Sacral epidural noncommunicating arachnoid cyst

✓ The authors examine the natural history of a spinal epidural arachnoid cyst and present their experience with its treatment in a 25-year-old man who presented with progressive cauda equina syndrome. Neuroimaging revealed two neighboring sacral epidural cysts. The cysts were completely removed via a sacral S1–4 laminectomy; no communication with the subarachnoid space could be found. The patient's postoperative course was uneventful. He experienced progressive improvement and, finally, complete resolution of symptoms and no recurrence of the cyst. Nabors Type I sacral epidural arachnoid cysts are rare; in some cases their origins and the mechanism by which they cause deterioration in the patients' clinical condition are debatable. Findings in the present case support the idea that some of these cysts are noncommunicating but progressive in their clinical presentation. This lesion type is also known to occur intracranially. A brief review of the literature is provided.

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Hydrocephalus in Spinal Muscular Atrophy: A Case Report and Review of the Literature

Journal of Pediatric Neurology ◽

10.1055/s-0040-1721131 ◽

2020 ◽

Author(s):

Jeetendra P. Sah ◽

Aaron W. Abrams ◽

Geetha Chari ◽

Craig Linden ◽

Yaacov Anziska

Keyword(s):

Spinal Muscular Atrophy ◽

Clinical Characteristics ◽

Clinical Presentation ◽

Muscular Atrophy ◽

Communicating Hydrocephalus ◽

Type I ◽

Review Of The Literature ◽

Radiographic Findings ◽

Comprehensive Review ◽

The Relationship

AbstractIn this article, we reported a case of spinal muscular atrophy (SMA) type I noted to have tetraventricular hydrocephalus with Blake's pouch cyst at 8 months of age following intrathecal nusinersen therapy. The association of hydrocephalus with SMA is rarely reported in the literature. Development of hydrocephalus after intrathecal nusinersen therapy is also reported in some cases, but a cause–effect relationship is not yet established. The aim of this study was to describe the clinical characteristics of a patient with SMA type I and hydrocephalus, to review similar cases reported in the literature, and to explore the relationship between nusinersen therapy and development of hydrocephalus. The clinical presentation and radiographic findings of the patient are described and a comprehensive review of the literature was conducted. The adverse effect of communicating hydrocephalus related to nusinersen therapy is being reported and the authors suggest carefully monitoring for features of hydrocephalus developing during the course of nusinersen therapy.

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Paraspinal gossybipoma: A case report and review of the literature

Journal of Neurosciences in Rural Practice ◽

10.4103/0976-3147.71725 ◽

2010 ◽

Vol 01 (02) ◽

pp. 102-104 ◽

Cited By ~ 11

Author(s):

Baris Kucukyuruk ◽

Huseyin Biceroglu ◽

Bashar Abuzayed ◽

Mustafa O Ulu ◽

Ali M Kafadar

Keyword(s):

Clinical Presentation ◽

Review Of The Literature ◽

Disk Herniation ◽

Serous Fluid ◽

Lumbar Disk Herniation ◽

Radiologic Findings ◽

Initial Surgery ◽

History Of ◽

Retained Surgical Sponges ◽

Operation Wound

ABSTRACTSpinal or paraspinal retained surgical sponges (gossybipoma or textiloma) are rare incidents and mostly asymptomatic in chronic cases, but can be confused with other masses such as a hematoma, an abscess or a tumor. In chronic cases, the presentation can be as late as decades after the initial surgery; however, some gossybipomas cause infection or abscess formation in the early stages. The authors report a 40-year-old woman with a history of operation for lumbar disk herniation before 8 months, and got admitted with a complaint of serous fluid leakage from the operation wound. In this report, the authors discuss the clinical presentation, the radiologic findings and the differential diagnosis of gossybipoma.

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Community-Acquired MRSA Pyomyositis: Case Report and Review of the Literature

Journal of Tropical Medicine ◽

10.1155/2011/970848 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 11

Author(s):

Douglas P. Olson ◽

Sarita Soares ◽

Sandhya V. Kanade

Keyword(s):

Epidural Abscess ◽

Surgical Intervention ◽

Cauda Equina ◽

Spinal Epidural Abscess ◽

Paraspinal Muscles ◽

Sensory Deficits ◽

Antibiotic Management ◽

History Of ◽

Spinal Epidural ◽

Repeat Imaging

Community-acquired methicillin-resistantStaphylococcus aureus(CA-MRSA) is responsible for a broad range of infections. We report the case of a 46-year-old gentleman with a history of untreated, uncomplicated Hepatitis C who presented with a 2-month history of back pain and was found to have abscesses in his psoas and right paraspinal muscles with subsequent lumbar spine osteomyelitis. Despite drainage and appropriate antibiotic management the patient's clinical condition deteriorated and he developed new upper extremity weakness and sensory deficits on physical exam. Repeat imaging showed new, severe compression of the spinal cord and cauda equina from C1 to the sacrum by a spinal epidural abscess. After surgical intervention and continued medical therapy, the patient recovered completely. This case illustrates a case of CA-MRSA pyomyositis that progressed to lumbar osteomyelitis and a spinal epidural abscess extending the entire length of the spinal canal.

