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Acute spontaneous thoracic epidural hematoma associated with intraspinal lymphangioma: A case report

World Journal of Clinical Cases 2021年第14期9卷 3411-3417页

作者： Kai-Jay Chia Li-Han Lin Ming-Tse Sung Tsung-Ming Su Jin-Fu Huang Hsiang-Lin Lee Wen-Wei Sung Tsung-Han Lee Division of Neurosurgery Department of SurgeryKaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung 83301Taiwan Department of Radiology Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung 83301Taiwan Department of Pathology Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of MedicineKaohsiung 83301Taiwan Department of Surgery Chung Shan Medical University HospitalTaichung 40201Taiwan Department of Urology Chung Shan Medical University HospitalTaichung 40201Taiwan

BACKGROUND Spontaneous spinal epidural hematoma is a rare neurosurgical *** SUMMARY A 53-year-old healthy woman suffered from complete paraplegia in both legs and loss of all sensation below the xiphoid *** was diagnosed as acute spontaneous thoracic epidural hematoma caused by an intraspinal *** primary lab survey showed all within normal *** of a posteriorly epidural space-occupying lesion at the T4-T8 level of the spinal canal was confirmed on magnetic resonance imaging.A decompressive laminectomy was performed from the T4 to T7 levels at the sixth hour following abrupt onset of complete *** lesion was confirmed as *** patient recovered well within one *** This study reports a case of acute spontaneous thoracic epidural hematoma caused by an intraspinal lymphangioma with well recovery after surgical intervention.

关键词： Lymphangioma Epidural hematoma intraspinal Paraplegia Decompressive laminectomy Case report

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A report on intraspinal abscess due to community-acquired methicillin-resistant Staphylococcus aureus infection

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Chinese Medical Journal 2019年第3期132卷 364-366页

作者： Jin-Xin Zhang Li-Bo Tang Jie Peng Department of Infectious Diseases Nanfang HospitalSouthern Medical UniversityGuangzhouGuangdong 510515China

To the Editor: The incidence of community acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection and reports of CA-MRSA infection have been increasing yearly. But community-acquired intraspinal methicillin-resistant Staphylococcus aureus (MRSA) infection has never been reported. We describe a case of intraspinal abscess due to CA-MRSA infection.

关键词： intraspinal abscess community acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) methicillin-resistant Staphylococcus aureus (MRSA)

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Midline synovial and ganglion cysts causing neurogenic claudication

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World Journal of Clinical Cases 2013年第9期1卷 285-289页

作者： Jonathan Pindrik Mohamed Macki Mohamad Bydon Zahra Maleki Ali Bydon Department of Neurosurgery Johns Hopkins University School of Medicine Department of Pathology Johns Hopkins University School of Medicine

Typically situated posterolateral in the spinal canal, intraspinal facet cysts often cause radicular symptoms. Rarely, the midline location of these synovial or ganglion cysts may cause thecal sac compression leading to neurogenic claudication or cauda equina syndrome. This article summarizes the clinical presentation, radiographic appearance, and management of three intraspinal, midline facet cysts. Three patients with symptomatic midline intraspinal facet cysts were retrospectively reviewed. Documented clinical visits, operative notes, histopathology reports, and imaging findings were investigated for each patient. One patient presented with neurogenic claudication while two patients developed partial, subacute cauda equina syndrome. All 3 patients initially responded favorably to lumbar decompression and midline cyst resection; however, one patient required surgical stabilization 8 mo later. Following the three case presentations, we performed a thorough literature search in order to identify articles describing intraspinal cystic lesions in lateral or midline locations. Midline intraspinal facet cysts represent an uncommon cause of lumbar stenosis and thecal sac compression. Such entities should enter the differential diagnosis of midline posterior cystic lesions. Midline cysts causing thecal sac compression respond favorably to lumbar surgical decompression and cyst resection. Though laminectomy is a commonly performed operation, stabilization may be required in cases of spondylolisthesis or instability.

关键词： Midline Synovial Ganglion intraspinal Cyst Neurogenic Claudication Laminectomy Facet

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