BACKGROUND Meningiomas of the spinal canal are common tumours with the incidence of 25 percent of all spinal cord tumours. But multiple spinal canal meningiomas are rare in compare to solitary lesions and account for 2 to 3.5% of all spinal meningiomas. Most of the reported cases are both intra cranial and spinal. Exclusive involvement of the spinal canal by multiple meningiomas are very rare. We could find only sixteen cases in the literature to the best of our knowledge. Exclusive multiple spinal canal meningiomas occurring in the first two decades of life are seldom reported in the literature. We are presenting a case of multiple spinal canal meningiomas in a young patient of 17 years, who was earlier operated for single lesion. We analysed the literature, with illustration of our case.
BACKGROUND Arachnoid cysts of spinal cord are relatively uncommon lesions. Most of them arise dorsal to the cord, and anteriorly placed intradural arachnoid cyst is a rare cause of cervical cord compression. To the best of our knowledge, only 30 cases were reported in the literature. We present a case of anterior cervical intradural arachnoid cyst with review of literature. METHODS We performed a literature search for anteriorly placed intradural arachnoid cysts in the cervical spinal cord through http://pubmed.com, a well-known worldwide internet medical address. To the best of our knowledge, only 30 cases were reported in the literature. We reviewed the literature with illustration of our case. We present a case of a 40-year-old male patient who presented with insidious onset of radicular pain. MRI cervical spine demonstrated cervical intradural cystic lesion extending from C2 to upper border of C4, lying anteriorly with compression over the cord. Cervical laminectomy followed by wide cyst fenestration and subtotal excision of cyst was done. Histopathological diagnosis was arachnoid cyst. RESULTS Patient totally recovered from his pain and sensory symptoms within a week and motor symptoms improved gradually over a period of six to eight weeks. With two years followup, patient had no further complaints. CONCLUSION Anterior cervical intradural arachnoid cysts are rare. These are amenable to resection through posterior approach safely with good postoperative recovery.
BACKGROUND Chronic SDH is one of the common neurosurgical conditions requiring surgical treatment. The incidence of chronic SDH is 1.7-18 per 1,00,000 population. The incidence is higher in the elderly patients, i.e. 58 per 1,00,000. Various treatment modalities available for the treatment of chronic SDH indicate that there is no gold standard for the treatment of chronic SDH. Recurrence is the major problem following treatment and can be as high as 30%. Mini craniotomy is one of the surgical options that can offer better view of the subdural space and may allow us to efficiently clear the loculations and haematoma fluid and thereby decreasing the incidence of recurrences and the need for reoperations. Small craniotomies have not been studied well in the literature except for a few publications. In this study, we are comparing mini craniotomy and burr hole evacuation for the treatment of chronic SDH. MATERIALS AND METHODS All the patients with chronic subdural haematoma operated between August 2013 and January 2016. Patients with recurrent SDH on the same side and patients who underwent different procedures on either side (in case of bilateral haematomas) were excluded from the study. The patients were operated by two senior surgeons with one surgeon doing burr hole evacuation and another doing mini craniotomy. Preoperative status and postoperative status was analysed. RESULTS All the patients were analysed both preoperatively and postoperatively. In both the groups, most of the patients shown improvement following surgery, but recurrences are more in burr hole group when compared to mini craniotomy. CONCLUSION Mini craniotomy allows better view of the subdural space and better evacuation of chronic subdural haematoma. Cure rate is higher with mini craniotomy compared to burr hole evacuation.
BACKGROUND Cysticercosis is the most common parasitic infection of the nervous system caused by Taenia solium, with humans being the definitive hosts and pigs being the intermediate hosts. Cerebral involvement is more common than spinal involvement. Spinal involvement is commonly associated with the concomitant involvement of the brain, and spine is affected in 1-3% of the all cases of the neurocysticercosis. Isolated spinal cysticercosis is very rare without evidence of concomitant cranial disease and thoracic spine is commonly involved, followed by cervical, lumbar and sacral regions. Isolated cauda equina neurocysticercosis is extremely rare and only 15 cases of isolated cauda equina involvement were reported in the literature to the best of our knowledge. We present a case with isolated cauda equina involvement of cysticercosis with review of literature. METHODS In July 2016, we performed a literature search for isolated neurocysticercosis of the cauda equina with no limitation for language and publication date. The search was conducted through http://pubmed.com, a well-known worldwide internet medical address. To the best of our knowledge, we could find only 15 cases of isolated neurocysticercosis of cauda equina. We reviewed the literature with illustration of our case. We present a case of a 27-year-old female patient who presented with insidious onset of low back pain. MRI lumbosacral spine demonstrated an oblong, intradural CSF intensity cystic lesion extending from L1 to S1. With hemilaminectomy from L1 to L5, the cyst was excised totally. Histopathological diagnosis was cysticercosis. RESULTS Patient totally recovered from her pain and sensory symptoms within a week and bladder and bowel symptoms improved gradually over a period of one to two weeks. CONCLUSION Isolated cauda equina neurocysticercosis is extremely a rare cause of cauda equina syndrome and this should be considered in the differential diagnosis of cauda equina cystic lesions. These can be excised safely with good postoperative recovery.
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