scholarly journals Surgical Excision of a Symptomatic Thoracic Nerve Root Perineural Cyst Resulting in Complete Resolution of Symptoms: A Case Report

Cureus ◽  
2017 ◽  
Author(s):  
Zaid Aljuboori ◽  
Alae Yaseen ◽  
Jessica Simpson ◽  
Maxwell Boakye
Keyword(s):  
Case Report ◽  
Nerve Root ◽  
Complete Resolution ◽  
Surgical Excision ◽  
Thoracic Nerve ◽  
Perineural Cyst

Perineural cyst with intracystic cerebrospinal fluid leakage by traction of nerve root -a case report

2021 ◽  
Author(s):  
Shusuke Hagihara ◽  
Hideki Ohta ◽  
Jun Tanaka ◽  
Teruaki Shiokawa ◽  
Yoshiyuki Matsumoto ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Nerve Root ◽  
Cerebrospinal Fluid Leakage ◽  
Fluid Leakage ◽  
Perineural Cyst

scholarly journals Thoracic Nerve Root Entrapment by Intrathecal Catheter Coiling: Case Report and Review of the Literature

2016 ◽  
Vol 3;19 (3;3) ◽  
pp. E499-E504 ◽  
Author(s):  
Jing L. Han
Keyword(s):  
Drug Delivery ◽  
Case Report ◽  
Operating Room ◽  
Nerve Root ◽  
Fluoroscopic Guidance ◽  
Intrathecal Catheter ◽  
Catheter Migration ◽  
Thoracic Nerve ◽  
Patient Reported ◽  
Nerve Root Entrapment

Background: Intrathecal catheter placement has long-term therapeutic benefits in the management of chronic, intractable pain. Despite the diverse clinical applicability and rising prevalence of implantable drug delivery systems in pain medicine, the spectrum of complications associated with intrathecal catheterization remains largely understudied and underreported in the literature. Objective: To report a case of thoracic nerve root entrapment resulting from intrathecal catheter migration. Study Design: Case report. Setting: Inpatient hospital service. Results/Case Report: A 60-year-old man status post implanted intrathecal (IT) catheter for intractable low back pain secondary to failed back surgery syndrome returned to the operating room for removal of IT pump trial catheter after experiencing relapse of preoperative pain and pump occlusion. Initial attempt at ambulatory removal of the catheter was aborted after the patient reported acute onset of lower extremity radiculopathic pain during the extraction. Noncontrast computed tomography (CT) subsequently revealed that the catheter had ascended and coiled around the T10 nerve root. The patient was taken back to the operating room for removal of the catheter under fluoroscopic guidance, with possible laminectomy for direct visualization. Removal was ultimately achieved with slow continuous tension, with complete resolution of the patient’s new radicular symptoms. Limitations: This report describes a single case report. Conclusion: This case demonstrates that any existing loops in the intrathecal catheter during initial implantation should be immediately re-addressed, as they can precipitate nerve root entrapment and irritation. Reduction of the loop or extrication of the catheter should be attempted under continuous fluoroscopic guidance to prevent further neurosurgical morbidity. Key words: Implantable drug delivery system, intrathecal, catheter migration, postoperative complications, looping, fluoroscopy

scholarly journals Spontaneous cerebrospinal fluid leak from an anomalous thoracic nerve root: case report

2016 ◽  
Vol 25 (6) ◽  
pp. 685-688 ◽  
Author(s):  
Alejandro J. Lopez ◽  
Robert K. Campbell ◽  
Omar Arnaout ◽  
Yvonne M. Curran ◽  
Ali Shaibani ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Nerve Root ◽  
Cerebrospinal Fluid Leak ◽  
Surgical Decompression ◽  
Ct Myelography ◽  
Thoracic Nerve ◽  
Full Resolution ◽  
Orthostatic Symptoms ◽  
Fluid Leak

The authors report the case of a 28-year-old woman with a spontaneous cerebrospinal fluid leak from the sleeve of a redundant thoracic nerve root. She presented with postural headaches and orthostatic symptoms indicative of intracranial hypotension. CT myelography revealed that the lesion was located at the T-11 nerve root. After failure of conservative management, including blood patches and thrombin glue injections, the patient was successfully treated with surgical decompression and ligation of the duplicate nerve, resulting in full resolution of her orthostatic symptoms.

scholarly journals Dysphagia due to anterior cervical osteophytosis: case report

2014 ◽  
Vol 13 (4) ◽  
pp. 325-327
Author(s):  
Frederico Miguel Santos Silva Marquez Correia ◽  
João Paulo de Sousa Goucha Jorge ◽  
Ana Sofia Teixeira Neves ◽  
Gabriel Filipe Gonçalves Xavier ◽  
Marco Miguel Barroso de Oliveira ◽  
...  
Keyword(s):  
Case Report ◽  
Complete Resolution ◽  
Multidisciplinary Approach ◽  
Surgical Excision ◽  
Pulmonary Aspiration ◽  
Cervical Pain ◽  
Imaging Studies ◽  
Geriatric Population ◽  
Cervical Osteophytes ◽  
Progressive Dysphagia

