scholarly journals Concurrent Spinal Epidural Tubercular and Pyogenic Abscess of Cervical Spine without Bony Involvement

2019 ◽  
Vol 10 (02) ◽  
pp. 374-378
Author(s):  
Batuk Diyora ◽  
Swapnil Patil ◽  
Bhagyashri Bhende ◽  
Mehool Patel ◽  
Gagan Dhall ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Upper Limb ◽  
Imaging Study ◽  
Developed Countries ◽  
Young Female ◽  
Acute Onset ◽  
Histopathological Study ◽  
Spinal Epidural Abscess ◽  
The Right ◽  
Spinal Epidural

ABSTRACTSpinal epidural abscess (SEA) presents with vertebral body involvement. SEA is mostly pyogenic in developed countries, but in developing countries, tuberculosis is more common cause. Young female presented with fever, neck, and right upper limb pain for 1 month followed by acute onset weakness in the right upper limb. Magnetic resonance imaging study of cervical spine showed contrast-enhancing lesion in C2–C3 epidural region. Surgery-aided by initiation of antibacterial and antitubercular treatment based on culture and histopathological study of pus helped us to get good clinical outcome. One should always keep in mind possibility of tubercular abscess while treating cases of spinal epidural lesions, though it is rare in the absence of osseous involvement. Pyogenic and tubercular abscess can present concurrently and sending pus for culture and sensitivity is must as it plays important role in identifying dual organisms.

Paracentral acute middle maculopathy (PAMM) associated with ulcerative colitis and coexisting hyperhomocysteinemia: A case report

2020 ◽  
pp. 112067212096204
Author(s):  
Micol Alkabes ◽  
Stela Vujosevic ◽  
Andrea Muraca ◽  
Stefano De Cillà
Keyword(s):  
Ulcerative Colitis ◽  
Young Patients ◽  
Imaging Study ◽  
Acute Onset ◽  
Drop Out ◽  
Folate Supplementation ◽  
Definitive Evidence ◽  
Capillary Plexus ◽  
The Right ◽  
Retinal Thinning

Introduction: Paracentral acute middle maculopathy (PAMM) is a tomographic finding of a retinal occlusive vascular disorders with different aetiologies. Despite the well documented triple association among hyper-homocysteine, retinal vein occlusion and PAMM, up to date no reports exist on the development of PAMM in young patients affected by ulcerative colitis (UC). Case description: A multimodal imaging study, including fundus photographs, optical coherence tomography (OCT) B-scans, OCT angiography (OCT-A) and fluorescein and indocyanine green angiography, was performed in a 32-years-old male complaining of acute-onset paracentral scotoma in the right eye. Fundus images demonstrated the typical dark gray area of retinal capillary ischemia, corresponding on OCT B-scans to the hyper-reflective plaques in the INL, and consistent with PAMM lesions.The deep capillary plexus (DCP) was normal on OCT-A. Fluorescein angiography revealed a concurrent branch retinal vein preocclusion and showed capillary drop out parafoveally. Patient’s anamnesis was negative except for a 15-years history of UC and use of acetylsalicylic acid (ASS). At the time of presentation, UC was quiescent, but new blood tests revealed concomitant high values of homocysteinemia requiring oral vitamin B12 and folate supplementation. Two months later PAMM lesions had disappeared on OCT B-scans and a retinal thinning at the level of the inner nuclear layer (INL) was visible. The DCP on OCT-A remained unchanged without any sign of capillary ischemia. Conclusions: Although no definitive evidence directly links UC with PAMM, the latter should be suspected in young patients affected by IBD with coexisting hyper-homocysteinemia and unexplained visual symptoms.

scholarly journals Idiopathic Thoracic Spontaneous Spinal Epidural Hematoma

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Abdurrahman Aycan ◽  
Seymen Ozdemir ◽  
Harun Arslan ◽  
Edip Gonullu ◽  
Cemal Bozkına
Keyword(s):  
Transverse Myelitis ◽  
Lower Extremities ◽  
Acute Onset ◽  
Sensory Loss ◽  
Spinal Epidural Hematoma ◽  
Resonance Imaging ◽  
History Of ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Spinal Epidural

A 33-year-old male patient experienced temporary sensory loss and weakness in the right lower extremity one month prior to admission. The patient was admitted to a private clinic with a three-day history of acute onset of sensory loss and weakness in both lower extremities and was treated and followed up with a prediagnosis of transverse myelitis and the Guillain-Barre syndrome (GBS). The patient was subsequently transferred to our clinic and the neurologic examination revealed paraplegia in both lower extremities, positive bilateral Babinski signs, and hypesthesia below the T10 dermatome with saddle anesthesia. The patient had urinary incontinence and thoracic magnetic resonance imaging (MRI) showed an image of a mass compressing the medulla.

scholarly journals Spontaneous Epidural Hematoma of the Cervical Spine Mimicking a Cerebrovascular Accident: A Case Report

2018 ◽  
Vol 37 (03) ◽  
pp. 213-216
Author(s):  
Mohammad Jamali ◽  
Sepehr Entezam ◽  
Sulmaz Ghahramani
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Cerebrovascular Accident ◽  
Epidural Hematoma ◽  
Lower Extremities ◽  
Sudden Onset ◽  
Spinal Epidural Hematoma ◽  
Upper And Lower Extremities ◽  
The Right ◽  
Spinal Epidural

Objective The present study is a case report of a 57-year-old female with controlled hypertension who presented with spontaneous spinal epidural hematoma (SSEH) mimicking a cerebrovascular accident (CVA) and was successfully treated by surgical decompression. Methods A 57-year-old woman with a medical history of hypertension presented with a sudden onset of weakness in the right upper and lower extremities. Weakness of grade 3/5 was noted in her right upper and lower extremities, but there was no motor weakness of the right facial muscles. A magnetic resonance imaging (MRI) exam of the cervical spine revealed an epidural hematoma extending from level C5 to level C7, causing spinal cord compression. Results During surgery, a cervical spinal epidural hematoma (SEH) was evacuated. Postoperatively, the power in both limbs improved to grade 5/5 just after surgery. Conclusions A high degree of suspicion, meticulous history taking, and physical examination have a great importance in these rare conditions because anticoagulant therapy as a routine treatment for ischemic CVA could be life-threatening.

