No abstract available.
Gait* ; Paraparesis*

The authors experience a case of juvenile type thoracic arteriovenous malformation. It is acute onset and represent spastic paraparesis, sensory Impairment and voiding difficult. Intradural spinal arteriovenous malformation is relatively rare lesion. The authors treated with total excision of A-V malformed vessel with good results.
Arteriovenous Malformations* ; Paraparesis, Spastic

No abstract available.
Central Nervous System ; Paraparesis

Pneumorrhachis, caused by intraspinal air, is an exceptional but important radiographic finding that is accompanied by different etiologies. Pneumorrhachis, by itself, is usually asymptomatic and gets reabsorbed spontaneously. Therefore, the patients with pneumorrhachis are mostly managed conservatively. We encountered a unique case of atypical traumatic pneumorrhachis accompanied by paraparesis.
Humans ; Paraparesis* ; Pneumorrhachis*

Posterior epidural migration of sequestered lumbar disc fragments is an uncommon event. We present here an especially uncommon case involving a patient with paraparesis that was due to posterior migration of a ruptured disc in the adjacent segment after spinal fusion. The patient had a herniated lumbar disc in a diseased spinal junction with sequestered fragments that were located posterior to the thecal sac.
Humans ; Paraparesis ; Spinal Fusion

No abstract available.
Paraparesis* ; Spine* ; Spondylitis, Ankylosing*

"Paradoxical deterioration" during antituberculous therapy is generally defined as the clinical or radiological worsening of pre-existing tuberculous lesions or the development of new lesions in a patient who initially improves. The phenomenon of paradoxical deterioration in intramedullary tuberculoma of the spinal cord is rare and is a less established entity. The authors present an unusual case of paraparesis as a result of paradoxical deterioration of intramedullary tuberculoma despite adequate antituberculous therapy. Here, we review the relevant literatures and discuss its possible pathogenic mechanisms.
Humans ; Paraparesis ; Spinal Cord ; Tuberculoma*

For a thoracolumbar junction lesion, there are many approaches according to pathology. A combined anterior and posterior approach can give anterior and posterior fixation with adequate neural decompression in three column lesion like a metastatic tumor or primary malignant lesion. But it can cause a serious complication of vascular or visceral injury especially during anterior approach. Author developed a new approach which can give a rigid fixation at anterior and posterior column simultaneously by posterior approach. This method has advantages of both anterior and posterior approach and associated with minimized postoperative morbidity. By this method good three column stabilization and adequate neural decompression can be achieved immediately. Three cases of malignant spinal tumors and two cases of complicated spine fracture were operated by this approach. Among three tumor cases, two patients showed rapid recovery of their impending paraparesis. All patients had excellent clinical results and good stabilities of spinal column without any complications.
Decompression ; Humans ; Paraparesis ; Pathology ; Spine

Background: Neurofibromatosis-2 (NF2) is a rare neurocutaneous syndrome that typically presents with hearing loss, tinnitus, or weakness associated with few subcutaneous nodules. In contrast to neurofibromatosis-1 (NF1), NF2 presents clinically with more central lesions rather than peripheral lesions. The presence of bilateral vestibular schwannomas through imaging studies distinguishes NF2 from other neurocutaneous syndromes. Case: This is a case of an 18-year-old male who presented with lower paraparesis with associated hearing loss, cataract, and a few subcutaneous nodules. Centrally located lesions were suspected, thus brain and spine magnetic resonance imaging (MRI) were done revealing bilateral vestibular schwannomas and spine neurofibromas. The patient and family were advised for tumor surveillance, and apprised of surgical intervention once with brainstem compression symptoms. Conclusion NF2 is a rare debilitating disease that may lead to multiple neurologic deficits. The absence of recommended medical treatment and the multifocality of the tumors leave surgical resection a high-risk treatment option. Early recognition by tumor surveillance may give patients with NF2 a better prognosis and survivability.
Neurofibromatoses ; Neurilemmoma ; Neurofibroma ; Paraparesis ; Bevacizumab

No abstract available.
Brain ; Muscle Spasticity ; Paraparesis, Spastic ; Pyramidal Tracts