Paraplegia from Gradual Spinal Effusion (?)

Spinal neuroarthropathy after traumatic paraplegia.

Spinal neuroarthropathy is a little-known complication of traumatic paraplegia. Four cases of this syndrome are described, with emphasis on the characteristic radiographic findings of severe juxta-articular bone destruction, dense appositional new bone formation, large osteophytosis, and soft-tissue bony debris. The factors predisposing patients to develop a neuropathic joint are diminished pai...

Paraplegia caused by spinal metastasis from thyroid cancer.

Paraplegia caused by metastases in the spine is a common and unfortunate incident in the natural history of many types of cancer. Even when the site of the primary tumour is known, treatment is too often symptomatic only, and when the primary is not known it is sometimes thought that energetic pursuit of the diagnosis is academic, and that the patient is better left to " die in peace." However,...

Spinal Arteriovenous Fistula with Progressive Paraplegia after Spinal Anaesthesia

A case of an iatrogenic spinal arteriovenous fistula with progressive paraplegia in a young woman is reported. The fistula was eventually created after repetitive lumbar punctures performed in the process of spinal anaesthesia. Her symptoms were progressed to paraplegia over a period of 2 years. The digital subtraction angiography demonstrated a single-hole fistula, involving the anterior spina...

Paraplegia due to spinal epidural haematoma.

Paraplegia caused by spinal epidural abscess.

Two patients with spinal epidural abscess, but with different neurological outcomes, are presented. The pathogenesis, clinical features and current treatment are reviewed. The need for early diagnosis is once again stressed.