European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
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Review Case Reports
Intradural lumbar disc herniation: report of five cases with literature review.
Intradural lumbar disc herniations are uncommon presentations of a relatively frequent pathology, representing less than 1% of all lumbar disc hernias. They show specific features concerning their clinical diagnosis, with a higher incidence of cauda equina syndrome, and their surgical treatment requires a transdural approach. ⋯ We concluded that for intradural disc herniations the diagnosis is mainly intraoperative, and the surgical technique has some special aspects.
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Review Case Reports
Bifocal extra- and intradural melanocytoma of the spine: case report and literature review.
Spinal melanocytoma is one of the most infrequent space-occupying lesions of the central nervous system. To the best of our knowledge, this is the first report of primary bifocal intradural melanocytoma of heterogeneous pathological grade to date. ⋯ Intradural melanocytoma, although exceedingly rare, requires a thorough work-up to exclude malignant melanoma. With only two previous reports of multifocal melanocytoma published in the literature, standard therapy has not yet been established and complete surgical removal remains the modality of choice. Patients should be closely monitored to detect local recurrence or malignant degeneration. EBR may be considered in cases where total excision is not achievable and reduces risk of local recurrences.
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Review Case Reports
Surgical treatment for unilateral cervical facet dislocation in a young child aged 22 months old: a case report and review of the literature.
Cervical unilateral facet dislocation (UFD) in the younger children (0-10 years old) has rarely been reported in the literature and most surgeons have no experience for this kind of injury. Here, we reported a rare case of cervical UFD in a 22-month-old girl. ⋯ Cervical UFD in young children is definitely a great challenge, and each patient requires individual treatment. Closed reduction along with rigid immobilization is the first choice at the early stage, and operative treatment is indicated for cases that involved neurological deterioration, demonstrated recurrence,significant instability and failed closed reduction. However, long-term results and complications of surgical treatment in the pediatric population are worrisome.
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Review Case Reports
Must we discontinue selective cervical nerve root blocks? Report of two cases and review of the literature.
We report two detrimental neurologic complications after technically correct selected cervical nerve root blocks. Based on these cases and a thorough review of the literature, the indication for cervical nerve root blocks was reconsidered and limited. Similarly, we modified our technique to further reduce the likelihood for the occurrence of such severe complications.
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Review Case Reports
Calcified pseudomeningocele of the lumbar spine: a review.
In this article, we review the English literature of calcified pseudomeningoceles in the lumbar region. ⋯ The treatment is surgicel removal and the decision to treat is based on patient symptoms and correlating these with imaging. There is an average reported follow-up of 1.7 years postoperatively for these patients and the reported outcome after surgery is good.