scholarly journals Spinal cord compression with acute para-paresis due to thoracic aneurysmal bone cyst (ABC): a case report and review of the literature

2021 ◽  
Vol 6 (10) ◽  
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Cord Compression ◽  
Appendicular Skeleton ◽  
Aneurysmal Bone Cysts ◽  
Acute Paraparesis ◽  
Time Of Admission

Aneurysmal bone cysts (ABCs) are benign, highly vascular osseous lesions characterized by cystic, blood-filled spaces surrounded by thin perimeters of expanded bone. Children and young adults are most often affected by spinal ABCs; more than 75% of patients are younger than 20 years old at the time of presentation. Although ABCs have been documented in all areas of the axial and appendicular skeleton, ABCs of the spine present unique challenges due to the risk of vertebral destabilization, pathological fracture, and vertebral body (VB) collapse with neurological compromise. We describe here a case of a 12-year-old child who presented with cervical pain and gait disturbances starting a few weeks prior to his admission with acute paraparesis at the time of admission. Subsequently he was found to have a Thoracic ABC involving T1-T3.This was accompanied by T2 vertebral body collapse and spinal cord compression. He was investigated and treated promptly by resection of the aneurysmal bone cyst with posterior Cervical-thoracic instrumentation. There was full post-operative neurological resolution.

Aneurysmal Bone Cyst as a Rare Cause of Spinal Cord Compression in a Young Child

Spine ◽  
2005 ◽  
Vol 30 (3) ◽  
pp. E80-E82 ◽  
Author(s):  
Sunny D. Deo ◽  
Jeremy C.T. Fairbank ◽  
James Wilson-Macdonald ◽  
Peter Richards ◽  
Michael Pike ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Young Child ◽  
Spinal Cord Compression ◽  
Aneurysmal Bone Cyst ◽  
Bone Cyst ◽  
Cord Compression

scholarly journals Vertebrobasilar insufficiency caused by cervical aneurysmal bone cyst – Case report

2014 ◽  
Vol 33 (02) ◽  
pp. 155-159
Author(s):  
Benjamim Pessoa Vale ◽  
Eduardo Leitão de Almeida Lima ◽  
Ana Clara Mourão Barreto ◽  
Luciano Arruda Macedo
Keyword(s):  
Spinal Cord ◽  
Aneurysmal Bone Cyst ◽  
Cervical Vertebrae ◽  
Bone Cyst ◽  
Clinical Manifestations ◽  
Cord Compression ◽  
Vertebrobasilar Insufficiency ◽  
Level Of Involvement ◽  
Aneurysmal Bone Cysts ◽  
The Right

Aneurysmal bone cysts (ABC) are benign bone tumors of relatively rare occurrence. Most of the lesions occur at long bones, vertebrae and flat bones. However, the cervical vertebrae involvement is uncommon. Occasionally, the ABCs compress the spinal cord and nerve roots. Depending on the level of involvement and the extent of spinal cord compression, a wide variety of neurological symptoms and signs may be noted later, ranging from mild radiculopathy to complete paraplegia or tetraplegia. A case of aneurysmal bone cyst involving the second and third cervical vertebrae in a 15 years old patient, causing compression of the right vertebral artery and subsequent vertebrobasilar insufficiency is reported. We also discuss the clinical manifestations of the vertebrobasilar insufficiency, of the spinal compression, and the surgery treatment performed in this case.

Thoracic Spinal Angiomyolipoma: Case Report and Literature Review

Neurosurgery ◽  
1985 ◽  
Vol 16 (3) ◽  
pp. 406-411 ◽  
Author(s):  
Roger von Hanwehr ◽  
Michael L. J. Apuzzo ◽  
Jamshid Ahmadi ◽  
Parakrama Chandrasoma
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Literature Review ◽  
Surgical Management ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Rare Case ◽  
Cord Compression ◽  
Biological Behavior ◽  
Thoracic Spinal

Abstract A rare case of thoracic spinal angiomyolipoma presenting with evidence of vertebral body infiltration and concurrent epidural spinal cord compression is described. Clinicopathological correlates, aspects of radiological diagnosis, considerations for surgical management, and histopathological features denoting possible unique attributes of biological behavior for this entity are discussed in conjunction with a review of the previous literature on angiolipomas in general.

scholarly journals Time Pattern of Referral for Spinal Cord Compression Due to Vertebral Body Metastases

2019 ◽  
Vol 105 (1) ◽  
pp. E579
Author(s):  
M. Oshima ◽  
T. Kawamoto ◽  
N. Yamaguchi ◽  
Y. Kosugi ◽  
K. Miyazawa ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Time Pattern