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Idiopathic Granulomatous Mastitis Presenting as a Breast Pseudotumor: Case Reports with Review of the Literature

Case Reports in Rheumatology ◽

10.1155/2018/4264012 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5 ◽

Cited By ~ 2

Author(s):

Nour Abdul Halim ◽

Imad Uthman ◽

Rayan Rammal ◽

Hazem I. Assi

Keyword(s):

Clinical Presentation ◽

Case Reports ◽

Radiographic Finding ◽

Breast Disease ◽

Granulomatous Mastitis ◽

Women Of Childbearing Age ◽

Review Of The Literature ◽

Childbearing Age ◽

Idiopathic Granulomatous Mastitis ◽

History Of

Idiopathic granulomatous mastitis is a rare benign inflammatory breast disease that affects women of childbearing age with a history of breastfeeding. It usually presents as an enlarging breast mass that can greatly mimic breast cancer. Moreover, it does not have a specific radiographic finding, so the only way to reach a definitive diagnosis is by core biopsy and histology. Furthermore, a consensus regarding the best treatment modality has not been reached yet. In this report, we describe the cases of two patients who suffered from this disease, and to our knowledge, such a report is the first of its kind to address this topic in this region. Therefore, because of its uncommon nature and obscure presentation, we hereby report two cases of idiopathic granulomatous mastitis. The clinical presentation, treatment, and pathological findings are described, and a literature review on idiopathic granulomatous mastitis will be reported.

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Systemic Pseudohypoaldosteronism Type I: A Case Report and Review of the Literature

Case Reports in Pediatrics ◽

10.1155/2017/7939854 ◽

2017 ◽

Vol 2017 ◽

pp. 1-8 ◽

Cited By ~ 3

Author(s):

Nasifa Nur ◽

Cameron Lang ◽

Juanita K. Hodax ◽

Jose Bernardo Quintos

Keyword(s):

Differential Diagnosis ◽

Clinical Presentation ◽

Genetic Disorder ◽

Type I ◽

Review Of The Literature ◽

Severe Dehydration ◽

Salt Wasting ◽

Sodium Supplementation ◽

Pseudohypoaldosteronism Type

Systemic pseudohypoaldosteronism (PHA) type I is a rare genetic disorder resulting from mutations in the subunits of the epithelial sodium channel that manifests as severe salt wasting, hyperkalemia, and metabolic acidosis in infancy. In this article we report a patient with systemic PHA type I presenting with severe dehydration due to salt wasting at 6 days of life. She was found to have a known mutation in the SCNN1A gene and subsequently required treatment with sodium supplementation. We also review the clinical presentation, differential diagnosis, and treatment of systemic PHA type I and summarize data from 27 cases with follow-up data.

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Thoracic intramedullary arachnoid cyst in an infant

Journal of Neurosurgery Pediatrics ◽

10.3171/2008.10.peds08202 ◽

2009 ◽

Vol 3 (2) ◽

pp. 132-136 ◽

Cited By ~ 9

Author(s):

Fabian Medved ◽

Marcel Seiz ◽

Marc-Oliver Baur ◽

Eva Neumaier-Probst ◽

Jochen Tuettenberg

Keyword(s):

Arachnoid Cyst ◽

Complete Resolution ◽

Cystic Lesion ◽

Histopathological Examination ◽

Cord Compression ◽

Age Group ◽

Resonance Imaging ◽

Postoperative Course ◽

Sudden Loss ◽

Intramedullary Lesion

Symptomatic intramedullary arachnoid cysts are rare, especially in children; these lesions are rarely described as a cause of spinal cord compression in this age group. The authors report on an 18-month-old boy who experienced a sudden loss of his ability to stand and walk due to a paraparesis. Magnetic resonance imaging of the spine exhibited a cystic intramedullary lesion at the level of T5–6. A hemilaminectomy was performed, and after myelotomy the cystic lesion was decompressed by fenestration to the subarachnoid space. The histopathological examination verified the diagnosis of an arachnoid cyst. In the postoperative course the boy experienced complete resolution of the initial paraparesis.

