scholarly journals Spinal Intradural, Extramedullary Ependymoma with Astrocytoma Component: A Case Report and Review of the Literature

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Gene M. Weinstein ◽  
Knarik Arkun ◽  
James Kryzanski ◽  
Michael Lanfranchi ◽  
Gaurav K. Gupta ◽  
...  
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Lower Back Pain ◽  
Low Grade ◽  
Review Of The Literature ◽  
Pathologic Evaluation ◽  
Lower Back ◽  
Spinal Lesions ◽  
First Case ◽  
Intradural Extramedullary

Ependymomas are common spinal lesions, with the vast majority arising in an intramedullary location. Several cases have been described in the literature of ependymomas in an intradural, extramedullary location. The authors present a case of a 56-year-old female who presented with several weeks of lower back pain and weakness. MRI revealed an intradural, extramedullary enhancing mass at L1-L2. The mass was successfully resected surgically. Pathologic evaluation revealed a low grade glioma with components of both ependymoma and pilocytic astrocytoma with MUTYH G382D mutation. Extramedullary ependymomas are very rare tumors. To the authors’ knowledge, this is the first case of ependymoma/astrocytoma collision tumors described in an extramedullary location.

scholarly journals Transforaminal Epiduroscopic Laser Ablation for Removal of a Postlaminectomy Synovial Cyst: A Case Report

Medicina ◽  
2020 ◽  
Vol 56 (5) ◽  
pp. 209
Author(s):  
Hee Yong Kang ◽  
So Yeon Kim ◽  
Chung Hun Lee ◽  
Sung Wook Park
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Lower Back Pain ◽  
Nd:Yag Laser ◽  
Rating Scale ◽  
Synovial Cyst ◽  
Pain Clinic ◽  
Lower Back ◽  
First Case ◽  
Synovial Cysts

Background: Synovial cysts rarely occur after a laminectomy and are difficult to detect if there are no symptoms; however, they can cause lower back pain or symptoms of radiculopathy. Various methods are used to treat synovial cysts. Here, we will introduce the first case with treatment using the transforaminal epiduroscopic laser annuloplasty (TELA) system. Case report: A 64-year-old female patient visited the pain clinic with lower back pain and pain radiating from the left lower extremity. An MRI T2 image showed a synovial cyst of facet joint origin at the L4–L5 level; the patient had undergone a laminectomy 10 years ago at the same spinal level. The patient rated the pain an 8 on the numerical rating scale (NRS), and pain was reduced after epidural steroid injection, but symptoms recurred a month later. The cyst ablation was performed using the TELA system with a 1414 nm neodymium-doped yttrium-aluminum-garnet (Nd:YAG) laser, and after the procedure, pain decreased to 4 points immediately and was reduced to 2 points on the NRS after 1 week. Six months after the procedure, the pain level was measured on NRS 2 and cyst was not recurred in the additional MRI. Conclusion: We introduced the TELA system as a noninvasive therapy for treating synovial cysts. Ablation of cystic necks using a 1414 nm Nd:YAG laser could be a method to prevent cyst recurrence, but long-term follow-up and large scale control studies will be needed to verify the effectiveness of this method.

scholarly journals Glioma with Leptomeningeal Spread Mimics Chronic Meningoencephalitis in a Young Adult

2021 ◽  
pp. 179-183
Author(s):  
Ann-Kristin Becker ◽  
Marta Leonora Frank ◽  
Michael Friese ◽  
Joachim Röther
Keyword(s):  
Brain Tumor ◽  
Back Pain ◽  
Young Adult ◽  
Lower Back Pain ◽  
Low Grade Glioma ◽  
Low Grade ◽  
Who Grade ◽  
Leptomeningeal Spread ◽  
Lower Back ◽  
Uncommon Case

The most malignant type of intrinsic brain tumor is glioblastoma (WHO grade IV). Primary leptomeningeal spread is rare and leads to a variety of differential considerations, as there is no typical clinical or imaging pattern. Here we present a rare and uncommon case of a primary leptomeningeal glioblastoma in combination with a low-grade glioma in a 21-year-old male, initially presenting with only headache and lower back pain. The presented case illustrates the challenging differential considerations and the severe course of leptomeningeal glioblastomas.

scholarly journals Neuroschistosomiasis mimicking lower back pain: case report of a rare differential diagnosis in a pediatric patient

2018 ◽  
Vol 12 (1) ◽  
Author(s):  
Abdulrahman Hamad Al-Abdulwahhab ◽  
Abdulaziz Mohammad Al-Sharydah ◽  
Sari Saleh Al-Suhibani ◽  
Saeed Ahmad Al-Jubran ◽  
Ali Khalaf Al-Haidey ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Back Pain ◽  
Case Report ◽  
Pediatric Patient ◽  
Lower Back Pain ◽  
Lower Back ◽  
Rare Differential Diagnosis

scholarly journals Anaplastic myxopapillary ependymoma of the sacrum: A case report

2021 ◽  
Vol 12 ◽  
pp. 285
Author(s):  
Abolfazl Rahimizadeh ◽  
Zahed Malekmohammadi ◽  
Parviz Habibollahzadeh ◽  
Walter L. Williamson ◽  
Ava Rahimizadeh
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Lower Back Pain ◽  
Medical Literature ◽  
Case Reports ◽  
Surgical Excision ◽  
Young Female ◽  
Myxopapillary Ependymoma ◽  
Case Description ◽  
Lower Back

Background: Myxopapillary ependymoma (MPE) with anaplastic features is extremely rare. There are very few such case reports in the medical literature. Case Description: A 23-year-old female presented with lower back pain, and both urinary and fecal dysfunction. The patient underwent gross total surgical excision of the MR documented expansile intrasacral tumor. The histology was compatible with a MPE containing anaplastic features. Conclusion: The medical literature contains a few comparable cases of subcutaneous sacrococcygeal MPE with anaplastic components. Here, however, we have a young female with an anaplastic intrasacral MPE treated with gross total surgical excision.

Epidural Lipomatosis Discovered during Managing of Lower Back Pain: A case report

1998 ◽  
Vol 35 (2) ◽  
pp. 381 ◽  
Author(s):  
Sang Seock Lee ◽  
Gyeong Ho Ha ◽  
Jun Heum Yon ◽  
Ji Young Son ◽  
Ki Hyuk Hong ◽  
...  
Keyword(s):  
Back Pain ◽  
Case Report ◽  
Lower Back Pain ◽  
Epidural Lipomatosis ◽  
Lower Back

scholarly journals Radiological Findings in Chronic Contained Rupture of Abdominal Aortic Aneurysm in a Patient Presenting with Lower Back Pain

2019 ◽  
Vol 26 (3) ◽  
Author(s):  
Dr Shaafiya Ashraf ◽  
Dr Ankit Prabhakar ◽  
Dr Shivani Sharma ◽  
Dr Dawood Iqbal Wani
Keyword(s):  
Low Back Pain ◽  
Abdominal Aortic Aneurysm ◽  
Back Pain ◽  
Case Report ◽  
Aortic Aneurysm ◽  
Lower Back Pain ◽  
Low Back ◽  
Radiological Findings ◽  
Lower Back ◽  
Abdominal Aortic

There is a diagnostic and therapeutic dilemma in cases of chronic contained rupture of abdominal aortic aneurysm, as the symptoms can be more subtle including dull back pain, and thus lacking the typical features of rupture. The objective of this research was to introduce a case report emphasizing the need to relate the low back pain with atypical radiological appearances of entities, as aortic abdominal aneurysms, capable to compromise the patients’ clinical diagnosis, prognosis and treatment.

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