VERTEBRAL COMPRESSION FRACTURES IN PATIENTS PRESENTING WITH METASTATIC EPIDURAL SPINAL CORD COMPRESSION

Neurosurgery ◽  
2009 ◽  
Vol 65 (2) ◽  
pp. 267-275 ◽  
Author(s):  
Kaisorn L. Chaichana ◽  
Courtney Pendleton ◽  
Jean-Paul Wolinsky ◽  
Ziya L. Gokaslan ◽  
Daniel M. Sciubba
Keyword(s):  
Spinal Cord ◽  
Regression Analysis ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Motor Deficit ◽  
Pathological Fractures ◽  
Compression Fractures ◽  
Ambulatory Status ◽  
Vertebral Body Fractures

Abstract OBJECTIVE Metastatic epidural spinal cord compression (MESCC) is a relatively common and debilitating complication of metastatic disease that often results in neurological deficits. Pathological fractures of the vertebral body in patients with MESCC are not uncommon. The goals of this study were to evaluate the effects of compression fractures on long-term neurological function, as well as understand the factors that predict the development of pathological fractures for patients with MESCC. METHODS One hundred sixty-two patients undergoing decompressive surgery for MESCC at an academic tertiary care institution from 1995 to 2007 were retrospectively reviewed. Multivariate proportional hazards regression analysis was used to assess the effects of pathological vertebral body fractures on ambulatory outcome, whereas multivariate logistical regression analysis was used to identify factors associated with preoperative compression fractures. RESULTS Sixty and 102 patients presented with and without pathological vertebral body fractures, respectively, and MESCC. Patients were followed for a mean of 9.7 ± 2.6 months. The presence of preoperative compression fractures was independently associated with decreased postoperative ambulatory status (odds ratio, 2.106; 95% confidence interval, 1.123–4.355; P = 0.03). This was independent of age, preoperative ambulatory status, preoperative motor deficit, duration of preoperative symptoms, immediate postoperative motor deficit, and lytic tumor appearance. The factors strongly associated with preoperative compression fractures in this study include lack of sensory deficits (P = 0.01), primary breast cancer (P = 0.008), anterior spine metastases (P = 0.005), thoracic spine involvement (P = 0.01), preoperative chemotherapy (P = 0.03), and, possibly, preoperative radiation therapy (P = 0.16). CONCLUSION The findings of this study may provide insight into risk stratifying as well as guiding surgical management for patients with MESCC.

scholarly journals Clinical implications morphometric study of the cervical spine on MRI

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Swati S.More ◽  
Anita R. Gune ◽  
Jeetendra K. Patil
Keyword(s):  
Spinal Cord ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Spinal Canal ◽  
Cord Compression ◽  
Cervical Region ◽  
Canal Stenosis ◽  
Cervical Spinal Canal ◽  
Canal Diameter ◽  
Increased Risk

Degenerative changes, history of trauma or inflammation usually progressed to cervical spinal canal stenosis.  This condition leads to cervical spondylosis neuropraxia and cervical spondylotic myelopathy (CSM). SAC (space available for the cord) value is important to understand the symptoms of spinal cord compression in cervical canal stenosis. The aim of our study is to establish cervical spinal canal morphometry in Western Maharashtra population observed by MRI of cervical region.70 subjects aged between 18-70 years. The sagittal vertebral body diameter, the sagittal spinal canal diameter and the sagittal spinal-cord diameter were measured at the C3 - C7 level. The SAC was determined. For each variable a two-way ANOVA was performed, sagittal canal diameter, sagittal spinal cord diameter and SAC were significant with p-value P< 0.0001**. Mean vertebral body diameters observed were 1.49-1.51. Values of SAC observed were C3-1.5 cm, C4- 1.51cm, C5- 1.49cm, C6- 1.5cm, C7- 1.49cm. Average sagittal spinal canal diameter from C3-C7 was 14.1± 1.3 mm. The range of SAC was between 6.4-9.5mm, least at the C5 level. We conclude that subjects in our study do not have an increased risk of spinal cord compression.

scholarly journals Vertebral hemangiosarcoma as a cause of spinal cord compression in a horse

1997 ◽  
Vol 27 (3) ◽  
pp. 503-504 ◽  
Author(s):  
Claudio Severo Lombardo de Barros
Keyword(s):  
Spinal Cord ◽  
Bone Tissue ◽  
Vertebral Body ◽  
Spinal Cord Compression ◽  
Hind Limb ◽  
Wallerian Degeneration ◽  
Cord Compression ◽  
Vertebral Canal

A case compression of the spinal cord in a horse by a tumor located in the vertebra is described. A 10-year-old gelding was euthanized after being found recumbent with hind limb paresis of unknown duration. At necropsy an hemangiosarcoma was detected in the vertebral body of T3. The tumoral mass invaded upwards through the bone tissue of the vertebral body into the vertebral canal, compressing the spinal cord and causing Wallerian degeneration at T1-3 levels of the cord.

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