1,849 results match your criteria Cauda Equina Syndrome


Rapid Development of Spinal Epidural Lipomatosis after Treatment of Metastatic Castration-resistant Prostate Cancer with Second-Generation Androgen Receptor Antagonists.

World Neurosurg 2019 Feb 11. Epub 2019 Feb 11.

Department of Neurosurgery, Ohio State University Wexner Medical Center, Columbus, OH, US.

Background: Previous studies have described the association of spinal epidural lipomatosis with several conditions including chronic steroid therapy, Cushing's syndrome, obesity, Paget's disease, and hypothyroidism. We present a report of rapid development of spinal epidural lipomatosis after treatment with second-generation anti-androgen therapy, a new strategy for treatment of metastatic castration-resistant prostate cancer which has been increasingly employed in the past few years. A comprehensive discussion of the underlying molecular networks involving androgen receptor blockage and adipocyte differentiation as well as the clinical implications of such a phenomenon is provided. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750193033
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2019.01.222DOI Listing
February 2019
1 Read

Manipulative Therapies: What Works.

Am Fam Physician 2019 Feb;99(4):248-252

University of Florida, Gainesville, FL, USA.

Manipulative therapies include osteopathic manipulative treatment and many other forms of manual therapies used to manage a variety of conditions in adults and children. Spinal manipulative therapy may provide short-term improvement in patients with acute or chronic low back pain, comparable with other standard treatments. When compared with oral analgesics, cervical manipulation and/or mobilization appears to provide better short-term pain relief and improved function in patients with neck pain. Read More

View Article

Download full-text PDF

Source
February 2019

Surgical Intervention for Osteoporotic Vertebral Burst Fractures in Middle-low Lumbar Spine with Special Reference to Postoperative Complications Affecting Surgical Outcomes.

Neurol Med Chir (Tokyo) 2019 Feb 13. Epub 2019 Feb 13.

Department of Orthopaedic Surgery, Yokohama City University Hospital.

The purpose of this study was to investigate the clinical and radiological features of osteoporotic burst fractures affecting levels below the second lumbar (middle-low lumbar) vertebrae, and to clarify the appropriate surgical procedure to avoid postoperative complications. Thirty-eight consecutive patients (nine male, 29 female; mean age: 74.8 years; range: 60-86 years) with burst fractures affecting the middle-low lumbar vertebrae who underwent posterior-instrumented fusion were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2176/nmc.oa.2018-0232DOI Listing
February 2019

Limbus Vertebral Fracture Presenting as Cauda Equina Syndrome Masquerading An Acute Disc Prolapse - A Rare Case Report and Review of Literature.

J Orthop Case Rep 2018 Jul-Aug;8(4):38-40

Department of Orthopaedics, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Introduction: Limbus vertebral fracture is an uncommon injury described in adolescents. It refers to the separation of a bony fragment from the unfused ring apophysis of lumbar vertebral end plate. It usually presents with back pain with/without radiculopathy masquerading an acute disc prolapse. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13107/jocr.2250-0685.1150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6343561PMC
January 2019
1 Read

Foraminoplasty at the Tip or Base of the Superior Articular Process for Lateral Recess Stenosis in Percutaneous Endoscopic Lumbar Discectomy: A Multicenter, Retrospective, Controlled Study with 2-Year Follow-Up.

Biomed Res Int 2018 19;2018:7692794. Epub 2018 Dec 19.

Department of Orthopaedics, The Second Affiliated Hospital, Chongqing Medical University, No. 76 Linjiang Road, District Yuzhong, Chongqing, China.

Objective: To compare the clinical efficacy and complications which obtained foraminoplasty at the tip or base of the superior articular process (SAP) for the patients with lateral recess stenosis treated by percutaneous endoscopic lumbar discectomy (PELD).

Methods: Between January 2015 and January 2016, 156 patients of lumbar disc herniation accompanying with lateral recess stenosis were treated with PELD in five tertiary hospitals and fulfilled the 2-year follow-up. Among them, 78 patients obtained a foraminoplasty at the tip of SAP (group A), and foraminoplasty at the base of SAP was performed in the other 78 cases (group B). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/7692794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6313963PMC
December 2018
2 Reads

Dermal papillae flattening of thigh skin in Syndrome.

Eur J Transl Myol 2018 Nov 13;28(4):7914. Epub 2018 Dec 13.