Spinal Epidural Abscess Complicating Cervical Spine Fracture with Hypopharyngeal Perforation

Spine ◽  
1992 ◽  
Vol 17 (8) ◽  
pp. 971-974 ◽  
Author(s):  
Jen-Yuh Chen ◽  
Wen-Jer Chen ◽  
Tsung-Jen Huang ◽  
Chun-Hsiung Shih
Keyword(s):  
Cervical Spine ◽  
Epidural Abscess ◽  
Spine Fracture ◽  
Cervical Spine Fracture ◽  
Spinal Epidural Abscess ◽  
Hypopharyngeal Perforation ◽  
Spinal Epidural

Isolated subacute tuberculous spinal epidural abscess of the cervical spine: a brief report of a special case

2009 ◽  
Vol 151 (6) ◽  
pp. 695-696 ◽  
Author(s):  
Varinder S. Alg ◽  
Andreas K. Demetriades ◽  
Sunil Naik ◽  
Lal Gunasekera
Keyword(s):  
Cervical Spine ◽  
Epidural Abscess ◽  
Spinal Epidural Abscess ◽  
Spinal Epidural ◽  
Special Case

scholarly journals SIS therapy in the treatment of distal radius epiphyseal fracture (Case report)

2021 ◽  
pp. 333-336
Author(s):  
Diana JIMBU ◽  
Doinița OPREA ◽  
Emre SARIKAYA ◽  
Mădălina Gabriela ILIESCU ◽  
Elena Valentina IONESCU ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Distal Radius ◽  
Upper Limb ◽  
Healing Process ◽  
Orthopedic Treatment ◽  
Inductive System ◽  
Epiphyseal Fracture ◽  
Distal Epiphysis ◽  
Minimal Trauma ◽  
The Right

Introduction. Fractures of the distal radius epiphysis are the most common fractures of the upper limb, present both in the general population active following major trauma and in the elderly population in minimal trauma due to osteoporosis. Among the adjuvant therapies for orthopedic treatment of distal radius epiphyseal fracture we can list Super Inductive System (SIS), a therapy based on the interaction between the electric field and the human body with the improvement of the healing process by acting on the pathophysiological stages of bone callus. Material and method. A clinical case study was performed on a 28-year-old patient, hospitalized and treated in the neurosurgery department of the Constanta County and Emergency Hospital for a polytrauma by road accident (passenger) with amyelotic cervical vertebral trauma, thoracic trauma and trauma to the right upper limb, subsequently performing 12 SIS therapy sessions at the Balneal and Rehabilitation Sanatorium of Techirghiol. CT examination of the cervical spine reveals fractures of C4 vertebra (the blade and pedicle) and C5 vertebra (vertebral body, lamina and pedicle). Right forearm radiography reveals fracture of the right radial styloid. After conservative treatment of the cervical injury and orthopedic treatment of the upper limb injury, the clinical evolution is favorable, allowing the patient to be discharged and allowed to do 12 sessions of SIS therapy, 3 times a week, within 4 weeks. The subsequent clinical and paraclinical evolution was favorable for the outpatient orthopedic ambulatory reevaluation performed at 5 weeks. Results and discussions. Due to the type of fracture of the radial distal epiphysis (linear fracture without displacement), absence of comorbidities and young age, led to the indication of orthopedic treatment with immobilization in the antebrachio-palmarcast, which allowed subsequent physiotherapy. Keywords: radial fracture, callus, polytrauma, cervical spine, lamina, Super Inductive System,

scholarly journals A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Kaori Momota ◽  
Toshihiko Nishisho ◽  
Ryo Miyagi ◽  
Shunichi Toki ◽  
Kazuta Yamashita ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Acute Onset ◽  
Manual Muscle Testing ◽  
Benign Tumors ◽  
Decompression Surgery ◽  
Muscle Testing ◽  
The Right ◽  
Spastic Quadriparesis

Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.

scholarly journals Stereotactic radiofrequency ventral posterolateral thalamotomy for cancer pain

2020 ◽  
Vol 3 (2) ◽  
pp. V17
Author(s):  
Abteen Mostofi ◽  
Ali Rezaei Haddad ◽  
Fotios Bourlogiannis ◽  
Erlick A. C. Pereira
Keyword(s):  
Neuropathic Pain ◽  
Cervical Spine ◽  
Cancer Pain ◽  
Brachial Plexus ◽  
Upper Limb ◽  
Lung Carcinoma ◽  
Complete Resolution ◽  
Functional Neurosurgery ◽  
The Right ◽  
Ventral Posterolateral Nucleus

Palliative neuroablative procedures are often performed for medication-refractory cancer pain. A 57-year-old female with lung carcinoma and metastases to the brachial plexus and cervical spine with severe neuropathic pain affecting the right upper limb was referred to the authors’ functional neurosurgery service. This video shows her treatment with an awake stereotactic radiofrequency thalamotomy targeting the left ventral posterolateral nucleus. Postoperatively, she experienced immediate and complete resolution of the pain. Palliative radiofrequency thalamotomy can be a viable and effective procedure for somatotopically distributed regional cancer pain.The video can be found here: https://youtu.be/jykYWXTP3c4

Sign in / Sign up

Export Citation Format

Share Document