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المؤلفون: R V Iyer, R H Lye, C Coutinho
المصدر: British Journal of Neurosurgery. 16:507-510
مصطلحات موضوعية: medicine.medical_specialty, Hernia, Neurosurgical Procedures, Spinal Cord Diseases, Thoracic Vertebrae, Central nervous system disease, Dural defect, Thoracic region, medicine, Humans, Herniorrhaphy, medicine.diagnostic_test, business.industry, Magnetic resonance imaging, General Medicine, Middle Aged, Spinal cord, medicine.disease, Magnetic Resonance Imaging, Pathophysiology, Surgery, medicine.anatomical_structure, Female, Neurology (clinical), Presentation (obstetrics), business
الوصف: Spontaneous spinal cord herniation is a rare and under recognized condition. The commonest presentation is a Brown-sequard syndrome. It most commonly occurs in the thoracic region through an anterolateral dural defect, and the pathophysiology is ill understood. We present a case of spontaneous spinal cord herniation along with a review of literature.
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2
المؤلفون: Hamdİ BezİrcİoĞlu, Naİl Özdemİr, Ömer Akar
المصدر: British journal of neurosurgery. 24(5)
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Adolescent, Schwannoma, Thoracic region, Young Adult, Lumbar, medicine, Neurologic deterioration, Humans, Retrospective Studies, Tumour excision, Spinal Neoplasms, business.industry, Mean age, General Medicine, Middle Aged, medicine.disease, Prognosis, Magnetic Resonance Imaging, Surgery, Vertebral body, Spinal Fusion, Treatment Outcome, Female, Neurology (clinical), business, Neurilemmoma
الوصف: Giant erosive spinal schwannomas can be distinguished from other spinal schwannomas by its growth in myofascial planes and vertebral body erosion. Therapeutic radical tumour excision without neurologic deterioration is possible in the management. Prognosis is good after total tumour removal. In this article, it is aimed to report six patients who were diagnosed as giant erosive spinal schwannomas between 2001 and 2004 according to the criteria of Sridhar et al. Three of the patients were male and three female with the age range of 16-63 (mean age 39.7). Three of the tumours were located in the cervical region, one in the lumbar region, one in the thoracic region and one in the sacral region. Total excision of the tumours was achieved in four patients. However, one additional operation was required in two patients. Follow-up periods ranged from 6 weeks to 7 years (mean follow-up 51 months). Four patients had a good clinical outcome and there were no radiologic signs of instability or recurrence. Our experience and other published literature suggest that giant erosive spinal schwannoma has significant features such as local invasive nature together with vertebral body erosion and large size but benign histology, long duration for clinical presentation, common preoperative misdiagnosis and good prognosis after total excision. These tumours rarely need spinal instrumentation because the disc capsule and ligaments remain intact even if the pedicle and posterior elements are compromised.
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المؤلفون: Santosh D. Lad, Mathew J. Chandy, Rewati Raman Sharma
المصدر: British Journal of Neurosurgery. 4:441-445
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, Brucellosis, Spinal Osteophytosis, Thoracic region, Spinal cord compression, medicine, Humans, Neurological deficit, Granuloma, Medical treatment, business.industry, General Medicine, medicine.disease, Surgery, Anesthesia, Neurology (clinical), Neurosurgery, Tomography, X-Ray Computed, Paraplegia, business, Spinal Cord Compression
الوصف: A rare case of an extradural brucellosis granuloma in the thoracic region is presented. Medical treatment delayed surgical intervention and led to total paraplegia with sphincteric disturbance despite improving serum antibody titres. However, delayed neurosurgical intervention resulted in near-total clinical recovery. Early surgical intervention in cases of significant spinal cord compression due to an extradural brucellosis granuloma with a progressive neurological deficit is recommended.
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