Interdepartmental Research Center of Myology, Department of Neuroscience, Section of Human Anatomy, University of Padova, Italy.

Our previous studies have shown that severely atrophic Quadriceps muscles of spinal cord injury (SCI) persons suffering with complete and syndrome, and thus with permanent denervation-induced atrophy and degeneration of muscle, were almost completely rescued to normal size after two years of home based Functional Electrical Stimulation (hbFES). Since large surface electrodes were used to stimulate the denervated thigh muscles, we wanted to know if the skin was affected by this peculiar long-term treatment. Indeed, we demonstrated by two approaches that the epidermis decreases in thickness in the long term denervated persons, while it increased to almost pre-SCI values in hbFES compliant SCI persons. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4081/ejtm.2018.7914DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317141PMC
November 2018
1 Read

Myokines in Home-Based Functional Electrical Stimulation-Induced Recovery of Skeletal Muscle in Elderly and Permanent Denervation.

Eur J Transl Myol 2018 Nov 16;28(4):7905. Epub 2018 Nov 16.

Istituto di Istologia ed Embriologia, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

Neuromuscular disorders, disuse, inadequate nutrition, metabolic diseases, cancer and aging produce muscle atrophy and this implies that there are different types of molecular triggers and signaling pathways for muscle wasting. Exercise and muscle contractions may counteract muscle atrophy by releasing a group of peptides, termed myokines, to protect the functionality and to enhance the exercise capacity of skeletal muscle. In this review, we are looking at the role of myokines in the recovery of permanent denervated and elderly skeletal muscle tissue. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4081/ejtm.2018.7905DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6317133PMC
November 2018
2 Reads

Intravascular Papillary Endothelial Hyperplasia (Masson's Tumor) Within Cauda Equina.

J Am Acad Orthop Surg Glob Res Rev 2018 Nov 5;2(11):e087. Epub 2018 Nov 5.

Department of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan.

Objective: To describe a rare case of intravascular papillary endothelial hyperplasia (IPEH), also called as Masson's tumor, in a patient with the cauda equina syndrome presenting with low back pain and leg pain.

Summary Of Background Data: There are no studies that have reported a case of IPEH within the cauda equina.

Methods: A 40-year-old man with no prior medical history presented with low back pain and leg pain beginning approximately 5 years ago and a month ago, respectively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5435/JAAOSGlobal-D-17-00087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324899PMC
November 2018

Posterior epidural migration of herniated lumbar disc fragment: a literature review.

Neurosurg Rev 2019 Jan 6. Epub 2019 Jan 6.

Department of Neurosurgery, Bonifatius Hospital, Wilhelmstr. 13, 49808, Lingen, Germany.

Herniated disc fragments' migration to posterior epidural locations is a very rare pathological condition, and the mechanism is not well understood. Posterior epidural migration may lead to serious neurologic problems; however, its diagnosis and treatment are challenging. We searched PubMed and Google Scholar, using various keyword combinations, and found 111 cases of posterior epidural disc migration in the lumbar region reported between 1973 and 2018. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s10143-018-01065-1
Publisher Site
http://dx.doi.org/10.1007/s10143-018-01065-1DOI Listing
January 2019
6 Reads
1.861 Impact Factor

Imaging features of spinal atypical teratoid rhabdoid tumors in children.

Medicine (Baltimore) 2018 Dec;97(52):e13808

Department of Pathology, Guangzhou Women and Children's Medical Center, Guangzhou, Guangdong, China.

This study aims to analyze and summarize the imaging features of spinal atypical teratoid/rhabdoid tumors (AT/RT) in children.Imaging features in 8 children with spinal AT/RT confirmed by surgical pathology were retrospectively analyzed. All patients had underwent total spine 3. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013808DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6314652PMC
December 2018
7 Reads

Non-compressive postoperative cauda equina syndrome following decompression and transforaminal interbody fusion surgery.

BMJ Case Rep 2018 Nov 28;11(1). Epub 2018 Nov 28.

Anatomy, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Postoperative cauda equina syndrome (CES) is a known rare complication following lumbar disc surgery. Seldom are they seen following decompression for spinal stenosis and may be actually more frequent and under-reported? Emergent surgical exploration remains the mainstay of management as the factors responsible for postop CES remains a variety of compressive forces. Yet many a time postoperative imaging or surgical exploration fails to identify a pathology and this leads to an ischaemic theory responsible for CES. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-227219DOI Listing
November 2018

Operative Management of Perinatal Lumbar Disc Herniation and Cauda Equina Syndrome: A Case Series

Ir Med J 2018 Dec 6;111(10):843. Epub 2018 Dec 6.

