Lumbar puncture (LP), a common diagnostic procedure, is usually associated with low morbidity. We describe the case of a 29-year-old woman who underwent a non-traumatic LP in the setting of normal coagulation. Cauda equina syndrome subsequently developed secondary to an extradural spinal haematoma. Avoidance, identification and management of this uncommon complication are discussed. Iatrogenic ...

Dr. Asdrubal Falavigna – Rua General Arcy da Rocha Nóbrega 401 / 602 95040-290 Caxias do Sul RS Brasil. E-mail: [email protected] Spinal dermoid cysts are benign tumors that results from congenital or adquired ectodermal inclusions. Histologically they are characterized by the presence of dermal structures. These tumors account for 0.8%–1.1% of all primary spinal tumors with the majority occu...

BACKGROUND Capillary hemangiomas of spinal nerve root, mostly affecting the cauda equina, are extremely rare. CASE PRESENTATION A 20-year old man was presented with back pain, radiculopathy, and urogenital symptoms. Magnetic resonance images revealed an intradural extramedullary mass, isointense in T1-weighted and hyperintense in T2-weighted images, with noticeable post injection enhancement....

Cauda equina syndrome is defined as the compression of the nerve roots distal to L1 secondary to acute disc herniation, bony fragments, tumor, infection, or postsurgical intervention. The result is a complex of symptoms consisting of low back pain, unilateral or bilateral sciatica, motor weakness of the lower extremities, sensory disturbances, and loss of bowel or bladder function. The literatu...

A technique is described for recording the electromyographic activity of striated muscle in the urethral sphincter. Using a concentric needle electrode and an oscilloscope with a delay line and trigger, individual motor units were isolated and measured. To validate the method as a means of detecting pathology, the results are presented of analysis of the motor units of a group of patients with ...

Abstract Aim Cauda Equina Syndrome (CES)is a neurosurgical emergency that requires prompt surgical intervention. History and examination performed by referring departments play an imperative role in the triaging of these patients for onward radiological investigation. We aimed to compare radiologically confirmed cauda equina syndrome CES referrals our tertiary unit elucidate true regional incid...

The leukemias may cause neurologic dysfunction through either direct invasion of the nervous system or indirectly through cytopenias, or it may occur as a result of the necessarily vigorous treatment programs for leukemia. We report here a 24-year-old acute lymphoblastic leukemia patient who in her second cycle of hyper-CVAD chem therapy regimen (high-dose Ara-C and high-dose methotrexate) rece...

Summary of Background Data: Five cases of hemorrhage into a spinal neoplasm after spinal or epidural anesthesia are reported in the literature. Presentation ranges from severe low back pain to acute cauda equina syndrome. Methods: A case study of a patient who hemorrhaged into an intradural, extramedullary spinal cord mass was performed. A detailed literature review is also provided. Results: A...

A 45-year-old woman presented with a rare case of metastatic cauda equina tumor from breast cancer without spinal column or brain metastasis. She had undergone resection of breast cancer 4 years previously. She presented with a 2-month history of severe low back pain. Magnetic resonance imaging showed a well-enhanced intradural extramedullary mass at the L1 level without other intradural lesion...

A 12-year-old boy was brought to an urgent care center for fever, back pain, and abnormal gait. In addition to back pain, the patient was found to be persistently febrile but also had decreased perianal sensation and bowel incontinence. He was therefore referred to the emergency department where his back pain improved without medication but he was still febrile with bowel incontinence and persi...