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Arachnoiditis, lumbar

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https://www.readbyqxmd.com/read/30521955/spinal-arachnoiditis-ossificans-report-of-a-quadruple-triggered-case
#1
Gianluca Scalia, Francesco Certo, Massimiliano Maione, Giuseppe Mv Barbagallo
BACKGROUND: Arachnoiditis ossificans (AO) is a rare condition often associated with previous spine surgery. Here we describe a unique case of a patient affected by ankylosing spondylitis (AS), presenting with progressive neurological deterioration due to AO. We also review the literature on evaluation and management of patients suffering from AO. CASE DESCRIPTION: The 65-year-old patient had a history of previous spinal trauma and related thoraco-lumbar surgery...
December 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/30485224/does-lumbar-drainage-reduce-postoperative-cerebrospinal-fluid-leak-after-endoscopic-endonasal-skull-base-surgery-a-prospective-randomized-controlled-trial
#2
(no author information available yet)
OBJECTIVEBased on a null hypothesis that the use of short-term lumbar drainage (LD) after endoscopic endonasal surgery (EES) for intradural pathology does not prevent postoperative CSF leaks, a trial was conducted to assess the effect of postoperative LD on postoperative CSF leak following standard reconstruction.METHODSA prospective, randomized controlled trial of lumbar drain placement after endoscopic endonasal skull base surgery was performed from February 2011 to March 2015. All patients had 3-month follow-up data...
October 1, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/30332907/resection-of-an-extensive-thoracic-arachnoid-cyst-via-less-invasive-targeted-laminoplasties
#3
Benjamin T Himes, Panagiotis Kerezoudis, Kenan R Rajjoub, Daniel S Shepherd, Mohamad Bydon
OBJECTIVE: Spinal arachnoid cysts are a known cause of spinal cord compression. When symptomatic, treatment of choice entails laminectomies over the length of the cyst in order to achieve complete cyst removal and fenestration. METHODS: A 60-year-old woman presented with a one-year history of progressive pain between the shoulder blades, exacerbated by sitting up or standing, and relieved by lying supine. MRI imaging revealed a T3-T7 dorsal intradural arachnoid cyst...
November 28, 2018: International Journal of Neuroscience
https://www.readbyqxmd.com/read/30265227/spinal-arachnoid-cysts-in-adults-diagnosis-and-management-a-single-center-experience
#4
Maged D Fam, Royce W Woodroffe, Logan Helland, Jennifer Noeller, Nader S Dahdaleh, Arnold H Menezes, Patrick W Hitchon
OBJECTIVE: Adult spinal arachnoid cysts (SACs) are rare entities of indistinct etiology that present with pain or myelopathy. Diagnosis is made on imaging studies with varying degrees of specificity. In symptomatic cases, the standard treatment involves surgical exploration and relief of neural tissue compression. The aim of this study was to illustrate features of SACs in adults, surgical management, and outcomes. METHODS: The authors searched medical records for all SACs in adults in the 10-year period ending in December 2016...
September 28, 2018: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/30019113/giant-arachnoid-granulation-in-a-child-with-benign-intracranial-hypertension-an-unusual-case
#5
Hyemin Park, Gye Yeon Lim, Tae-Hoon Eom
CASE PRESENTATION: A 6-year-old girl complained of diplopia and headache over a 2-week period after sustaining a minor head injury. Her neurological examinations were normal, but visual examination identified bilateral papilledema. Magnetic resonance imaging of the brain revealed a protruding nodular lesion causing compression within the anterior superior sagittal sinus in the midline, showing high signal intensity on T2-weighted imaging (T2WI) and low signal intensity on T1WI, similar to that of cerebrospinal fluid...
December 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/29774198/a-rare-cause-of-thoracic-spinal-cord-compression-by-multiple-large-tarlov-cysts
#6
Ahmed-Salem Kleib, Sidi-Mohamed Salihy, Hussein Hamdi, Romain Carron, Outouma Soumaré
Spinal extradural arachnoid cyst (SEAC) is a rare cause of spinal cord compression. Bifocal location of thoracic and sacral SEACs is rarely reported in the literature. We report a case of thoracic spinal cord compression by SEAC associated with asymptomatic multiple sacral Tarlov cysts (TC). The surgical management and postoperative outcome of the patient are discussed. A 34-year-old woman was referred to the hospital for acute thoracic pain with a history of chronic long-standing back pain. She complained of walking difficulties...
April 2018: Korean Journal of Neurotrauma
https://www.readbyqxmd.com/read/29747017/novel-association-between-intrathecal-drug-administration-and-arachnoiditis-ossificans
#7
Max Ward, Antonios Mammis, Maureen T Barry, Robert F Heary
BACKGROUND: We present a case of delayed progression of adhesive arachnoiditis to arachnoiditis ossificans (AO) in a patient being treated with a high-dose polypharmaceutical intrathecal regimen. CASE DESCRIPTION: The patient is a 39-year-old Caucasian male who was implanted with an intrathecal pump in 2006 to control severe low back pain and administered intrathecal pain medication for a period of 10 years. In 2016, he developed new-onset radicular pain and worsened sensation in his lower extremities...