National Spinal Injuries Units, Department of Trauma & Orthopaedic Surgery, Mater Misericordiae University Hospital, Dublin, Ireland.

Introduction Perinatal lumbar discectomy for lumbar disc herniation or cauda equina syndrome is a rare clinical scenario. This case series outlines the surgical management of this clinical scenario at a national tertiary referral centre over a 10-year period Methods A retrospective review of all females who underwent discectomy / decompression for lumbar disc herniation or cauda equina syndrome in the perinatal period at a national tertiary referral centre for spine surgery over a 10-year period between January 2008 to December 2017. Results 6 cases required surgical intervention. Read More

View Article

Download full-text PDF

Source
December 2018
1 Read

Vertebral solitary bone plasmacytoma in a young adult with Trisomy 21: A case report.

J Spinal Cord Med 2018 Dec 17:1-4. Epub 2018 Dec 17.

a Neurology's Department , Habib Bourguiba Hospital , Sfax , Tunisia.

Context: Solitary bone plasmacytoma (SBP) are rare lesions, accounting for less than 5% of all plasma cell proliferations. We describe a case of a 21-year-old female with Trisomy 21 presenting with cauda equina compression from an SBP.

Findings: Solitary bone plasmacytoma (SBP) is a rare primary bone tumor. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/10790268.2018.1
Publisher Site
http://dx.doi.org/10.1080/10790268.2018.1557866DOI Listing
December 2018
7 Reads

Understanding cauda equina syndrome: protocol for a UK multicentre prospective observational cohort study.

BMJ Open 2018 Dec 14;8(12):e025230. Epub 2018 Dec 14.

Department for Clinical Neurosciences, Western General Hospital, Edinburgh, UK.

Introduction: Cauda equina syndrome (CES) is a potentially devastating condition caused by compression of the cauda equina nerve roots. This can result in bowel, bladder and sexual dysfunction plus lower limb weakness, numbness and pain. CES occurs infrequently, but has serious potential morbidity and medicolegal consequences. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bmjopen-2018-025230DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303568PMC
December 2018
4 Reads

An observation of massive lumbar disc prolapse.

J Spine Surg 2018 Sep;4(3):583-587

The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation, Oswestry, Shropshire, UK.

Background: The aim of this study was to investigate whether massive lumbar disc herniations (LDH) can be managed safely with non-operative treatment. Whilst most LDH are treated successfully with analgesia and physiotherapy, there is little literature regarding the treatment of massive LDH. Their impressive size raises the suspicion that they may cause cauda equina syndrome and are therefore often treated surgically. Read More

View Article

Download full-text PDF

Source
http://jss.amegroups.com/article/view/4245/4794
Publisher Site
http://dx.doi.org/10.21037/jss.2018.07.12DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261772PMC
September 2018
14 Reads

Nocardial spinal epidural abscess with lumbar disc herniation: A case report and review of literature.

Medicine (Baltimore) 2018 Dec;97(49):e13541

Department of Spine Surgery.

Rationale: Nocardial spinal epidural abscess is rare. The diagnosis is often difficult to make and, if delayed, poses a high risk of long-term disability. Nocardial spinal epidural abscess with severe lumbar disc herniation has not previously been reported. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000013541DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310552PMC
December 2018
1 Read

Otopathology in Angiosarcoma of the Temporal Bone.

Laryngoscope 2019 Mar 11;129(3):737-742. Epub 2018 Dec 11.

Department of Otolaryngology, Harvard Medical School, Boston, Massachusetts.

Objectives/hypothesis: Investigate the otopathology of angiosarcoma of the temporal bone, which has not been previously described in the literature.

Study Design: Postmortem evaluation and literature review.

Methods: Postmortem histological evaluation of the temporal bones and review of the literature for the treatment and prognosis of this rare disease were performed. Read More

View Article

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1002/lary.27281
Publisher Site
http://dx.doi.org/10.1002/lary.27281DOI Listing
March 2019
5 Reads

Factors that influence neurological deficit and recovery in lumbar disc prolapse-a narrative review.

Int Orthop 2018 Nov 24. Epub 2018 Nov 24.

