RESUMEN
A case of the patient with atypical localization of glomus tumor in lumbar region is reported. Trigger pain of unusual intensity resistant to pharmacological treatment ceased immediately after the operation.
Asunto(s)
Neoplasias Encefálicas/patología , Encéfalo/patología , Tumor del Glomo Yugular/patología , Región Lumbosacra/patología , Encéfalo/cirugía , Encéfalo/ultraestructura , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/cirugía , Tumor del Glomo Yugular/diagnóstico , Tumor del Glomo Yugular/cirugía , Humanos , Región Lumbosacra/cirugía , Masculino , Persona de Mediana EdadRESUMEN
We describe a 60-year-old woman, in good health, who bending forward developed bleeding into the epidural space of the thoracic part of the vertebral canal. Epidural haematoma caused severe damage to the spinal cord. Immediately performed operation gave slight improvement in neurological status.
Asunto(s)
Hematoma Epidural Craneal/etiología , Postura , Compresión de la Médula Espinal/etiología , Vértebras Torácicas/irrigación sanguínea , Enfermedad Aguda , Femenino , Hematoma Epidural Craneal/diagnóstico por imagen , Hematoma Epidural Craneal/cirugía , Humanos , Persona de Mediana Edad , Rotura Espontánea , Compresión de la Médula Espinal/diagnóstico por imagen , Compresión de la Médula Espinal/cirugía , Vértebras Torácicas/inervación , Tomografía Computarizada por Rayos XRESUMEN
In the period from January 1990 to March 1991 in the Neurosurgery Department, Mining Industry Health Service Hospital in Sosnowiec 21 operations of evacuation of supratentorial intracranial haematomas were carried out by the endoscopic method using a neuroendoscope produced by K. Storz. The indication to this operation was a serious condition of the patients up to 10 points of the Glasgow scale, strictly limited extent of haematoma and ventricular system shifting over 5 mm in computed tomography. The mass of the haematoma could be evacuated in 70-90% and the patients were spared extensive craniotomy. Two patients had reoperations due to renewed haematoma formation. 48% of the patients left the hospital in good condition without neurological deficits and 42.5% had focal neurological signs.
