Clinical Presentation of the Thoracic Spinal Compression

2020 ◽  
pp. 43-45
Author(s):  
Won Sok Chang ◽  
Junseok Bae
Keyword(s):  
Clinical Presentation ◽  
Thoracic Spinal ◽  
Spinal Compression

scholarly journals Pediatric Extramedullary Epidural Spinal Teratomas: A Case Report and Review of the Literature

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
David G. Deckey ◽  
Andrea Fernandez ◽  
Nina J. Lara ◽  
Steve Taylor ◽  
Jamal McClendon ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Motor Development ◽  
Clinical Presentation ◽  
Pediatric Population ◽  
Mature Teratoma ◽  
Cord Compression ◽  
Histopathological Analysis ◽  
Paravertebral Space ◽  
Thoracic Spinal ◽  
The Right

Background. Teratomas in the pediatric population are most commonly found in the sacrococcygeal region. Pediatric intraspinal teratomas, however, are an exceedingly rare central nervous system (CNS) neoplasm. The clinical presentation of these intraspinal neoplasms can vary significantly and thus can be difficult to identify in infants less than one year of age where verbal expression and motor development are still lacking. Case Description. A 7-month-old, previously healthy male presented with a thoracic scoliosis and an asymptomatic right midupper thoracic spinal prominence present since birth. MRI revealed an extensive heterogenous mass in the right epidural space from T5-T6 and the right paravertebral space, resulting in severe spinal stenosis. Outcome. Complete resection of the tumor, including a three-level neurotomy, was achieved by posterior decompression/laminectomy. The final tumor was consistent with a mature teratoma. The surgical resection was performed without any immediate complications. Conclusions. Extramedullary epidural teratomas are exceptionally rare tumors in the pediatric population. Clinical presentation can be ambiguous, particularly in an infant. MRI was useful in suggesting a teratoma as a potential diagnosis and for postoperative surveillance for recurrence. However, histopathological analysis remains the gold standard for definitive diagnosis. Surgical resection is the mainstay of treatment, especially in the setting of cord compression and progressive loss of motor function. Close follow-up is crucial to monitor for progressive spinal deformity or recurrence.

Catecholamine-Secreting Paraganglioma of the Thoracic Spinal Column

Neurosurgery ◽  
2011 ◽  
Vol 70 (4) ◽  
pp. E1049-E1052 ◽  
Author(s):  
Lauren N. Simpson ◽  
Betsy D. Hughes ◽  
Isaac O. Karikari ◽  
Ankit I. Mehta ◽  
Tiffany R. Hodges ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Tumor Resection ◽  
Spinal Column ◽  
Residual Tumor ◽  
Cell System ◽  
Postoperative Radiation ◽  
Posterior Decompression ◽  
Total Resection ◽  
Thoracic Spinal ◽  
Positive Urine

Abstract BACKGROUND AND IMPORTANCE: Paragangliomas are rare tumors of neuroendocrine origin that arise from paraganglionic tissue of the extrachromaffin cell system. These lesions may be seen at various sites along the neuraxis. Primary thoracic paragangliomas have rarely been reported in the literature, with secretory thoracic lesions being exceedingly rare as only 3 previous cases have been cited. CLINICAL PRESENTATION: A 49-year-old woman presented with episodes of hypertension, palpitations, and diaphoresis. Workup revealed positive urine catecholamines and a thoracic spine mass extending into the thoracic apex. Preoperative α-blockade with phenoxybenzamine was used followed by posterior decompression and tumor resection. Arthrodesis from C5 to T4 was subsequently performed, and the patient received postoperative radiation. CONCLUSION: Two years postoperatively, the patient has continued to have regression of her symptoms. We report a rare case of a catecholamine-secreting primary thoracic paraganglioma in a 49-year-old woman. These tumors should be treated carefully by the neurosurgeon with preoperative assistance from endocrinology for α-blockade, followed by gross total resection and postoperative radiation if residual tumor remains.

scholarly journals Pitfalls of Incomplete Myelography with Thoracic Spinal Lesions