Department of spine surgery, Ganga Medical centre & Hospital. Pvt. Ltd, #313, Mettupalayam road, Sai baba Colony, Coimbatore, Tamilnadu, 641001, India.

Neurodeficit due to lumbar disc herniation (LDH) is a serious complication and can range from sensory hypoesthesia in a single dermatome to a debilitating condition like cauda equina syndrome (CES). Many authors have described variable clinical and radiological risk factors for neurodeficit in LDH. Similarly the prognostic factors influencing recovery have been variable across the studies. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00264-018-4242-y
Publisher Site
http://dx.doi.org/10.1007/s00264-018-4242-yDOI Listing
November 2018
15 Reads

Does the Surgical Timing and Decompression Alone or Fusion Surgery in Lumbar Stenosis Influence Outcome in Cauda Equina Syndrome?

Asian Spine J 2018 Nov 27. Epub 2018 Nov 27.

Department of Spine Surgery, Stavya Spine Hospital and Research Institute, Ahmedabad, India.

Study Design: A retrospective comparative analysis of 64 patients with cauda equina syndrome (CES), who underwent either decompression alone (NF) or fusion (F) surgery.

Purpose: We compared the outcomes and timing effects.

Overview Of Literature: CES can cause loss of autonomic control of vesicular function and lower limb neurological deficits. Read More

View Article

Download full-text PDF

Source
http://asianspinejournal.org/journal/view.php?doi=10.31616/a
Publisher Site
http://dx.doi.org/10.31616/asj.2018.0168DOI Listing
November 2018
9 Reads

Secondary sacral tethered cord syndrome after treatment of secondary cervical syringomyelia.

J Clin Neurosci 2018 Nov 22. Epub 2018 Nov 22.

Department of Neurosurgery, HELIOS Klinikum, Erfurt, Germany.

A female patient operated at the age of 11 on a pilocytic astrocytoma in the posterior fossa, was re-operated for a recurrence 9 years later. A Torkildsen drain was placed in the 4th ventricle and she remained asymptomatic for 15 years before presenting again with acute hydrocephalus, tonsillar herniation, and a massive cervicothoracic syrinx. The symptoms retreated following craniocervical untethering and decompression. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jocn.2018.11.010DOI Listing
November 2018
1 Read

Intradural Disc a Diagnostic Dilemma: Case Series and Review of Literature.

Asian J Neurosurg 2018 Oct-Dec;13(4):1033-1036

Department of Orthopedic, King Edward Memorial Hospital, Mumbai, India.

Introduction: We present a case series of six cases of intradural disc herniation at L4-L5 level diagnosed on the basis of intraoperative findings.

Result: All our cases, on preoperative magnetic resonance imaging (MRI) were reported as having diffuse annular bulge with large posterocentral extrusion. Our study comprised patients in age group of 30-60 years. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ajns.AJNS_55_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6208249PMC
November 2018
9 Reads

Guillain-Barré Syndrome and Low Back Pain: Two Cases and Literature Review.

Open Med (Wars) 2018 22;13:503-508. Epub 2018 Oct 22.

Department of Neurology, Brain Research Center, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou 310016, Hangzhou China.

Purpose: To describe the clinical, electrophysiological, and lumbar magnetic resonance imaging (MRI) features of two cases of atypical Guillain-Barré syndrome (GBS). Methods We reported two GBS variant cases with initial and prominent symptoms of low back pain. We analysed their clinical, electrophysiological, and lumbar MRI features. Read More

View Article

Download full-text PDF

Source
http://www.degruyter.com/view/j/med.2018.13.issue-1/med-2018
Publisher Site
http://dx.doi.org/10.1515/med-2018-0074DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6227845PMC
October 2018
9 Reads

Lumbar Intraspinal Osteolipoma Presenting as Cauda Equina Syndrome: A Case Report and Review of Literature.

Case Rep Orthop 2018 22;2018:1945149. Epub 2018 Oct 22.

Department of Spine Surgery, 313 Mettupalayam Road, Ganga Hospital, Coimbatore, India.

Introduction: Osteolipomas are uncommon variants of lipoma. These lesions have been usually reported to arise from the oral cavity, brain, and neck and scarcely from the knee and thigh. Intraspinal osteolipomas are rare. Read More

View Article

Download full-text PDF

Source
https://www.hindawi.com/journals/crior/2018/1945149/
Publisher Site
http://dx.doi.org/10.1155/2018/1945149DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6217886PMC
October 2018
11 Reads

A Case Report of Paravertebral Block: A Safe Alternative for Microdiscectomy in a Pregnant Patient.