The objective of this study is to highlight the possibility of dysphagia induced by anterior cervical osteophytes. When not diagnosed early this condition may be responsible for complications such as severe dysphagia and potential lung aspiration, especially in elderly patients. Analysis of a case report of a 72-year old woman who presented cervical pain and progressive dysphagia. Imaging studies have shown anterior cervical osteophytosis and multilevel degenerative changes in the cervical spine. The patient underwent surgical excision of the cervical anterior osteophytes (C4, C5 and C6) and C5/C6 arthrodesis through anterior approach. The postoperative period was uneventful and symptoms resolved within 2 weeks. Early diagnosis and treatment led to complete resolution, avoiding late and serious complications associated with this pathology in the geriatric population, especially severe and progressive dysphagia and risk of pulmonary aspiration, and the consequent morbidity and mortality associated. A multidisciplinary approach is essential for the correct assessment of this condition

Compression of thoracic nerve root by a facet joint synovial cyst: Case report

1992 ◽  
Vol 38 (5) ◽  
pp. 338-340 ◽  
Author(s):  
Nilo M.M. Lopes ◽  
Flavio F. Aesse ◽  
Demetrius Klee Lopes
Keyword(s):  
Case Report ◽  
Nerve Root ◽  
Facet Joint ◽  
Synovial Cyst ◽  
Thoracic Nerve

scholarly journals Extraskeletal Ewing's Sarcoma of the Thoracic Nerve Root: A Case Report

2019 ◽  
Vol 80 (3) ◽  
pp. 568
Author(s):  
Jung Won Kim ◽  
Jihae Lee ◽  
Jae Hyung Kim ◽  
Myeong Ja Jeong ◽  
Soung Hee Kim ◽  
...  
Keyword(s):  
Case Report ◽  
Nerve Root ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Thoracic Nerve ◽  
Extraskeletal Ewing’S Sarcoma

scholarly journals Pseudo scapula alata: a case report of a scapular osteochondroma

2020 ◽  
Vol 7 (1) ◽  
pp. 144
Author(s):  
Rita M. Sousa ◽  
Rita Sapage ◽  
Carlos Branco ◽  
Diogo Sousa ◽  
Joao Reis ◽  
...  
Keyword(s):  
Case Report ◽  
Malignant Transformation ◽  
Complete Resolution ◽  
Surgical Excision ◽  
Mass Effect ◽  
Ventral Surface ◽  
Benign Tumour ◽  
Long Bones

<p class="abstract">An osteochondroma is a type of cartilaginous tumour, that frequently affects long bones. In the scapula, although rare, this benign tumour is the most frequently encountered. The symptoms at this location are usually related to the mass effect that it can produce. Surgery is recommended when symptoms of compression, pain or an increase in size are noticed. The authors present a case of a 11 year-old-boy with an osteochondroma on the ventral surface of the scapula, that cause a pseudo winging of this bone and pain, with indication for surgical excision. Pseudo scapula alata should be differentiated from the true one, which is a dynamic dyskinesia. In the presence of this static deformity the surgeon must keep in mind other diagnosis as a scapular osteochondroma or other mass effect lesions. This benign tumour does not frequently suffer malignant transformation. Surgery can lead to a complete resolution of the symptoms, and if done properly decrease to almost zero the rate of recurrence. The diagnosis of the tumour in this location can be delayed due to its atypical location and presentation. With this case report the authors expect to raise awareness of the unusual manifestations of osteochondroma, especially in the paediatric setting.</p><p class="abstract"> </p>

scholarly journals Intrascrotal lipoblastoma in adulthood

2019 ◽  
Vol 12 (12) ◽  
pp. e231320
Author(s):  
Mário José Pereira-Lourenço ◽  
Duarte Vieira-Brito ◽  
João Pedro Peralta ◽  
Noémia Castelo-Branco
Keyword(s):  
Case Report ◽  
Magnetic Resonance ◽  
S100 Protein ◽  
Surgical Excision ◽  
Large Mass ◽  
Histological Diagnosis ◽  
Physical Exam ◽  
Nodular Lesion ◽  
Inferior Portion ◽  
The Right

This case report describes the case of a 37-year-old man that noticed an intrascrotal right mass with 1 month of evolution. During physical exam presented with a large mass at the inferior portion of the right testicle, clearly separated from the testicle, with a tender consistency and mobile. An ultrasound was performed that showed a solid and subcutaneous nodular lesion, extra testicular, heterogeneous, measuring 7.2 cm. Pelvic magnetic resonance imageMRI showed a lesion compatible with a lipoma. The patient was subjected to surgical excision of the lesion by scrotal access, having histology revealed a lipoblastoma (LB) of the scrotum. Histological diagnosis was obtained by microscopic characteristics (well-circumscribed fatty neoplasm) and immunohistochemistry (stains for CD34, S100 protein and PLAG1 were positive; stains for MDM2 and CDK4 were negative). LB is extremely rare after adolescence in any location, being this first described case of intrascrotal LB described in adulthood.

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