Anterior Epidural Irrigation in Patient with Lumbar Spinal Stenosis -A case report-

2004 ◽  
Vol 17 (2) ◽  
pp. 330 ◽  
Author(s):  
Bong Il Kim ◽  
Jong Hae Kim ◽  
Jun Seok Lee ◽  
Jin Yong Chung ◽  
Woon Seok Roh ◽  
...  
Neurosurgery ◽  
1988 ◽  
Vol 23 (1) ◽  
pp. 111-115 ◽  
Author(s):  
John Aryanpur ◽  
Thomas Ducker

ABSTRACT We describe a case of spondylotic lumbar spinal stenosis in an infirm elderly patient successfully treated with multilevel laminotomies. This procedure is less stressful to patients than a full laminectomy. In a selected subgroup of patients with “hourglass” spondylotic stenosis, it may provide adequate decompression.


2017 ◽  
Vol 36 (01) ◽  
pp. 38-42
Author(s):  
Lucas Meguins ◽  
Raphael Abílio ◽  
Herbert Santos ◽  
Linoel Valsechi ◽  
Elísio Duarte ◽  
...  

Introduction Schwannoma is a common intradural slow-growing, benign and encapsulated tumor that originates from the myelin sheaths of the nerve fibers. However, a lumbar schwannoma complicating the symptoms of spinal stenosis is an extremely rare association. Aim To describe the case of a woman presenting a lumbar schwannoma in association with spinal stenosis. Case Report A 53 year-old female was referred to neurosurgical evaluation due to the worsening of a lumbar pain that was irradiating to the left inferior leg along the anterolateral surface. A neurological examination revealed motor deficits for extension of the left leg and attenuation of the left patellar reflex. Magnetic resonance imaging (MRI) showed lumbar spinal stenosis due to flavum ligament hypertrophy and disc herniation in the L3L4 and L4L5 segments, and an expansive lesion with homogeneous contrast enhancement occupying the left neuroforamen of the L3L4 segment. The patient underwent surgical resection of the tumor and decompression of the stenotic segments with posterior screw instrumentation from L3 to L5. She presented an uneventful recovery and significant improvement of the lumbar pain, and was still free of symptoms 6 months after surgery. An anatomopathological examination defined the tumor as a schwannoma (Grade I – World Health Organization [WHO]). Conclusion The present study highlights that lumbar schwannoma is a possible etiology complicating the symptoms of patients with previous lumbar spinal stenosis. It is important to treat both pathologies to improve the patients' symptoms.


2021 ◽  
Vol 9 (5) ◽  
pp. 1096-1102
Author(s):  
Dan-Feng Xu ◽  
Bing Wu ◽  
Jin-Xin Wang ◽  
Jian Yu ◽  
Jian-Xin Xie

PM&R ◽  
2014 ◽  
Vol 6 (9) ◽  
pp. S193-S194
Author(s):  
Anupam Sinha ◽  
Madhuri Dholakia ◽  
Gautam Kothari

2018 ◽  
Vol 61 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Radek Hart

Lumbar spinal stenosis is a condition where the neural structures are compressed in the narrowed spinal canal and often situated only within a single specific segment of the spine, most frequently in the lumbar spine. A case report demonstrates a surgical solution of lumbar spinal stenosis with using oxidized cellulose as a prevention of post-operative adhesions and failed back syndrome. A female patient (68) with a significant pain of the lumbar spine lasting for a number of months due to advanced spondylosis, failing to respond to conservative treatment underwent instrumented, posterolateral fusion of affected segments. The patient re-arrived with pain due to spinal stenosis in another segments after 4 and then after 3 years. We repeatedly performed spinal fusion of the affected segments and applied an antiadhesive gel to the dural sac and the decompressed nerve roots to prevent the development of post-operative adhesions and the “failed back syndrome”. Last surgical solution included mobilisation of the simultaneously constricted dural sac through laminectomy. This time we covered the sac using a haemostat made of oxidized cellulose (Traumacel FAM). After this treatment, the patient was again without significant difficulties.


2014 ◽  
Vol 8 (1) ◽  
Author(s):  
Kimio Saito ◽  
Naohisa Miyakoshi ◽  
Michio Hongo ◽  
Yuji Kasukawa ◽  
Yoshinori Ishikawa ◽  
...  

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