A A Pract 2018 Nov 1. Epub 2018 Nov 1.

From the Department of Anesthesiology and Pain, Fortis Memorial Research Institute, Gurugram, Haryana, India.

Nonobstetric surgery during pregnancy is common. Administration of safe anesthesia to a pregnant patient, while minimizing its side effects on the fetus, is a major challenge for the anesthesiologist. Both general anesthesia and central neuraxial block are associated with risks during early pregnancy. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1213/XAA.0000000000000921DOI Listing
November 2018

Cauda equina syndrome-the questions.

Authors:
Andrew Quaile

Int Orthop 2018 Oct 29. Epub 2018 Oct 29.

Hampshire Clinic, Basing Road, Basingtoke, RG24 7AL, UK.

Cauda equina syndrome is a devastating condition often following an innocent pathology in the form of a disc prolapse. The effect on sufferers, however, can be lifelong. It is necessary to make a diagnosis as expeditiously as possible via adequate history, clinical examination and appropriate imaging to offer treatment, in the form of decompressive surgery within 48 hours. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00264-018-4208-0DOI Listing
October 2018
1 Read

Depression Increases the Rates of Neurological Complications and Failed Back Surgery Syndrome in Patients Undergoing Lumbar Spine Surgery.

Clin Spine Surg 2018 Oct 22. Epub 2018 Oct 22.

Department of Orthopaedic Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA.

Study Design: This was a retrospective database study.

Objective: The aim of this study was to use a large sample to accurately determine risk factors and rates of neurological complications in patients undergoing commonly performed lumbar spine surgeries.

Summary Of Background Data: Damage to neurological structures and failed back surgery syndrome (FBSS) are among the most feared complications of lumbar spine surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BSD.0000000000000730DOI Listing
October 2018
6 Reads

Intravascular large B-cell lymphoma presenting as an isolated cauda equina-conus medullaris syndrome - A case report.

J Spinal Cord Med 2018 Oct 22:1-4. Epub 2018 Oct 22.

b Department of Neurology , University of Missouri School of Medicine , Columbia , Missouri , USA.

Context: Intravascular large B-cell lymphoma (IVLBCL) is a rare form of Non-Hodgkin lymphoma. The central nervous system, skin and hematopoietic system are the most commonly affected sites. We report a case of IVLBCL presenting as a combined conus medullaris-cauda equina syndrome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/10790268.2018.1527083DOI Listing
October 2018
6 Reads

Bladder Recovery Patterns in Patients with Complete Cauda Equina Syndrome: A Single-Center Study.

Asian Spine J 2018 Dec 16;12(6):981-986. Epub 2018 Oct 16.

Department of Spine Surgery, Indian Spinal Injuries Centre, New Delhi, India.

Study Design: Retrospective case series.

Purpose: Cauda equina syndrome (CES) is associated with etiologies such as lumbar disc herniation (LDH) and lumbar canal stenosis (LCS). CES has a prevalence of 2% among patients with LDH and exhibits variable outcomes, even with early surgery. Read More

View Article

Download full-text PDF

Source
http://asianspinejournal.org/journal/view.php?doi=10.31616/a
Publisher Site
http://dx.doi.org/10.31616/asj.2018.12.6.981DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284130PMC
December 2018
11 Reads

The clinical features and outcome of scan-negative and scan-positive cases in suspected cauda equina syndrome: a retrospective study of 276 patients.

J Neurol 2018 Dec 8;265(12):2916-2926. Epub 2018 Oct 8.

Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK.

Background: The majority of patients presenting with suspected clinical cauda equina syndrome (CES) have no identifiable structural cause for their symptoms ('scan-negative' CES). Understanding these patients aids clinical differentiation and management in CES.

Methods: A retrospective electronic note review was undertaken of patients presenting with suspected CES, defined as ≥ 1 of acute bladder, bowel, sexual dysfunction or saddle numbness, to a regional neurosciences centre. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00415-018-9078-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6244667PMC
December 2018
4 Reads

Spinal Emergencies in Primary Care Practice.

Am J Med 2018 Oct 3. Epub 2018 Oct 3.

Division of Spine Surgery, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University, Providence, RI.

