1.Cavernoma of the conus medullaris mimicking transverse myelitis.
Srikant BALASUBRAMANIAM ; Amit MAHORE
Singapore medical journal 2013;54(2):e24-7
We present an interesting case of conus medullaris cavernoma that was initially treated as transverse myelitis. Haemorrhagic lumbar puncture led us to perform magnetic resonance (MR) imaging, which showed the presence of a cavernous angioma at the D12-L1 level. The total excision of the lesion was followed by dramatic improvement. We suggest that MR imaging be performed early in all suspected cases of transverse myelitis so that emergency surgical intervention can be offered before the development of permanent neurological deficits.
Cerebrospinal Fluid
;
metabolism
;
Diagnosis, Differential
;
Hemangioma, Cavernous
;
diagnosis
;
Humans
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Magnetic Resonance Imaging
;
Male
;
Middle Aged
;
Myelitis, Transverse
;
diagnosis
;
Neurosurgical Procedures
;
Spinal Cord
;
pathology
2.Migrated Disc at Cervicothoracic Junction Presenting as Acute Paraplegia.
Amit MAHORE ; Monit AGARWAL ; Raghvendra RAMDASI ; Vishakha TIKEYKAR
Asian Spine Journal 2015;9(3):449-451
Herein, we report on an inferior migration of an intervertebral disc C6-7 to the cervicothoracic junction manifesting as acute paraplegia. The patient showed a remarkable recovery after the surgery. The diagnostic dilemma and management difficulties of such an entity are briefly discussed.
Humans
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Intervertebral Disc
;
Paraplegia*
3.An Unusual Variant of Anlage Tumor of Pineal Region in an Infant.
Raghvendra RAMDASI ; Kanchan KOTHARI ; Naina GOEL ; Amit MAHORE
Brain Tumor Research and Treatment 2015;3(1):52-55
A 9-month-old male child was brought with complaints of increasing head size for 2 months, increasing lethargy and vomiting for the last 2 days. Radiology revealed a heterogeneously enhancing, globular lesion in the pineal region with hydrocephalus. Near total excision of the tumor was carried out. The histopathological examination of the lesion showed heterogenous elements in the form of mature neuroepithelial and ectomesenchymal tissue. The pathology and radiology of this unusual lesion is discussed with relevant review of literature.
Cartilage
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Child
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Head
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Humans
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Hydrocephalus
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Infant*
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Lethargy
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Male
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Melanins
;
Pathology
;
Pinealoma
;
Vomiting
4.Giant Ventral Midline Schwannoma of Cervical Spine : Agonies and Nuances.
Amit MAHORE ; Aadil CHAGLA ; Atul GOEL
Journal of Korean Neurosurgical Society 2010;47(6):454-457
Pure ventral midline giant schwannoma is an extremely rare entity. Spinal intradural extramedullary schwannomas commonly occur posterolateral or anterolateral to the spinal cord. A case of a pure midline ventrally situated giant pan cervical extramedullary schwannoma in an 18-year-old male patient with compressive myelopathy and sphincter involvement is presented. Spinal MR imaging showed a midline ventrally situated extramedullary tumor with severe spinal cord compression extending from clivus to C7 vertebra. It was resected through a posterolateral approach. Histology was consistent with a schwannoma. Post operative MR imaging showed no evidence of the tumor. The radiological features, pathogenesis and surgical strategies in management of these difficult tumors are discussed and the relevant literature is briefly reviewed.
Adolescent
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Cranial Fossa, Posterior
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Humans
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Male
;
Neurilemmoma
;
Spinal Cord
;
Spinal Cord Compression
;
Spine