1985 ◽  
Vol 12 (2) ◽  
pp. 121-124 ◽  
Author(s):  
Hart C.M. Cohen ◽  
William S. Tucker
Keyword(s):  
Clinical Presentation ◽  
Lower Extremities ◽  
Lumbar Region ◽  
Thoracic Region ◽  
Lower Back ◽  
Spinal Lesions ◽  
Thoracic Spinal ◽  
Spinal Lesion ◽  
Thoracic Cord ◽  
Radicular Symptoms

ABSTRACT:This paper describes four patients with thoracic spinal lesions in whom the initial clinical presentation was highlighted by complaints in the lower back and lower extremities, in the absence of thoracic spinal or radicular symptoms. Initial myelography, confined to the lumbar region, failed to reveal a cause for the patients’ symptoms. Subsequently, diagnostic consideration of a thoracic spinal lesion prompted repeat myelography of the thoracic region which demonstrated a relevant lesion in each case. It is important to visualize the thoracic cord when myelography is performed for the investigation of pain or neurological symptoms in the lower back or lower extremities.

Thoracic Endodermal Sinus Tumor with Root Compression Mimicking Guillain–Barre Syndrome in Clinical Presentation, CSF Studies, and EMG/NCV Findings

2019 ◽  
Vol 18 (04) ◽  
pp. 195-197
Author(s):  
Gal Barbut ◽  
Yuri Brosgol ◽  
Mahmut Celiker ◽  
Evan G. Stein ◽  
Gary N. McAbee
Keyword(s):  
Clinical Presentation ◽  
Clinical Signs ◽  
Guillain Barre Syndrome ◽  
Thoracic Spinal Cord ◽  
Thoracic Spinal ◽  
Anal Ring ◽  
Guillain Barré Syndrome ◽  
Electrophysiological Findings ◽  
Guillain Barré ◽  
Sinus Tumor

AbstractA 2-year-old boy who presented with clinical, cerebrospinal fluid, and electrophysiological findings consistent with Guillain–Barre syndrome (GBS) was found to have a thoracic spinal cord mass due to a yolk sac tumor. On examination, he had an absent anal wink and flaccid anal ring which is atypical for GBS. This case demonstrates the need for a thorough physical examination on presentation of a child with a clinical and laboratory presentation of GBS and highlights the importance of prompt imaging studies when clinical suspicion arises because of atypical clinical signs, such as absent anal wink or low rectal tone.

Jansky-Bielschowsky syndrome, a lysosomal disease: First diagnosed cash in Oman

1992 ◽  
Vol 50 (1) ◽  
pp. 632-633
Author(s):  
Line Buhl ◽  
David Muirhead
Keyword(s):  
Mental Retardation ◽  
Clinical Picture ◽  
Neurological Disorder ◽  
Clinical Presentation ◽  
Neuronal Ceroid Lipofuscinosis ◽  
Infantile Form ◽  
Lysosomal Disease ◽  
Juvenile Form ◽  
Progressive Encephalopathy ◽  
Lysosomal Diseases

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.

An Overview of Dementias

2012 ◽  
Vol 21 (3) ◽  
pp. 75-84
Author(s):  
Venkata Vijaya K. Dalai ◽  
Jason E. Childress ◽  
Paul E Schulz
Keyword(s):  
Clinical Presentation ◽  
Treatment Options ◽  
Current Treatment ◽  
Great Variability ◽  
Health Concern ◽  
Public Health Concern ◽  
Life Threatening ◽  
The Common ◽  
Neurodegenerative Dementias ◽  
Made In

Dementia is a major public health concern that afflicts an estimated 24.3 million people worldwide. Great strides are being made in order to better diagnose, prevent, and treat these disorders. Dementia is associated with multiple complications, some of which can be life-threatening, such as dysphagia. There is great variability between dementias in terms of when dysphagia and other swallowing disorders occur. In order to prepare the reader for the other articles in this publication discussing swallowing issues in depth, the authors of this article will provide a brief overview of the prevalence, risk factors, pathogenesis, clinical presentation, diagnosis, current treatment options, and implications for eating for the common forms of neurodegenerative dementias.

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