Aim To emphasize the importance of early recognition, diagnostic processing and emergent surgical treatment of spontaneous spinal epidural hematoma (SSEH). Methods A 39-year-old female presented with sudden onset of severe pain between the shoulder blades followed by paraparesis and alerted sensibility in the lower extremities. An hour later she developed paraplegia with sensory deficits below ...

Non-traumatic paraplegia caused by herniation of the cervical intervertebral disc is an uncommon postoperative complication. A patient with claudication and radiculopathy was scheduled for lumbar laminectomy due to spinal stenosis. Postoperatively, numbness below T6 was found in his both legs of the patient. MRI showed a protruded intervertebral disc between C6 and C7. Despite urgent disectomy,...

Introduction Postoperative paraplegia including paraparesis is a devastating complication after descending thoracic aortic aneurysm (DTAA) and thoracoabdominal aortic aneurysm (TAAA) repair surgery. This lecture will be focused on the pathophysiological mechanisms for the development of postoperative paraplegia, the strategies to prevent the development of postoperative paraplegia, and anesthet...

Vertebral haemangiomas are usually asymptomatic and discovered fortuitously during imaging. A small proportion may develop variable degrees of pain and neurological deficit. We prospectively studied six patients who underwent eight surgical procedures on 11 vertebral bodies. There were 11 balloon kyphoplasties, six lumbar and five thoracic. The mean follow-up was 22.3 months (12 to 36). The ind...

The purpose of this study was to analyse lower leg skin blood flow (laser Doppler flowmetry) in five individuals with high-level paraplegia (T5-T9), six participants with low-level paraplegia (T10-T12) and six able-bodied controls during 3-minute light and heavy arm-cranking exercises (approximately 15% and 80% peak power output, respectively). Throughout light exercise, cutaneous vasoconstrict...

S. Prasad, MD R.S. Price, MD S.M. Kranick, MD J.H. Woo, MD R.W. Hurst, MD S. Galetta, MD SECTION 1 Case presentation. A 59-year-old woman with a history of hypertension developed acute bilateral flaccid leg weakness while watching television. She had shifted her weight while sitting on the couch and suddenly felt a sharp pain in her lower back and right leg. When she stood up to walk she notice...

Abstract Background Transverse myelitis is an inflammation of the spinal cord that spreads along horizontal plane a section cord. Arboviruses, including dengue virus, are rare but known causative factors. However, this association and underlying pathophysiology unclear. We report case transverse in patient with viral infection. Case presentation A 38-year-old man presented fever followed by acu...

Corticosteroid-Induced Paraplegia—ADiagnostic Clue for Spinal Dural Arterial Venous Fistula A man in his 60s was evaluated for progressive myelopathy. His symptoms evolved insidiously over a year and included groinnumbness, incompletebladder emptying, and legweakness.Examination revealedspasticparaparesis.Magnetic resonance imaging (MRI) of the cervical and thoracic spine demonstrated a T2 hype...