Atraumatic spinal emergencies often present a diagnostic and management dilemma for health care practitioners. Spinal epidural abscess, cauda equina syndrome, and spinal epidural hematoma are conditions that can insidiously present to outpatient medical offices, urgent care centers, and emergency departments. Unless a high level of clinical suspicion is maintained, these clinical entities may be initially misdiagnosed and mismanaged. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00029343183094
Publisher Site
http://dx.doi.org/10.1016/j.amjmed.2018.09.022DOI Listing
October 2018
6 Reads

Fungal cauda equina lesion with delayed cord compression and treatment response.

Clin Neurol Neurosurg 2018 Nov 21;174:185-186. Epub 2018 Sep 21.

University of Vermont Medical Center, Department of Neurological Sciences, 111 Colchester Avenue, Burlington, VT, 05401, United States. Electronic address:

This is a 24 year old man with profound chronic hydrocephalus found to have a cauda equina abscess composed of Candida albicans. Prior literature reveals a paucity of central nervous system candidiasis. In these previously reported cases, there was evidence of local invasion of surrounding structures; however, this case is a sentinel report of a fungal abscess without evidence of local structural invasion. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S03038467183039
Publisher Site
http://dx.doi.org/10.1016/j.clineuro.2018.09.029DOI Listing
November 2018
17 Reads

Informed appropriate imaging for low back pain management: A narrative review.

J Orthop Translat 2018 Oct 27;15:21-34. Epub 2018 Aug 27.

Department of Radiology, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.

Most patients with acute low back pain (LBP), with or without radiculopathy, have substantial improvements in pain and function in the first 4 weeks, and they do not require routine imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their LBP. It is also considered for those patients presenting with suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture and infection. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S2214031X183008
Publisher Site
http://dx.doi.org/10.1016/j.jot.2018.07.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6148737PMC
October 2018
13 Reads

Mechanical Low Back Pain.

Am Fam Physician 2018 Oct;98(7):421-428

Martin Army Community Hospital, Fort Benning, GA, USA.

Low back pain is usually nonspecific or mechanical. Mechanical low back pain arises intrinsically from the spine, intervertebral disks, or surrounding soft tissues. Clinical clues, or red flags, may help identify cases of nonmechanical low back pain and prompt further evaluation or imaging. Read More

View Article

Download full-text PDF

Source
October 2018
19 Reads

Thoracic Discitis in Ankylosing Spondylitis.

Cureus 2018 Jul 12;10(7):e2972. Epub 2018 Jul 12.

Rheumatology, University of Kansas School of Medicine - Wichita, Wichita, USA.

Chronic ankylosing spondylitis can lead to several rare long-term complications including cauda equina syndrome and inflammatory discitis especially without treatment. These complications are uncommon, but there is evidence that they can be treated with anti-tumor necrosis factor (TNF) inhibitors. We present a case of a 52-year-old male with a 30-year history of undiagnosed ankylosing spondylitis with cauda equina syndrome on initial outpatient presentation with a negative lumbosacral magnetic resonance imaging (MRI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.2972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136886PMC
July 2018
3 Reads

Surgical Intervention for Cauda Equina Syndrome in the Second and Third Trimesters of Pregnancy: A Report of Three Cases.

JBJS Case Connect 2018 Jul-Sep;8(3):e68

Department of Orthopaedics, Anschutz Medical Campus, University of Colorado, Aurora, Colorado.

Case: Low back pain affects >50% of pregnant women. However, cauda equina syndrome (CES) during pregnancy is rare. Because a delay in treatment increases the risk of irreversible neurologic damage, acute onset is regarded as a surgical emergency. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.CC.17.00289DOI Listing
September 2018
1 Read

Cavernoma of the cauda equina.

Surg Neurol Int 2018 28;9:174. Epub 2018 Aug 28.

Department of Neurosurgery, KAT General Hospital of Attica, Kifisia 145 61, Greece.

Background: Cavernomas are benign malformations of the vasculature. In the central nervous system, they are mostly located supratentorially. However, in adults, cavernomas also comprise about 3% of all subdural spinal cord tumors. Read More

View Article

Download full-text PDF

Source
http://www.surgicalneurologyint.com/text.asp?2018/9/1/174/24
Publisher Site
http://dx.doi.org/10.4103/sni.sni_212_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122280PMC
August 2018
11 Reads

Posterior Epidural Migration of a Lumbar Intervertebral Disc Fragment Resembling a Spinal Tumor: A Case Report.