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Obstetrical Outcomes of Head and Neck (Nonthyroid) Cancers: A 27-Year Retrospective Series and Literature Review

American Journal of Perinatology Reports ◽

10.1055/s-0039-1677876 ◽

2019 ◽

Vol 09 (01) ◽

pp. e15-e22

Author(s):

Ernesto Figueiró-Filho ◽

Richard Horgan ◽

Nidal Muhanna ◽

Jacqueline Parrish ◽

Jonathan Irish ◽

...

Keyword(s):

Head And Neck ◽

Clinical Presentation ◽

Demographic Data ◽

Perinatal Outcomes ◽

Rare Condition ◽

Review Literature ◽

Review Of The Literature ◽

Obstetrical Outcomes ◽

Time Period ◽

History Of

Objective To describe the clinical presentation and obstetrical outcomes of nonthyroid head and neck cancers (HNCs), and to review literature on this rare condition in pregnancy. Study Design Pregnant women with nonthyroid HNC were identified retrospectively from 1990 to 2017. Maternal, neonatal, pregnancy, and demographic data were collected. A review of the literature from January 1980 to May 2018 was performed. Results Over the 27-year time period, 16 women with history of nonthyroid HNC were identified (9 diagnosed during and 7 diagnosed before current pregnancy). The cases were analyzed in detail and the most updated review of management of each type of HNC was provided. Conclusions HNCs are rare with diagnosis and management challenges during pregnancy. In this series, the cases diagnosed and managed previously to pregnancy presented better perinatal outcomes than the cases presented during pregnancy. The maternal outcomes appeared similar for HNC diagnosed before or after pregnancy.

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Primary Intradural Classic Chondrosarcoma: Case Report and Literature Review

Neurosurgery ◽

10.1097/00006123-200102000-00038 ◽

2001 ◽

Vol 48 (2) ◽

pp. 420-423 ◽

Cited By ~ 3

Author(s):

Jark Jan Daniël Bosma ◽

Ramez Wadie Kirollos ◽

John Broome ◽

Paul Richard Eldridge

Keyword(s):

Case Report ◽

Adjuvant Radiotherapy ◽

Clinical Presentation ◽

Malignant Potential ◽

Review Of The Literature ◽

Resonance Imaging ◽

Image Guided ◽

History Of ◽

Grade Ii ◽

Exact Origin

Abstract OBJECTIVE AND IMPORTANCE The exact origin of rare intradural chondrosarcomas remains obscure. We present a case report of an intradural classic chondrosarcoma (a very rare subtype of chondrosarcoma in this location), with a review of the literature, in an attempt to clarify the histogenesis of these tumors. CLINICAL PRESENTATION A 48-year-old man presented with a 12-month history of progressive right hemiparesis. Computed tomography and magnetic resonance imaging demonstrated a left parietal space-occupying lesion. INTERVENTION The patient underwent an image-guided, left parietal parasagittal craniotomy. An extrinsic tumor, which seemed to arise from the dura, was macroscopically removed. There was no bone involvement. The histological examination revealed a Grade II classic chondrosarcoma with tumor infiltration into the dura. Adjuvant radiotherapy was administered. CONCLUSION Intradural chondrosarcomas are rare tumors, the majority of which are mesenchymal. Classic chondrosarcomas in this location are much rarer. Their histogenesis is uncertain. In this case, the origin seems to be from the dura. Because of the malignant potential of these tumors, radical extirpation whenever possible, followed by radiotherapy, is indicated.

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Syphilitic glomerulonephritis: case report and review of the literature

Orvosi Hetilap ◽

10.1556/oh.2015.30082 ◽

2015 ◽

Vol 156 (1) ◽

pp. 32-35

Author(s):

Norbert Wikonkál ◽

Patrícia Nagy ◽

Béla Tóth ◽

Márta Marschalkó ◽

András Tislér ◽

...

Keyword(s):

Nephrotic Syndrome ◽

Complete Resolution ◽

Urine Analysis ◽

Clinical Symptoms ◽

Rare Complication ◽

Review Of The Literature ◽

Protein Loss ◽

Penicillin Therapy ◽

History Of ◽

Penicillin Treatment

The authors report the history of a patient with syphilitic glomerulonephritis, a rare complication of syphilis. The patient was admitted to the hospital with clinical symptoms of neurosyphilis. During his hospital stay urine analysis revealed an extremely high proteinuria, that had not been known before. Intravenous penicillin treatment improved the renal protein loss, but it took a total of six months until complete resolution was achieved. The serology that confirmed the syphilis, the concomitant nephrotic syndrome and the improvement after penicillin therapy met the criteria of syphilitic glomerulonephritis. This case prompted the authors to review the literature about this rare complication of syphilis that has a great clinical significance. Orv. Hetil., 2015, 156(1), 32–35.

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