July 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29742719/cauda-equina-syndrome-following-an-uneventful-spinal-anesthesia-in-a-patient-undergoing-drainage-of-the-bartholin-abscess-a-case-report
#8
Waldo Merino-Urrutia, Milca Villagrán-Schmidt, Priscilla Ulloa-Vásquez, Rubén Carrasco-Moyano, Alberto Uribe, Nicoleta Stoicea, Sergio D Bergese
RATIONALE: Neuraxial anesthesia is a commonly used type of regional anesthesia. Cauda equina syndrome is an unusual and severe complication of neuraxial anesthesia, and is caused by damage to the sacral roots of the neural canal. We present a case of cauda equina syndrome following spinal anesthesia in a patient who underwent Bartholin abscess drainage. PATIENT CONCERNS: A 23-year old female scheduled to undergo surgical drainage of Bartholin abscess. Spinal anesthesia was performed with bupivacaine and fentanyl...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29721359/acute-cauda-equina-syndrome-following-orthopedic-procedures-as-a-result-of-epidural-anesthesia
#9
Lisa B E Shields, Vasudeva G Iyer, Yi Ping Zhang, Christopher B Shields
Background: Cauda equina syndrome (CES) is a rare complication of spinal or epidural anesthesia. It is attributed to direct mechanical injury to the spinal roots of the cauda equina that may result in saddle anesthesia and paraplegia with bowel and bladder dysfunction. Case Description: The first patient underwent a hip replacement and received 5 mL of 1% lidocaine epidural anesthesia. Postoperatively, when the patient developed an acute CES, the lumbar magnetic resonance imaging (MRI) scan demonstrated clumping/posterior displacement of nerve roots of the cauda equina consistent with adhesive arachnoiditis attributed to the patient's previous L4-L5 lumbar decompression/fusion...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29709844/lumbar-pseudomeningocele-presenting-as-decerebrate-rigidity-a-rare-case-entity
#10
Satish Rudrappa, Ramachandran Govindasamy, Venkata Ramakrishna Tukkapuram, Swaroop Gopal
INTRODUCTION: Spinal pseudomeningoceles are extradural collections of cerebrospinal fluid that result following a breach in the dural-arachnoid layer and is reported as one of the complications of lumbar disc surgery. Although they are often self subsiding and asymptomatic, they may occasionally cause low-back pain, headaches, and even nerve root entrapment. The purpose of this case report is to present an unreported presentation of pseudomeningocele PRESENTATION OF CASE: A 34 year obese male presented one month post lumbar discectomy with symptoms suggestive of raised intra cranial pressure presenting as repetitive decerebrate rigidity and altered sensorium lasting for few minutes when there is pressure on the pseudomeningocele sac and subsiding with change in position of the patient...
2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29662968/adnexal-masses-or-perineural-tarlov-cysts-differentiation-by-imaging-techniques-a-case-report
#11
Firoozeh Ahmadi, Farnaz Akhbari
Background: Perineural cysts formed within the nerve-root sheath at the dorsal root ganglion. They are most commonly located in the arachnoid covering the junction of the dorsal ganglion and nerve root. They are usually asymptomatic, incidental findings, usually located in the lumbar and sacral region of the spinal canal. It is important to consolidate the imaging findings of this rare disease so clinicians can become more clinically relevant in the evaluation of these cysts. Case: Herein we report a case of perineural cyst misdiagnosed with hydrosalpinx by pelvic ultrasonography and finally diagnosed with magnetic resonance image...
September 2017: International Journal of Reproductive Biomedicine (Yazd, Iran)
https://www.readbyqxmd.com/read/29578874/extradural-arachnoid-cyst-excision
#12
Barrett Boody, Christopher J Lucasti, Gregory D Schroeder, Joshua E Heller, Alexander R Vaccaro
Arachnoid cysts are an uncommon postoperative complication and can result in back pain, radiculopathy, and/or cauda equina syndrome. For symptomatic postoperative arachnoid cysts, surgical management is the accepted treatment. While excision of arachnoid cysts is the preferred surgical method, cysts with adhesions to nerve roots and/or dura can be treated with cyst fenestration to reduce morbidity of excision. Surgeons should be prepared for dural defects after cyst excision, which can require dural grafting and lumbar drains for cerebrospinal fluid diversion...
March 23, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29535904/delayed-spinal-arachnoiditis-following-aneurysmal-subarachnoid-hemorrhage-a-case-report
#13
Rimal H Dossani, Devi P Patra, Hai Sun, Anil Nanda, Hugo Cuellar
Spinal arachnoiditis (SA) is a rare and delayed complication of aneurysmal subarachnoid hemorrhage (aSAH). We present a case of delayed SA associated with thoracic and lumbar arachnoid cysts in a patient with aSAH secondary to a ruptured vertebral artery aneurysm. The patient underwent a thoracic laminectomy for decompression of the spinal cord, lysis of arachnoid adhesions, and fenestration of an arachnoid cyst. We present the pathogenesis, diagnosis, treatment, and management of spinal arachnoiditis as a rare complication of aSAH...
