RESUMO
A malignant triton tumour is a malignant schwannoma with rhabdomyoblastic differentiation, and is a very rare occurrence. We describe the case of a 33-year-old man with neurofibromatosis type 1 who presented with paraplegia. Pathological examination of an intradural, extramedullary tumour excised at lumbar laminectomy demonstrated a malignant schwannoma with rhabdomyoblastic differentiation. We believe this is the first documented case of a malignant triton tumour of the spine (AU)
Assuntos
Adulto , Humanos , Masculino , Relatos de Casos , Neoplasias da Medula Espinal/patologia , Neurilemoma/patologia , Neurofibromatose 1/complicações , Neoplasias da Medula Espinal/cirurgia , Laminectomia , Neurilemoma/cirurgia , Evolução FatalRESUMO
Three cases of spinal epidural abscess managed at the University Hospital of the West Indies are presented. This disorder, a neurosugical emergency, runs a variable course, and, if improperly managed, may lead to paraplegia and death. The aetiology, diagnosis and management of this disease are discussed (AU)
Assuntos
Humanos , Adulto , Masculino , Abscesso/diagnóstico , Abscesso/terapia , Doenças da Coluna Vertebral/diagnóstico , Doenças da Coluna Vertebral/terapia , Laminectomia , Emergências , PrognósticoRESUMO
A case is reported of the rare lesion occult intrasacral meningocoele in a 27-year-old woman who developed symptoms for the first time shortly after the birth of her fourth child. The terminology of the condition is discussed and its pathogenesis, mode of presentation, and treatment reviewed (Summary)
Assuntos
Humanos , Gravidez , Adulto , Meningocele/etiologia , Região Sacrococcígea , Laminectomia , Meningocele/cirurgia , Mielografia , Transtornos PuerperaisRESUMO
The pathology of spinal arachnoiditis is described. The clinical features of twenty patients are presented. The aetiology is discussed. Initial treatment should be with corticosteroids particularly in early cases. If there is doubt laminectomy should be carried out to exclude a tumour (AU)
Assuntos
Humanos , Adulto , Masculino , Feminino , Aracnoidite/patologia , Aracnoidite/etiologia , Aracnoidite/terapia , Laminectomia/uso terapêuticoRESUMO
Two cases of benign osteoblastic tumors of the spine, occurring in young patients, and presenting as expanding osteolytic lesions with some central calcification and ossification, are described. It is suggested that they present a condition allied to, but usefully separated from, osteoid osteoma of bone. The name osteogenic fibroma of bone, proposed by Lichtenstien for this type of case, is accepted (Summary)