Ann Rehabil Med 2018 Aug 31;42(4):621-625. Epub 2018 Aug 31.

Department of Physical Medicine and Rehabilitation, Dongguk University College of Medicine, Goyang, Korea.

Posterior epidural migration of a lumbar intervertebral disc fragment (PEMLIF) is uncommon because of anatomical barriers. It is difficult to diagnose PEMLIF definitively because of its relatively rare incidence and the ambiguity of radiological findings resembling spinal tumors. This case report describes a 76-year-old man with sudden-onset weakness and pain in both legs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5535/arm.2018.42.4.621DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129698PMC
August 2018
7 Reads

Cauda equine syndrome as the primary symptom of leptomeningeal metastases from lung cancer: a case report and review of literature.

Onco Targets Ther 2018 20;11:5009-5013. Epub 2018 Aug 20.

Department of Cardiothoracic Surgery, The Third Affiliated Hospital of Soochow University, Changzhou 213003, China,

Cauda equine syndrome (CES) is a neurological condition caused by compression of the cauda equine. Here, we demonstrate a case of CES as the primary symptom of leptomeningeal metastases from non-small cell lung carcinoma without brain metastases. A 59-year-old male suffered progressive lower extremity motor dysfunction, urinary dysfunction, and lower extremity sensory dysfunction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.2147/OTT.S165299DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6109657PMC
August 2018
3 Reads

West Nile Neuroinvasive Disease Presenting as Elsberg Syndrome.

Neurologist 2018 Sep;23(5):152-154

Division of Critical Care Neurology.

Introduction: Elsberg syndrome (ES) is a rarely recognized cause of cauda equina syndrome and lower thoracic myelitis, mainly linked to reactivation, or occasionally primary, infection with herpes simplex virus type 2. West Nile virus neuroinvasive disease is rarely considered in the differential diagnosis of patients with ES.

Case Report: A 63-year-old man with pancreatic cancer in remission and polymyalgia rheumatica on low-dose prednisone presented with a 10-day history of low-back pain and a viral-type illness with low-grade fever, nausea, and vomiting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/NRL.0000000000000189DOI Listing
September 2018
25 Reads

Factors Associated With Longer Postoperative Outpatient Follow-up Duration in Patients With Single Lumbar Disc Herniation: A Noncomplicated Patient Cohort Study.

Neurospine 2018 Sep 29;15(3):225-230. Epub 2018 Aug 29.

Department of Neurosurgery, Hallym University Chuncheon Sacred Heart Hospital, Hallym University College of Medicine, Chuncheon, Korea.

Objective: Many reports have described the outcomes of surgical treatment of lumbar disc herniation (LDH). However, few reports have investigated the treatment period after lumbar disc surgery. If no complications occur, how long should an ordinary patient be treated? Which factors are associated with the outpatient follow-up period (OFP)? To answer these questions, we reviewed the medical records of patients who underwent lumbar disc surgery, calculated their average OFP, and sought to identify factors associated with the OFP. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.14245/ns.1836006.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6226128PMC
September 2018
2 Reads

Can spinal surgery in England be saved from litigation: a review of 978 clinical negligence claims against the NHS.

Eur Spine J 2018 Nov 27;27(11):2693-2699. Epub 2018 Aug 27.

Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

Purpose: The aim of this study is to evaluate the true incidence of all clinical negligence claims against spinal surgery performed by orthopaedic spinal surgeons and neurosurgeons in the National Health Service (NHS) in England, including both open and closed claims.

Methods: This study was a retrospective review of 978 clinical negligence claims held by NHS Resolution against spinal surgery cases identified from claims against 'Neurosurgery' and 'Orthopaedic Surgery'. This category included all emergency, trauma and elective work and all open and closed cases without exclusion between April 2012 and April 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00586-018-5739-1DOI Listing
November 2018
2 Reads

Women's experiences of sexuality after spinal cord injury: a UK perspective.

Spinal Cord 2018 Nov 23;56(11):1084-1094. Epub 2018 Aug 23.

National Spinal Injuries Centre, Stoke Mandeville Hospital, Mandeville Road, Aylesbury, Bucks, HP21 8AL, UK.

Study Design: Cross-sectional phenomenological qualitative study.

Objectives: To investigate women's experience of sexuality after spinal cord injury (SCI) with a focus on rehabilitation and manging practical impact.

