Multiple Neurenteric Cysts along the Spinal Axis of an Infant: A Rare Entity
We report a 9-month-old male infant with sudden onset of weakness in both lower limbs. MRI revealed 2 cystic lesions at cervical and thoracic level with spinal cord compression. He underwent laminectomy and excision of the cervical lesion. The child improved significantly. The postoperative MRI shows complete excision of a dorsal lesion and presence of a cervical lesion. Later, he underwent cervical laminotomy and partial wall excision followed by shunt placement. The histopathological report revealed a neurenteric cyst. Two neurenteric cysts presented in the neuroaxis of the same patient: one was located ventral (thoracic) and the other dorsal (cervical). At the 2-year follow-up, the child was active and walking without support. Multiple cystic lesions in the neuroaxis can be neurenteric cysts.Pediatr Neurosurg
Title: Is Cervical Laminectomy a Major Surgery?Category: Procedures and TestsCreated: 3/16/2020 12:00:00 AMLast Editorial Review: 3/16/2020 12:00:00 AM
Conclusion: Patients who develop delayed fever 4 days after posterior cervical fusion surgery using CPS are more likely to have non-pathologic fever than surgical site infection. Laminectomy is a significant risk factor for non-pathologic fever. PMID: 32126749 [PubMed - as supplied by publisher]
Conclusion: Here, the authors present a case of occiput-C1-C2 pseudojoint formation, leading to clinical and radiographic findings of cord compression due to boney outgrowth. PMID: 32123608 [PubMed]
ConclusionEarly operative intervention without cervical traction and closed reduction pre-operatively in a patient with cervicothoracic spondyloptosis resulted in a good clinical outcome.
Conclusions: C1 laminoplasty for patients without obvious segmental instability might be a viable alternative procedure to C1 laminectomy. PMID: 31992026 [PubMed - as supplied by publisher]
This report outlines our approach and experience using transforaminal LP (TFLP) in patients with spinal muscular atrophy (SMA) with a 100% success rate. We discuss its utility in other patients with difficult access and compare TFLP with other techniques to access the intrathecal space.
Conclusion: Acute neurological deficits may occur in infants with CM-I who, following trauma, sustain the equivalent of a central cord syndrome. Neurosurgical evaluation with MR should prompt timely/appropriate surgical decompression (e.g., suboccipital craniectomy and C1/2 laminectomy). PMID: 31893154 [PubMed]
CONCLUSIONS: Traumatic sports-related spinal injuries cause significant morbidity in the pediatric population, especially if the spinal cord is involved. The majority of TSI cases arose from cycling and contact sports accidents, underscoring the need for improving education and safety in these activities. PMID: 31881536 [PubMed - as supplied by publisher]
Authors: Kong G, Huang Z, Zhu Q, Wan Y Abstract The study designed to compare two different methods of intrathecal catheterization in rats and to develop a simple and safe drug administration in cervical spinal canal of rats. The subarachnoid catheterization was performed via either atlanto-occipital membrane or laminectomy at L3-4 in rats. Body weight, Basso, Beattie, and Bresnahan (BBB) locomotion rating scores and forelimbs locomotor scores (FLS) were measured on pre-operative day 1 and postoperative day 1, 7, 14, respectively. FSL score of 37.5% rats and BBB score of 50% rats in AOA group decreased, but no rats...
CONCLUSION: In patients with compressive cervical myelopathy, leptomeningeal contrast enhancement, a T2-weighted hypersignal exceeding the compression level on MRI, and the presence of extraneurological symptoms should point to inflammatory disease. These rare manifestations may be the first symptoms of sarcoidosis and should be recognized to avoid harmful surgical procedures and to provide appropriate medical treatment. PMID: 31836247 [PubMed - as supplied by publisher]