Search Results
Results 351 - 400 of 924
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Draganescu Mirela - - 2004
Spinal involvement is considered to be a rare complication of gout. We report a case of a 48-year-old woman with chronic tophaceous gout, recently desensitized to allopurinol, who presented with an L4 radiculopathy. A magnetic resonance image (MRI) of the lumbosacral spine revealed an extradural process at L4 level. Three ...
Siddiqui A A - - 2004
Intramedullary spinal schwannomas are extremely rare. We describe a case of a 13-year-old female who was found to have an intramedullary schwannoma at craniovertebral junction along with incidental bilateral acoustic neuromas, which was excised completely. To our knowledge, this is the first report of a case of intramedullary schwannoma in ...
Akyüz M - - 2004
Primitive neuro-ectodermal tumor (PNET) of the cauda equina is a rare entity. 18 cases have been reported in the literature so far, including 4 cases with intracranial seeding. Moreover parenchymal involvement of brain has never been reported as a form of intracranial seeding from PNET of the cauda equina. A ...
Heavner James E - - 2004
We report the presence of yellow pigment (xanthosis) in the eqidural space of a patient with a chronic painful radiculopathy. A 55-year-old Caucasian male patient with a left L5, S1 radiculopathy underwent epiduroscopy and epidural neurolysis. Epiduroscopy findings in the area of the nerve root associated with the radiculopathy included ...
Kim Myoung Soo - - 2004
BACKGROUND: Spinal subdural hematomas (SSH) are a rare cause of spinal cord compression. SSH following clipping of an aneurysm has only been reported once. We now report such a case and discuss the mechanism of SSH development after aneurysmal neck clipping. CASE DESCRIPTION: A 32-year-old man complained of lumbago 7 ...
Samdani A F - - 2004
Spinal angiolipomas are rare lesions usually found in the epidural space of the thoracic spine. This report presents a case of and reviews the literature on this rare entity. The etiology, clinical presentation, imaging, and treatment are discussed. In 92 reported cases of spinal angiolipoma 56 occurred in women (61%), ...
Tubbs R Shane - - 2005
We report an 11-year-old boy who fell from an All Terrain Vehicle and sustained multiple minor soft tissue contusions and a small midthoracic laceration. Irrigation and closure of the small wound was performed at another hospital. There was no history of a penetrating wound. Within 48 h of injury, the ...
Nowak Dennis A - - 2004
Forty nine consecutive cases of acute myelopathy were related to the following pathologies: 31 MS, four spinal cord infarction, four parainfectious, one antiphospolipid syndrome and nine of unknown origin. Sensory deficits were most frequent in MS and in myelopathy of unknown origin. In spinal cord infarction motor deficits and sphincter ...
Salehi S A - - 2004
A case report of thoracic spinal cord compression in a 34-year-old male with beta-thalassemia is reported. In patients with thalassemia, neurologic complaints should lead to a high index of suspicion for spinal cord compression from marrow expansion, ectopic bone formation and resultant stenosis. Initial presentation, diagnosis, radiographic findings, surgical treatment ...
Tubbs R Shane - - 2004
OBJECT: Historically, cutaneous stigmata representative of occult spinal dysraphism (OSD) have included lumbar hemangiomas. Frequently, this skin change is found in conjunction with other cutaneous alterations such as dermal sinus tracts and subcutaneous lipomas. Debate has recently surrounded the question of whether these skin changes in isolation might indicate underlying ...
Satyarthee G D - - 2004
Ganglioglioma can involve any part of the central nervous system. Mostly ganglioglioma occur in temporal lobe. Spinal cord ganglioglioma is a very rare entity. We report two cases of cervico-dorsal region ganglioglioma, who underwent complete surgical excision. In the postoperative period they had transient deterioration of their neurological status that ...
Jarmundowicz Włodzimierz - - 2004
The coincidence of split cord malformation (SCM) and intraspinal teratoma is an extremely uncommon condition. We report a case of a neurologically asymptomatic 13-year-old girl with a 5-year history of progressive scoliosis. The routinely performed MRI revealed SCM at levels L1-L2, tethering of the spinal cord at levels L4-L5 and ...
