Thoracic meningioma masquerading as chronic abdominal pain

Lyons, Mark; Windgassen, Elizabeth B.; Kinney, Carolyn L.; Johnson, Daniel E.; Birch, Barry D.; Boucher, Orland K.

doi:10.5137/1019-5149.jtn.3567-10.0

Cited by 4 publications

(2 citation statements)

References 14 publications

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“…The abdominal pain is most likely to result from the irritation of thoracic nerve root and from spinothalamic tract injury derived from spinal cord compression by tumor mass [8,9]. Our patient could hardly describe the characteristic of the pain.…”

Section: Discussionmentioning

confidence: 87%

Inexplicable Abdominal Pain due to Thoracic Spinal Cord Tumor

et al. 2014

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Chronic, refractory abdominal pain without a metabolic or structural gastroenterological etiology can be challenging for diagnosis and management. Even though it is rare, it has been reported that such a recurrent abdominal pain associated with radicular pattern can be derived from structural neurologic lesion like spinal cord tumor. We experienced an unusual case of chronic recurrent abdominal pain that lasted for two years without definite neurologic deficits in a patient, who has been harboring thoracic spinal cord tumor. During an extensive gastroenterological workup for the abdominal pain, the spinal cord tumor had been found and was resected through surgery. Since then, the inexplicable pain sustained over a long period of time eventually resolved. This case highlights the importance of taking into consideration the possibility of spinal cord tumor in differential diagnosis when a patient complains of chronic and recurrent abdominal pain without other medical abnormalities.

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Section: Discussionmentioning

confidence: 87%

Inexplicable Abdominal Pain due to Thoracic Spinal Cord Tumor

et al. 2014

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“…Lyons et al . [ 26 ] reported a similar case presenting as chronic abdominal pain. Second, although the tumor (which completely covered the spinal cord) was totally removed with a posterior surgical approach, our patient had some left lower extremity weakness postoperatively that improved gradually.…”

Section: Discussionmentioning

confidence: 99%

Remote cerebellar hemorrhage following thoracic spinal surgery of an intradural extramedullary tumor: a case report

et al. 2015

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IntroductionRemote cerebellar hemorrhage is a rare complication of spinal surgery. Although loss of cerebrospinal fluid seems to play an important role in the pathogenesis of this complication, the detailed mechanism of remote cerebellar hemorrhage after spinal surgery remains unclear. We report the case of a patient with remote cerebellar hemorrhage following thoracic spinal surgery of an intradural extramedullary tumor and discuss this entity with reference to the literature.Case presentationA 57-year-old Japanese woman presented to our hospital with back pain, dysuria, and numbness of both legs. A neurological examination was performed, and imaging was performed with ordinary radiography, magnetic resonance imaging, and computed tomography. Her magnetic resonance imaging scan showed an intradural extramedullary tumor at the T3 level. A tumor resection and T1-T5 pedicle screw fixation were performed. Twelve hours after spinal surgery, she complained of unexpected dizziness, nausea, and vomiting. A total of 850mL of serosanguineous fluid had been drained at that time, and drainage was stopped. An urgent brain computed tomography scan showed a cerebellar hemorrhage. She was treated conservatively, and was able to leave hospital six weeks after the initial operation, without any neurological deficits except for slight ataxia.ConclusionsRemote cerebellar hemorrhage has to be suspected when unexpected neurological signs occur after spinal surgery. If an excessive amount of cerebrospinal fluid drains from the drainage tube after spinal surgery, drainage should be stopped.

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Responses of Autonomic Nervous System and Gastrointestinal Function to Acupuncture at Abdominal Anterior Cutaneous Nerve : A Pilot Study

2019

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Objectives: This study is designed to identify the responses of autonomic nervous system and gastrointestinal function which are induced by acupuncture at abdominal anterior cutaneous nerve. Methods: This study is one group before and after pilot study. Subjects were treated once, after having been fasting six hours. They had before tests , labeling points for acupuncture, acupuncture, and after tests in order. The points of acupuncture were motor points of rectus abdominis where the abdominal anterior cutaneous nerve came to the skin from abdominal wall. Before and after tests were consisted of three things: Digital Infrared Thermographic Imaging(D.I.T.I.), Heart Rate Variability(HRV), and Recording of bowel sounds. Results: There were significant differences on the skin temperature of upper body and the frequency of bowel sounds(p<0.001, p<0.001). The HRV parameters and volume of bowel sounds had no significant differences(p>0.05, p>0.05). Conclusion: Even though no significant differences in HRV parameters, the significant differences of skin temperature of upper body and frequency of bowel sounds could mean acupuncture at abdominal anterior cutaneous nerve could affect the autonomic nervous system and gastrointestinal function. However, this study had no group to compare with. Future randomized project should address this issue.

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Thoracic meningioma masquerading as chronic abdominal pain

Cited by 4 publications

References 14 publications

Inexplicable Abdominal Pain due to Thoracic Spinal Cord Tumor

Inexplicable Abdominal Pain due to Thoracic Spinal Cord Tumor

Remote cerebellar hemorrhage following thoracic spinal surgery of an intradural extramedullary tumor: a case report

Responses of Autonomic Nervous System and Gastrointestinal Function to Acupuncture at Abdominal Anterior Cutaneous Nerve : A Pilot Study

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