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On T2-weighted magnetic resonance imaging, a mass with low intensity was found at the end of the dural canal, and emergency computed tomography revealed that the bone graft components had migrated to the sacral canal, and a mass with low permeability was discovered at the end of the dural cavity. It was believed that the bone graft materials had migrated into the dural cavity at the operative level and fell into the dural cavity due to gravity, causing acute cauda equina syndrome. After endoscopic lumbar interbody fusion, this procedure resulted in a rare case of CES caused by intradural bone graft.
Source link: https://europepmc.org/article/MED/36067060
NPH related to spinal schwannoma in the cauda equina are extremely unusual. Here, we present a case of spinal schwannoma-related NPH in the Cauda equina that was successfully treated by surgical resection alone. The CSF pressure was 150 mmH2 O. CSF results revealed a normal cell count and a high protein level. In the lumbar spine's cauda equina at the L3-L4 level, magnetic resonance imaging revealed an elevated intradural extradural mass. NPH as a result of spinal schwannoma in a patient with dementia is suspected as a result of lumbar puncture, according to a patient with dementia, spinal schwannoma is absolutely normal, and tumor resection alone could avoid unnecessary shunt placement. Conclusion These results show that removal of the tumor should be a priority if a spinal schwannoma located in the cauda equina causes symptoms related to NPH.
Source link: https://europepmc.org/article/MED/36058156
In cauda equina syndromes, an electrodiagnostic test is more useful than the lower extremity isometric strength test for objectively determining nerve damage and prognosis. This research investigated the relationship between nerve conduction study parameters and lower extremity isometric strength and manual muscle test results. To determine boundary values of strength and amplitude between the MMT grades, a regression equation based on the isometric strength and compound muscle reaction potential amplitudes was developed and cutoff values was used. The KE isometric strength and the femoral nerve CMAP amplitude were highly related. For MMT grades 2 to 3 and 2. 83, respectively, see figures u22652. 05 mV and 17. 3, respectively. For grade 3, respectively.
Source link: https://europepmc.org/article/MED/PMC9410638
Target To determine if COVID-19 UK lockdown policies resulted in a delay in the onset and diagnosis of patients with cauda equina syndrome. Methods Multi-centre retrospective review of surgically treated CES patients over three time periods: April - May 2020, August - February 2021 - February 2021 - February 2021 Compared to the other two time periods, the length of hospital stay was significantly shorter in the second lockdown. Conclusion Despite the pandemic, patients with CES were quickly admitted and operated on with positive outcomes, despite the pandemic. The development of spinal services may have shortened the length of hospital stays.
Source link: https://europepmc.org/article/MED/36030013
After lumbosacral dorsal laminectomy for intervertebral disk disease, an 8-year-old Labrador Retriever dog had mild ataxia of the hindlimbs for the fourth month. In a cauda equina associated with resurgent nerve roots, Histopathology revealed an intradural extraparenchymal cholesterol granuloma. In the granuloma, primarily macrophages and CD3- or CD20-immunopositive T or B lymphocytes were present, respectively. We conclude that the cholesterol granuloma probably developed shortly after degenerative neuropathy in the cauda equina.
Source link: https://europepmc.org/article/MED/35993288
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