Setting: Women with SCI living in the community in United Kingdom (UK). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41393-018-0188-6DOI Listing
November 2018
6 Reads

Symptomatic spinal epidural lipomatosis after combined hormonal and steroidal palliative therapy of prostate cancer.

Spinal Cord Ser Cases 2018 10;4:75. Epub 2018 Aug 10.

3Radiology Department, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham, NG7 2UH UK.

Introduction: Spinal epidural lipomatosis (SLE) is an abnormal accumulation of unencapsulated fat. The association of chronic steroid therapy is described as well as obesity and Cushing's syndrome. SLE has a range of neurological presentations such as back pain, myelopathy, and cauda equina syndrome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41394-018-0107-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086905PMC
August 2018
13 Reads

Epidural venous plexus engorgement due to inferior vena cava thrombosis resulting in cauda equina syndrome: Case report and literature review.

Surg Neurol Int 2018 4;9:129. Epub 2018 Jul 4.

Department of Surgery, Division of Neurosurgery, University of Arizona College of Medicine - Phoenix, Maricopa Medical Center, Phoenix, Arizona, USA.

Background: Epidural venous plexus congestion at L5-S1 due to inferior vena cava (IVC) thrombosis led to an acute cauda equina syndrome (CES). Laminectomy to rule out an epidural abscess, allowing for resection of the dilated veins, led to immediate symptom resolution.

Case Description: A 47-year-old male presented with acute urinary retention and left greater than right lower extremity paresis of 2 weeks duration. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/sni.sni_115_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044142PMC
July 2018
2 Reads

Lumbar Arthroplasty Core Herniation Presenting With Cauda Equina Syndrome: Case Report of a Rare Complication.

Oper Neurosurg (Hagerstown) 2018 Aug 7. Epub 2018 Aug 7.

Department of Neurosurgery, University of Arkansas for Medical Sciences, Little Rock, Arkansas.

Background: Treatment failures of artificial disc implantation are well-described, but posterior herniation of the arthroplasty core is rare. We present a case of posterior herniation of the arthroplasty core resulting in cauda equina syndrome in a 36-yr-old woman. Preoperative imaging studies including computed tomography (CT), magnetic resonance imaging (MRI), and CT Myelogram were performed; only the CT Myelogram demonstrated the severe compression well. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/ons/opy152DOI Listing
August 2018
1 Read

Cauda equina syndrome in a patient diagnosed with type 1 Gaucher disease: a rare case.

Childs Nerv Syst 2019 Jan 9;35(1):191-194. Epub 2018 Aug 9.

Department of Neurosurgery, Selcuk University, Konya, Turkey.

Background: Gaucher disease is a rare hereditary glycolipid storage disease. One of the rare complications is neurodeficits due to vertebral involvement.

Case Presentation: An 18-year-old female patient presented to the outpatient clinic with cauda equina syndrome due to sacral involvement of type 1 GD. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00381-018-3946-zDOI Listing
January 2019
2 Reads

Posterior Epidural Migration of a Lumbar Disc Herniation Causing Cauda Equina Syndrome: A Case Report.

Cureus 2018 Jun 5;10(6):e2739. Epub 2018 Jun 5.

Neurosurgery, Central Illinois Neuroscience Foundation, Chicago, USA.

We report an uncommon case of posterior epidural migration of a lumbar disc fragment (PEMLDF) in a patient presenting with acute, progressive back pain, radiculopathy, and weakness. PEMLDF can be mistaken for neoplastic or infectious etiologies on imaging, presenting a diagnostic and management challenge. Our patient underwent an urgent decompressive lumbar laminectomy, which revealed a PEMLDF intraoperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.2739DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6075642PMC

Spinal epidural lipomatosis is a previously unrecognized manifestation of metabolic syndrome.

Spine J 2019 Mar 2;19(3):493-500. Epub 2018 Aug 2.

Department of Orthopaedic Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjyuku-ku, Tokyo 160-8582, Japan.

Background Context: Spinal epidural lipomatosis (SEL) is a condition in which excess lumbar epidural fat (EF) deposition often leads to compression of the cauda equina or nerve root. Although SEL is often observed in obese adults, no systematic research investigating the potential association between SEL and metabolic syndrome has been conducted.

Purpose: To elucidate potential association between SEL and metabolic syndrome. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.spinee.2018.07.022DOI Listing
March 2019
13 Reads