January 6, 2018: Curēus
https://www.readbyqxmd.com/read/29527399/nursing-review-of-spinal-meningiomas
#14
REVIEW
Nancy E Epstein
Background: Spinal meningiomas are found in patients typically between the ages of 75 and 84: some report the average age to be 50. They occur with an incidence of approximately 1000 patients per year in the US, are mostly single (90%) rather than multiple (10%), and arise from the spinal meninges (arachnoid/dura). Tumors are typically posterior/posterolateral (70%) in location, leaving the remaining 30% in the anterior/anterolateral spinal canal. They produce symptoms and signs of radiculopathy (nerve root) and/or myelopathy (cord compression) depending on their site of origin...
2018: Surgical Neurology International
https://www.readbyqxmd.com/read/29490674/caudal-lumbar-spinal-cysts-in-two-french-bulldogs
#15
Kiona Sharon de Nies, Ralph Alexander Edwards, Niklas Bergknut, Martijn Beukers, Björn Petrus Meij
BACKGROUND: Spinal cysts are rare findings in veterinary medicine, but they are increasingly recognized due to the availability of advanced imaging techniques. Extradural meningeal cysts in French Bulldogs have not been reported previously and arachnoid cysts (diverticula) have not been reported at the caudal lumbar (L6-L7) region in dogs. CASE PRESENTATION: Two French Bulldogs, aged 5 and 8 years, were referred for evaluation of lower back pain and bilateral hind limb neurological deficits...
March 1, 2018: Acta Veterinaria Scandinavica
https://www.readbyqxmd.com/read/29454129/delayed-posttraumatic-subacute-lumbar-subarachnoid-hematoma-case-report-and-review-of-the-literature
#16
REVIEW
Thiébaud Picart, Timothée Jacquesson, Emmanuel Jouanneau, Moncef Berhouma
BACKGROUND: Traumatic spinal subarachnoid hematoma, associated or not with a concurrent subdural hematoma, has rarely been described. The evolution of such hematomas is heterogeneous. This study aims at defining the most accurate management, which is currently not standardized. CASE DESCRIPTION: A 20-year-old man, victim of a high-kinetic road accident 5 days before and with several nonneurologic nonsurgical vertebral fractures, experienced a sudden dorsolumbar pain radiating to his lower limbs...
May 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29416265/subarachnoid-space-needle-s-eyelet-in-dural-arachnoid-side-wall-of-lumbar-cistern-whitacre-vs-quincke
#17
Deepak Gupta
No abstract text is available yet for this article.
October 2017: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29409774/adult-tethered-cord-syndrome-following-chiari-decompression
#18
Christina Jackson, Brian W Yang, Wenya Linda Bi, E Antonio Chiocca, Michael W Groff
BACKGROUND: Adult tethered cord syndrome is a rare neurologic disorder that classically presents with back or leg pain, weakness, and urinary dysfunction. Spinal cord tethering has been associated with acquired Chiari malformations. Whereas the effects of tethered cord release on Chiari malformation symptoms have been described previously, we report an unusual case of acquired tethered cord syndrome following Chiari decompression. CASE DESCRIPTION: We report a 68-year-old man with a history of distant T12-level spinal cord injury and 2 weeks of progressive bilateral lower extremity weakness...
April 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29404247/endoscopic-endonasal-resection-of-retrochiasmatic-craniopharyngioma-with-fascia-lata-button-and-nasoseptal-flap-reconstruction
#19
Varun R Kshettry, Gurston Nyquist, James J Evans
Surgery for craniopharyngiomas can be challenging due to the involvement of multiple critical neurovascular structures. The expanded endoscopic endonasal approach can provide superior access to suprasellar craniopharyngiomas, particularly with retrochiasmatic extension and significant hypothalamic involvement. We describe the surgical technique used to treat a 30-year-old patient who presented with 4 weeks of worsening vision, fatigue, and memory loss. His vision was counting fingers at 1 feet on the right and 20/800 on the left with a temporal hemianopsia...
February 2018: Journal of Neurological Surgery. Part B, Skull Base
https://www.readbyqxmd.com/read/29361418/target-engagement-and-histopathology-of-neuraxial-resiniferatoxin-in-dog
#20
RANDOMIZED CONTROLLED TRIAL
Tyler M Hockman, Alvaro F Cisternas, Bryan Jones, Mark T Butt, Kent G Osborn, Joanne J Steinauer, Shelle A Malkmus, Tony L Yaksh
OBJECTIVE: To evaluate target engagement of intracisternally (IC) delivered TRPV1 agonist, resiniferatoxin (RTX), as measured by primary afferent and dorsal horn substance P immunoreactivity (sP-IR), histopathology and thermal escape latencies in dogs. STUDY DESIGN: Prospective experimental trial. ANIMALS: Fourteen adult male Beagle dogs, weighing 10.3-13.2 kg; 11 dogs surviving to scheduled euthanasia. METHODS: Anesthetized dogs were randomly assigned to be administered IC RTX (3...
March 2018: Veterinary Anaesthesia and Analgesia
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