Milathianakis Konstantinos N - - 2004
Neurofibromas, which arise from perineural and Schwann cells, commonly occur throughout the body, but they rarely have been reported to originate from the spermatic cord. The solitary neurofibroma is a localized tumour that, by definition, occurs in patients who do not have von Recklinghausen's disease. Its exact incidence is unknown ...
West John B - - 2004
An account of the classic balloon ascent to over 29,000 ft (8840 m) by J. Glaisher and H. T. Coxwell on September 5, 1862, appeared in The Lancet and is reproduced here. Glaisher reported paralysis of his arms and legs and sudden loss of sight. Coxwell also lost the use ...
Velickovic Ivan A - - 2004
The anesthetic management of labor and delivery in patients with peripartum cardiomyopathy is not well defined. Using continuous spinal anesthesia with bupivacaine or combined spinal epidural anesthesia with ropivacaine in such rare clinical situations has not been previously reported. We present two cases in which parturients with the diagnosis of ...
Alanay Ahmet - - 2003
STUDY DESIGN: A case report. OBJECTIVES: To report a late neurologic compromise caused by pulling-out of thoracic pedicle screws. SUMMARY OF BACKGROUND DATA: Although screw misplacement is quite common, only few neurologic injuries have been reported because of penetration of the medial wall of pedicles in the thoracic spine. To ...
Falco Frank J E - - 2003
STUDY DESIGN: A series of six case reports. OBJECTIVE: The case reports demonstrate successful use of gadolinium contrast for visualization of spinal injection procedures. SUMMARY OF BACKGROUND DATA: A variety of spinal injection procedures were performed with gadolinium contrast. Adequate visualization was accomplished with gadolinium in performing these injections and ...
Sarkar Chitra - - 2003
A case of cervical spine intramedullary subependymoma in a 52-year-old female is reported. Also, the relevant literature on the 40 cases reported till date is reviewed. Magnetic resonance imaging, even with enhancement, does not show any distinctive features making pre-operative diagnosis often difficult. These tumours are eccentrically located within the ...
Tubbs R Shane - - 2003
The authors report a patient with type II split cord malformation (SCM) and Klippel-Feil syndrome (KFS). Considering our review of the medical literature and present case report, we believe lumbar SCM and KFS in the same patient not to be coincidental findings but rather embryologically related entities. We propose that ...
Yanik Burcu - - 2004
We report a case of neuropathic arthropathy caused by Arnold-Chiari malformation with syringomyelia, with details of the clinical and radiologic aspects. The patient had pain and stiffness in his left upper limb. MRI of the left shoulder revealed neuropathic arthropathy. Upon examination, his left elbow also had the characteristic findings ...
Stendel R - - 2003
Chronic spinal epidural haematomas are very rare and have been reported to occur only in the lumbar region. They usually become symptomatic through radicular pain or neurogenic claudication. The epidural bleeding is thought to originate from a rupture of an epidural vein due to a sudden increase in intra-abdominal pressure ...
Nozaki Kazuhiko - - 2003
The spinal intradural extramedullary cavernous angioma is a rare clinical entity. Only 20 surgically treated cases have been reported. The authors report on an additional case in which the lesion was located in the cervical region, and they summarize its unique clinical features. Intradural extramedullary cavernous angiomas occur predominantly in ...
Sethi Seema - - 2003
Malignant fibrous histiocytoma (MFH) of the spermatic cord is rare. However, owing to its location it is diagnosed early and has a better prognosis. A case of MFH of the spermatic cord is reported in a 50-year-old male along with review of the literature, discussing the recommended management and prognosis ...
Soni B M - - 2003
Case report. To report treatment of spasticity in a spinal cord-injured person with intrathecal morphine after the person developed tolerance to intrathecal baclofen. Spasticity in a 36-year-old man with T6 complete paraplegia was treated with increasing doses of intrathecal baclofen. When he developed tolerance to intrathecal baclofen, he was given ...
Guzel Necmettin - - 2003
We report a case of an intramedullary spinal cord abscess (ISCA) in a 14-month-old child. This case demonstrates clinical and radiological features and emphasizes the importance of early diagnosis and treatment. Early surgical intervention and adjuvant antibiotic therapy have been shown to improve the clinical outcome. Successful outcome depends on ...
