1/14. Spinal subdural hematoma: a rare complication of lumbar puncture. Case report and review of the literature.Spinal subdural hematoma, though rare, is an established complication of lumbar puncture. A young man with persistent back and neck pain after a traumatic lumbar puncture for the diagnosis of lymphocytic meningitis is presented. A diagnosis of spinal subdural hematoma at T2 to T8 levels without significant spinal cord compression was confirmed by magnetic resonance imaging. Symptoms resolved after one month of analgesics and muscle relaxants.- - - - - - - - - - ranking = 1keywords = subdural (Clic here for more details about this article) |
2/14. Cranial nerve palsy and intracranial subdural hematoma following implantation of intrathecal drug delivery device.BACKGROUND AND OBJECTIVES: Complications related to cerebrospinal fluid (CSF) leak and low CSF pressure can occur following placement of an intrathecal drug delivery device. methods: A 58-year-old man with chronic, intractable lower back pain underwent implantation of an intrathecal drug delivery device. On the fourth postoperative day, he developed a postural headache and diplopia with findings compatible with left sixth cranial nerve palsy. The headache subsequently became constant and nonpostural. Cranial magnetic resonance imaging was obtained that showed the presence of a posterior subdural intracranial hematoma. Conservative treatment for postdural puncture headache did not improve the symptomatology. Therefore, an epidural blood patch was performed that produced rapid improvement and eventual resolution of symptoms. CONCLUSIONS: Intrathecal catheter implantation can result in CSF loss that might not resolve promptly with conservative therapy. In this case, epidural blood patch proved to be a safe and effective form of treatment.- - - - - - - - - - ranking = 0.83333333333333keywords = subdural (Clic here for more details about this article) |
3/14. Spinal subdural empyema: report of two cases.Spinal subdural empyema (SSE) is a rare variety of intraspinal infection. SSE should be suspected in patients presenting with fever, back pain, and signs of cord or nerve root compression. Two patients with SSE are presented. The first patient complained of fever and back pain. She had no neurological deficit but was found to have SSE. The second patient, who presented with intracerebral hemorrhage in the fifth month of pregnancy and spontaneous abortion, was found to have SSE at lumbar puncture. The clinical manifestations and management are discussed.- - - - - - - - - - ranking = 0.83333333333333keywords = subdural (Clic here for more details about this article) |
4/14. Post-traumatic descending aorta intramural haematoma fortuitously witnessed during a magnetic resonance examination of the spine.Most patients with traumatic aortic lesions of the thoracic aorta die at the accident site but 15% arrive at the hospital with vital signs. Digital subtraction angiography is considered the gold standard for the diagnosis of traumatic lesions of the thoracic aorta. Other non-invasive diagnostic techniques, such magnetic resonance and spiral computed tomography, proved to be reliable alternatives. Sometimes the diagnosis can be delayed by the relative lack of significant symptoms as well as the presence of unusual clinical findings. A case of post-traumatic intramural haematoma of the descending aorta revealed during a magnetic resonance of the spine is described. The final diagnosis was obtained with spiral computed tomography.- - - - - - - - - - ranking = 0.65312576589331keywords = haematoma (Clic here for more details about this article) |
5/14. A subdural abscess and infected blood patch complicating regional analgesia for labour.We report two very unusual cases of infection complicating labour analgesia. The first case was a sub-dural abscess presenting with deep-seated backache seven days after combined spinal-epidural analgesia for labour. The second was a painful lumbar swelling and septicaemia that presented three days after a blood patch for a post dural puncture headache. Because of their complicated and unusual presentation, the diagnosis and management of both were initially delayed.- - - - - - - - - - ranking = 0.66666666666667keywords = subdural (Clic here for more details about this article) |
6/14. Gastric carcinoma presenting with extensive bone metastases and marrow infiltration causing extradural spinal haemorrhage.Gastric carcinoma is the third most common gastrointestinal (GI) malignancy after colon and pancreatic carcinoma. A Japanese study showed that the incidence of bone metastases of gastric cancer was 13.4% among autopsies. It is very rare for the primary presentation of a gastric malignancy to be with bone metastases. This case report is of a 46-year-old female patient, who presented with a thoracic vertebral wedge fracture and was subsequently found to have widespread vertebral metastatic deposits with marrow infiltration. The infiltration and suppression of marrow function was complicated by an acute bleed into the extradural space causing spinal cord compression. This case demonstrates two important features. First, that gastric cancer, although far less common than breast, kidney, thyroid, prostate and bronchial cancer, is a cause of metastases to bone. Second, it highlights the complications of bone metastases, marrow suppression, leukoerythroblastic anaemia, spinal canal haematoma and cord compression. The case is illustrated by axial and sagittal MRI slices.- - - - - - - - - - ranking = 0.15387316695966keywords = haematoma, haemorrhage (Clic here for more details about this article) |
7/14. Transient blindness following epidural analgesia.A 43-year-old woman was given an epidural injection of steroid mixed with local anaesthetic, under general anaesthesia, for treatment of low back pain. In the recovery room she complained of blindness in one eye. Fundoscopy revealed retinal and vitreous haemorrhages in both eyes. Retinal haemorrhages can be caused by an increase in intracranial pressure and are therefore a possible complication of epidural anaesthesia.- - - - - - - - - - ranking = 0.0116240068905keywords = haemorrhage (Clic here for more details about this article) |
8/14. Spinal empyema in Crohn's disease.A 19-year-old man with a 1-year history of Crohn's disease of the ileum and rectosigmoid developed back and leg pain with neurological deficits. He proved to have an epidural and subdural spinal empyema originating from a rectal fistula. drainage of the empyema, a diverting sigmoid colostomy, and appropriate antibiotics allowed full recovery of neurologic function and resolution of infection. We review the applicable literature.- - - - - - - - - - ranking = 0.16666666666667keywords = subdural (Clic here for more details about this article) |
9/14. paraplegia following chemonucleolysis. A case report and discussion of neurotoxicity.A case report of inadvertent chymopapain introduction into the lumbar theca is reported. It led to an extensive subarachnoid and subdural hemorrhage, producing paraplegia. The neurotoxicity of chymopapain in the experimental model is reviewed and related to a clinical setting. Clinically speaking, there appears to be no tolerance for this discolytic agent either in the peripheral or central nervous system. cerebrospinal fluid barbotage may lessen the neurologic injury by removing the enzyme when it finds its way inadvertently into the subarachnoid space.- - - - - - - - - - ranking = 0.16666666666667keywords = subdural (Clic here for more details about this article) |
10/14. Spinal subdural hematoma: a case report and literature review.Spinal subdural hematoma (SSH) is an uncommon entity. There is a higher incidence among patients with a bleeding diathesis and among those with a bleeding diathesis having a lumbar puncture. The case reported here is of a 65-year-old woman on oral anticoagulants presenting with atypical symptoms who developed SSH over a six-hour period. Emergency investigation and treatment are required because recovery is inversely related to the length of time of spinal cord compression. A review of the literature revealed 37 previously reported cases of nonmajor traumatic SSH.- - - - - - - - - - ranking = 0.83333333333333keywords = subdural (Clic here for more details about this article) |
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