scholarly journals Spinal Tuberculosis (Pott's disease) Mimicking Paravertebral Malignant Tumor in a Child Presenting with Spinal Cord Compression

2012 ◽  
Vol 4 (02) ◽  
pp. 098-100 ◽  
Author(s):  
Suna Emir ◽  
Arzu Y Erdem ◽  
Hacı A Demir ◽  
Ayper Kaçar ◽  
Bahattin Tunç
Keyword(s):  
Spinal Cord ◽  
Clinical Features ◽  
Spinal Cord Compression ◽  
Malignant Tumor ◽  
Spinal Tuberculosis ◽  
Delayed Diagnosis ◽  
Cord Compression ◽  
Radiographic Features ◽  
Pott’S Disease ◽  
Clinical Conditions

ABSTRACTParavertebral tumors may interfere with the radiological and clinical features of spinal tuberculosis. We report a case of a 3-year-old boy with spinal tuberculosis who was initially misdiagnosed as having a paraspinal tumor. The diagnosis of tuberculosis was made on the basis of intraoperative findings and confirmed by histopathology. This case highlights the importance of awareness of the different radiographic features of spinal tuberculosis, which can mimic a spinal malignancy. In order to avoid delayed diagnosis, pediatricians and radiologists must be aware of spinal tuberculosis, which may interfere with other clinical conditions.

Incidence, Presentation, and Outcome of Spinal Cord Disease in Children With Systemic Cancer

PEDIATRICS ◽  
1986 ◽  
Vol 78 (3) ◽  
pp. 438-443
Author(s):  
Donald W. Lewis ◽  
Roger J. Packer ◽  
Beverly Raney ◽  
Ihor W. Rak ◽  
Jean Belasco ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Delayed Diagnosis ◽  
Cord Compression ◽  
High Dose ◽  
Spinal Cord Disease ◽  
Satisfactory Outcome ◽  
First Relapse ◽  
Age Range ◽  
Neurologic Emergency

During a 40-month period, in 24 of 643 (4%) newly diagnosed patients with systemic cancer younger than 18 years of age (range: 3 months to 17 years) spinal cord disease developed. Patients with spinal cord disease included 21 children with metastatic spinal cord compression, two with treatment-related transverse myelopathies, and one with an anterior spinal artery stroke. Spinal cord disease occurred in 13 of 102 children (12%) with sarcomas, six of 82 (7%) with neuroblastomas, and four of 94 (4%) with lymphomas. Spinal cord compression occurred as the presenting sign of malignancy in six children (four with sarcomas and two with lymphomas). In the remaining 15 patients, cord compression occurred a median of 13 months after initial diagnosis, and in four patients it occurred at the time of first relapse. Symptoms of metastatic cord compression included back pain in 17 patients (80%), weakness in 14 (67%), sphincter dysfunction in 12 (57%), and sensory abnormalities in three (14%). Findings on plain radiographs of the spine were abnormal in only seven of 20 patients with cord compression, and myelography was needed to differentiate compression from other causes of spinal cord disease. Treatment included high-dose corticosteroids followed by operation (seven patients) or radiotherapy (14 patients). After treatment, nine of 15 nonambulatory patients became ambulatory, and five of 10 incontinent patients regained sphincter control. None of the patients with nonmetastatic spinal cord disease had a satisfactory outcome. Incorrect and delayed diagnosis was frequent in children with spinal cord disease (median time from onset of symptoms to diagnosis, 2 weeks) and 12 children were paraplegic and ten had loss of sphincter control at diagnosis. Spinal cord disease is a relatively common neurologic emergency in children with cancer, especially in those with sarcoma, and requires immediate investigation and intervention.

scholarly journals Spinal Subdural Hematoma in Association with Anticoagulant Therapy

1981 ◽  
Vol 8 (1) ◽  
pp. 87-89 ◽  
Author(s):  
Neville Russell ◽  
F.B. Maroun ◽  
J.C. Jacob
Keyword(s):  
Spinal Cord ◽  
Clinical Features ◽  
Anticoagulant Therapy ◽  
Spinal Cord Compression ◽  
Subdural Hematoma ◽  
Cord Compression ◽  
Ischemic Necrosis ◽  
Results Of Treatment ◽  
Spinal Subdural Hematoma

SUMMARYA case of spinal subdural hematoma occurring in association with anticoagulant therapy is reported. Seven similar cases from the literature are reviewed with emphasis on the clinical features, investigation, and the results of treatment. The prognosis for recovery is good, only if the condition is diagnosed and the clot evacuated before severe spinal cord compression and subsequent ischemic necrosis has occurred.