Ahn Tae-Beom - - 2003
BACKGROUND: Computed tomography is performed in suspicious cases of cerebral venous thrombosis. Although an empty delta sign is not uncommonly reported, a cord sign is rarely reported. But this is, if present, pathognomonic, especially in the case of cortical vein thrombosis. CASE DESCRIPTION: A young man with antithrombin III deficiency ...
Guéz Michel - - 2003
Clinical examination is the only tool available to assess the extent of the nerve tissue damage after a spinal cord injury, and it is well known that the reliability of classification based on clinical examination is not satisfactory, especially in cases with incomplete motor injuries. There is a need to ...
Vidal Jose E - - 2003
Toxocariasis is usually manifested as visceral larva migrans. Nervous system involvement is a rare complication. In this report, we describe one case of meningoencephalitis due to Toxocara canis and review the literature. We report a previously healthy two-year-old boy who was admitted after 24 hours of severe neurologic symptoms with ...
Tanriverdi T - - 2003
To report three cases of intradural spinal tuberculosis (TB) by calling attention to atypical forms of spinal TB. A University Hospital, Istanbul, Turkey. Histopathological, radiological, surgical and physical examination findings of three patients with spinal TB were retrospectively reviewed. Based on histopathological, surgical and radiological findings, diagnosis of intramedullary abscess ...
Fiechtl James F - - 2003
STUDY DESIGN: The case of an 8-year-old girl with hereditary multiple exostosis presenting with atypical spinal curvature is reported. OBJECTIVE: To describe a case of spinal curvature caused by an osteochondroma, illustrating the need for careful evaluation of patients with hereditary multiple exostosis presenting with "scoliosis." SUMMARY OF BACKGROUND DATA: ...
do Souto Antonio Aversa - - 2003
We present a case of a 46-year old woman with a ventral epidural angiolipoma at the lumbosacral level with erosion of the sacrum. About ninety cases of spinal angiolipomas have been previously described in the literature, most of them situated on the thoracic region, dorsal to the dural sac. Angiolipomas ...
Rodi Zoran - - 2003
Our case report describes the electrophysiological features associated with the development of a spinal epidural hematoma during surgery of the lumbar spine. It stresses the importance of the evaluation of nonsurgical factors, which can potentially affect intraoperative evoked potentials; in this case, epidural local anesthetic or epidural hematoma.
Bertalanffy Helmut - - 2003
STUDY DESIGN: A retrospective case of an isolated paramedullary hemangioblastoma originating from the first cervical root is reported. OBJECTIVE: To describe an uncommon type of spinal hemangioblastoma and its operative treatment. SUMMARY OF BACKGROUND DATA: Spinal hemangioblastoma, rare finding accounting for approximately 1.5% to 2.5% of all spinal cord tumors, ...
S. Mongia, B. Indira ...
Intradural extramedullary epidermoid cysts are rare tumors especially those not associated with spinal dysraphism. We report 3 cases of spinal intradural extramedullary epidermoid cysts. In all the cases, the lesion was situated at dorsal level. The clinical features, MRI characteristics and surgical treatment of such rare intradural extramedullary benign tumors ...
Arima Hajime - - 2003
Spinal muscular atrophy (SMA) type I is a relatively common inherited neuromuscular disease of hypotonic newborns, but is not associated with craniofacial abnormalities. There is nothing in the literature about difficult intubation in patients affected by this disease. We report a case of 34-month-old girl with SMA type I who ...
Roe Justin P - - 2003
OBJECTIVES: The objective of the present study was to determine the incidence of acute spinal cord injuries (ASCI) in all forms of horse riding in New South Wales (NSW) for the period 1976-1996. Other aims of the present study were to compare and contrast ASCI with vertebral column injuries (VCI) ...
Tamburrini G - - 2003
Infantile myofibromatosis is the most common fibrous disorder of infancy and childhood. It may occur in two distinct forms: multicentric and solitary. In both cases involvement of the central nervous system (CNS) is unusual: brain myofibromas are usually intracranial in proximity of the dura mater, with infiltration of the calvarial ...
