the filum terminale is frequently associated with tethering of the spinal cord in patients with spina bifida occulta (3, 8). We recently saw a patient with low back pain and no spina bifida occulta, in whom adipose tissue was noted in the area of the filum on an unenhanced computed tomographic (CT) scan. The patient had a tethered cord. This case suggested that, when CT scanning is done as the first imaging study in the evaluation of low back pain, fatty tissue in the area of the filum may be an indicator for tethering of the spinal cord. The present study was undertaken to determine the validity of using CT scan-detectable filal fat in the identification of possible tethered spinal cords among a group of patients experiencing low back pain. The presence of fat in the fila of 12 patients with the radiologically and histologically tethered cord syndrome was evaluated and the fila of 47 autopsied patients whose clinical history showed no back pain were examined histologically. There were accumulations of adipose tissue in the fila of 11 of the 12 (91%) patients with the tethered cord syndrome and in the fila of 9 of the 47 patients (17%) in the autopsy series. Of the 9 autopsy patients with fat in their fila, however only 3 patients (6%) exhibited collections of adipose tissue in the CT detection range (2 mm). These results demonstrate that, although CT scan-detectable adipose tissue can be found in the filum of an occasional patient without tethered cord, CT detectable fat in the filum of a patient with low back pain should prompt an evaluation for a tethered spinal cord. CT scanning has potential as a noninvasive tool in such a work-up.

scholarly journals A rare case of Ganglioneuroblastoma Encapsulated in Pheochromocytoma

2016 ◽  
Vol 59 (2) ◽  
pp. 67-69
Author(s):  
Nathália Vieira Sousa ◽  
Luísa Coelho Marques de Oliveira ◽  
Paulo José Oliveira Cortez ◽  
Vitor Engrácia Valenti ◽  
David Mathew Garner ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Low Back Pain ◽  
Back Pain ◽  
Rare Case ◽  
Pathological Examination ◽  
Low Back ◽  
Tumor Excision ◽  
Rare Association ◽  
Immunohistochemistry Analysis ◽  
Small Focus

Pheochromocytoma and Ganglioneuroblastoma are separate diseases and a rare combination in which the diagnosis can only be confirmed by pathological examination after tumor excision. We reported here a case of ganglioneuroblastoma encapsulated in pheochromocytoma. The patient is a woman, 73 years old, hypertensive, with hypothyroidism, associated for 15 years with hypercholesterolemia and hypertriglyceridemia, which had frequent complaints of low back pain. She underwent magnetic resonance and the findings were consistent with the diagnosis of pheochromocytoma. After surgery, anatomic, pathologic and immunohistochemistry analysis confirmed the diagnosis of pheochromocytoma composed by small ganglioneuroblastoma representation with the identification of small focus of infiltration of the adrenal capsule and adipose tissue by pheochromocytoma. This rare association can instigate the discussion of methods of diagnosis, more effective and more appropriate treatments for each patient.

scholarly journals WHOLE BODY PHYSICAL TRAINING IN THE TREATMENT OF CHRONIC LOW BACK PAIN

2021 ◽  
Vol 27 (3) ◽  
pp. 342-345
Author(s):  
Kaiya Xu
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Physical Training ◽  
Whole Body ◽  
Control Group ◽  
Observation Group ◽  
Low Back ◽  
Lumbosacral Region ◽  
Level Of Evidence

ABSTRACT Introduction Chronic low back pain (CNLBP) manifests as chronic lumbosacral and hip pain, affecting athletes’ daily training and competition. Whole-body sports training can significantly improve the strength of the core muscles of the lumbosacral region and has certain advantages in the treatment of chronic low back pain. Object We study the therapeutic effect of whole-body physical training on athletes’ chronic low back pain (CNLBP). Method We selected 60 athletes with chronic low back pain patients. At the same time, we divide it into a control group and an observation group. The control group received conventional treatment, and the observation group received full-body physical training on this basis. After two months, the relevant physiological indicators of the patients were compared. Result After treatment, all physiological indexes of the two groups have great differences. Conclusion Whole-body physical training can significantly reduce athletes’ back pain symptoms and help restore professional athletes to regular training. Level of evidence II; Therapeutic studies - investigation of treatment results.

scholarly journals Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing

2021 ◽  
Vol 37 (6-WIT) ◽  
Author(s):  
Linyan Dong ◽  
Junhong Li ◽  
Mixia Zhao ◽  
Jing Ren
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Postoperative Complications ◽  
Success Rate ◽  
Color Doppler ◽  
Pathological Examination ◽  
Low Back ◽  
Subcapsular Hematoma ◽  
Puncture Biopsy ◽  
Information Image

Objectives: This study was to explore the application value of B-ultrasound in guiding puncture biopsy of chronic kidney disease (CKD) and the clinical nursing effects under the guidance of B-ultrasound. Methods: Pathological examination of kidney biopsy was performed on 94 patients with CKD under the guidance of ultrasound from August 2020 to December 2020.; patients were observed for symptoms such as low back pain, backache, hematuria, and subcapsular hematoma. Color Doppler ultrasonography was performed on the punctured patients on day 1, 2, and 3 to observe whether there was subrental hematoma. The pathological results were analyzed and the success rate of percutaneous renal biopsy under ultrasound guidance was analyzed. Before the patient was discharged, investigate the satisfaction with the nursing work. Results: (1) After the puncture, 45 patients developed low back pain and low back pain symptoms, 12 cases developed subcapsular hematoma; 8 cases showed gross hematuria, 62 cases showed microscopic hematuria, and the rest had no obvious symptoms; (2) the nursing satisfaction rate of 94 cases was as high as 95.7%. Conclusion: US-PRB is a safe and effective auxiliary examination method, which can improve the success rate of puncture and reduce postoperative complications. Effective nursing can reduce the incidence of postoperative complications and improve patient satisfaction. doi: https://doi.org/10.12669/pjms.37.6-WIT.4831 How to cite this:Dong L, Li J, Zhao M, Ren J. Application of B-ultrasound information image in Renal Puncture Biopsy treatment and Nursing. Pak J Med Sci. 2021;37(6):1564-1568. doi: https://doi.org/10.12669/pjms.37.6-WIT.4831 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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