Analysis of Clinical Features of Patients with Metastatic Spinal Cord Compression Caused by Prostate Cancer

2009 ◽  
Vol 50 (12) ◽  
pp. 1174
Author(s):  
Sungwoo Hong ◽  
Dalsan You ◽  
In Gab Jeong ◽  
Jun Hyuk Hong ◽  
Hanjong Ahn ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Spinal Cord ◽  
Clinical Features ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Metastatic Spinal Cord Compression

Spinal Cord Compression from Spinal Tuberculosis in a Child

2006 ◽  
Vol 42 (3) ◽  
pp. 180-182 ◽  
Author(s):  
Nejmi Kiymaz ◽  
Nebi Yilmaz ◽  
Özgür Demir
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Spinal Tuberculosis ◽  
Cord Compression

Diaphyseal aclasis with spinal cord compression

1996 ◽  
Vol 84 (3) ◽  
pp. 518-521 ◽  
Author(s):  
Emmanuel K. Labram ◽  
J. Mohan
Keyword(s):  
Spinal Cord ◽  
Clinical Features ◽  
Spinal Cord Compression ◽  
Cord Compression ◽  
Long Bones ◽  
Review Of The Literature ◽  
Content Type ◽  
First Case ◽  
Fine Print

✓ In diaphyseal aclasis, the exostoses usually involve long bones, although occasionally the spine is also affected. Very few cases of osteochondroma causing spinal cord compression have been cited. The authors report their experience with two cases of diaphyseal aclasis. In the first case spinal cord compression caused by an exostosis of the lamina of C-2 occurred in a 9-year-old boy; in the second case a large osteochondroma of C-5 occurred in a 45-year-old man. Also included in this report is a review of the literature highlighting the incidence of diaphyseal aclasis, its clinical features and its excellent prognosis in treated cases.

Spinal Cord Compression of Dual Etiology, Multiple Myeloma and Spinal Tuberculosis

2002 ◽  
Vol 43 (2) ◽  
pp. 427-428 ◽  
Author(s):  
Moshe Yeshurun ◽  
Jean-Philippe Laporte ◽  
Sylvie Lesage ◽  
Albert Najman
Keyword(s):  
Spinal Cord ◽  
Multiple Myeloma ◽  
Spinal Cord Compression ◽  
Spinal Tuberculosis ◽  
Cord Compression

scholarly journals Magnetic resonance imaging in cervical spinal cord compression

1993 ◽  
Vol 51 (3) ◽  
pp. 407-408 ◽  
Author(s):  
Giovanni Giammona ◽  
Salvatore Giuffrida ◽  
Salvatore Greco ◽  
Casimiro Grassi ◽  
Francesco Le Pira
Keyword(s):  
Magnetic Resonance Imaging ◽  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Signal Intensity ◽  
Cervical Spondylotic Myelopathy ◽  
Cervical Spinal Cord ◽  
Prognostic Significance ◽  
Cord Compression ◽  
Resonance Imaging ◽  
Clinical Conditions

In patients with cervical spondylotic myelopathy MRI sometimes shows increased signal intensity zones on the T2-weighted images. It has been suggested that these findings carry prognostic significance. We studied 56 subjects with cervical spinal cord compression. Twelve patients showed an increased signal intensity (21.4%) and a prevalence of narrowing of the AP-diameter (62% vs 24%). Furthemore, in this group, there was evidence of a longer mean duration of the symptoms and, in most of the patients, of more serious clinical conditions. The importance of these predisposing factors remains, however, to be clarified since they are also present in some patients without the increased signal intensity.

scholarly journals Mal de Pott cervical révélé par une dysphagie: À propos d'un cas.

2017 ◽  
Author(s):  
B Kodio ◽  
H Cisse ◽  
E Eti ◽  
B Ouattara ◽  
M Koné Gbané ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Compression ◽  
Epidural Abscess ◽  
Cord Compression ◽  
Fish Bone ◽  
Retropharyngeal Abscess ◽  
Multiple Modes ◽  
Pott’S Disease ◽  
The Many

Tuberculosis is endemic in our countries and multiple modes of revelation. The cervical Pott's disease is the rarest spinal location. Spinal cord compression, retropharyngeal and epidural abscess are serious complications that can engage the prognosis. We report a case of cervical Pott's disease revealed by dysphagia due to a retropharyngeal abscess in a patient of 34 years has been the victim of the oropharynx injury by a fish bone. This observation reveals one of the many facets of tuberculosis.Keywords: Cervical Tuberculosis, Dysphagia, Fish bone

Sign in / Sign up

Export Citation Format

Share Document