Solanki Guirish A - - 2003
INTRODUCTION: Four distinct dysraphic anomalies were observed in a single child. While combinations of such anomalies are well recognised, quadruple dysraphic pathology, nevertheless, is extremely uncommon. To our knowledge, no previous cases have been reported in the literature. CASE REPORT: We present the management of a child with a concurrent ...
Rollins Mark - - 2003
We report a case of upper airway obstruction after subclavian perivascular block in a patient with a preexisting unrecognized paralyzed vocal cord on the opposite side. We discuss the incidence of vocal cord paralysis after subclavian perivascular block and the risk of airway compromise if contralateral vocal cord paralysis is ...
Fernando Ugarriza L - - 2003
We report a case of spinal eosinophilic granuloma with aggressive course. Initially, a conservative management was decided upon, but neurological deterioration of the patient prompted us to undertake a more aggressive attitude, with surgical excision and postoperative radiotherapy. The clinical and radiological features, and the different options of treatment are ...
Ergun A - - 2003
Case report of SCIWORA following trivial trauma in childhood and review of the literature. To describe a case of 'spinal cord injuries without radiographic abnormality (SCIWORA)', which was diagnosed 2 years after the event, and define its relevance from a differential diagnostic and medico-legal viewpoint. An Austrian neuro-traumatological rehabilitation and ...
Rosenberg Oded - - 2003
Spontaneous spinal epidural hematoma is a rare cause of spinal cord compression in adults and even rarer in children. It is characterized by a sudden onset of acute back pain followed by acute neurological deterioration within a few hours. We report the case of a 14-year-old girl who presented with ...
Richards Todd A - - 2003
The presence of a myelomeningocele at multiple levels along the spinal column is a rare event. There are only a few cases of double myelomeningocele reported in the world's literature. Large myelomeningoceles present surgical closure challenges due to the size and location of these defects. We report the case of ...
Fieggen Graham - - 2003
INTRODUCTION: Pygopagus conjoined twins are joined at the rump and have union of the gastrointestinal and genitourinary systems as well occasional involvement of neural elements. CASE REPORT: We report a case where the terminal spinal cords were fused, despite which there was only a minor motor deficit in the lower ...
Horwood E - - 2003
This report describes a case of myelofibrosis presenting as spinal cord compression on account of extramedullary haemopoietic tissue encroaching upon the spinal cord from a large pelvic mass.
Simon Jakub K - - 2003
A case report of an intramedullary spinal cord abscess in a 13-month-old boy and a review of relevant existing pediatric literature is presented. Thirty-eight cases of pediatric intramedullary spinal cord abscess are analyzed for presenting signs and symptoms, microbiology of isolated organisms, surgical intervention, antibiotic administration and outcome. The most ...
Panagis A - - 2003
Myxoid liposarcoma of the spermatic cord (MLSC) is a rare variance of spermatic sarcomas, with only 14 previous cases having been reported. Typically it presents during the seventh decade of life as a painless scrotal or inguinal mass. Although local recurrences are not uncommon, prognosis following complete tumour removal is ...
Abe Masahiro - - 2003
The case of a 17-year-old boy who suffered from incomplete Brown-SEquard syndrome caused by dystrophic cervical kyphosis secondary to neurofibromatosis is presented. He became aware of weakness of his left upper and lower extremities and was unable to walk within 1 month of his first feeling numbness in the right ...
Inoue Tomohiro - - 2003
Almost 40 cases of spontaneous transdural spinal cord herniation have been reported in the literature. These patients often present with gait disturbance and sensory changes, and their condition is diagnosed as Brown-Séquard syndrome. The pathogenesis of this condition has remained poorly understood. In particular, there is no agreement whether the ...
Reddy Praveen - - 2003
Intramedullary spinal cord metastasis (ISCM) is a rare condition that causes serious diagnostic and therapeutic problems. ISCM is usually discovered in less than 1% of autopsies, with fewer than 5% being diagnosed antemortem. The uncertain and non-standardized treatment of patients diagnosed with ISCM is a major concern of neurosurgeons today. ...
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