The Experts below are selected from a list of 663 Experts worldwide ranked by ideXlab platform
Pascal Bilbault - One of the best experts on this subject based on the ideXlab platform.
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Open Access Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov Cyst:
2013Co-Authors: Corina M Duja, Christophe Berna, Stéphane Kremer, Claude Géronimus, Jacques Kopferschmitt, Pascal BilbaultAbstract:Background: Acute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology. Case presentation: We report a 70-year-old man with an 8-month history of left posterior thigh and leg pain who had sudden confusion after a fall from standing. It was due to cerebral fat embolism suspected by computed tomography scan, later confirmed by brain magnetic resonance imaging (MRI). A spinal MRI scan was then performed and revealed a sacral fracture which drained into an unknown perineurial Cyst (Tarlov Cyst). Under medical observation the patient fully recovered within three weeks. Conclusions: Sacral perineurial Cysts are rare, however they remain a potential cause of lumbosacral radiculopathy. Background In Emergency Care, patients admitted for low back pain with or without sciatica are common. Specific aetiology of low back pain is rarely found and does not need routinely imaging exploration [1]. But if physical examination is abnormal or pain unusually persistent, Emergency Physician should explore the lumbar spine with a CT or MRI scan. These imaging techniques can reveal herniated disk, spinal stenosis, early spinal infection or tumour. Nevertheless other rare causes can occur as in our observation where we report a sacral fracture of an unknown Tarlov Cyst complicated with cerebral fat embolism. Case presentation A 70-year-old man with an 8-month history of left posterior thigh and leg pain was admitted to our Emergency Department after a fall during a gym session. He presented with a moderate pelvic and head trauma. A physical examination showed only tenderness upon palpation and percussion of the lumbar and sacral spine
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Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov Cyst: Case report
BMC Emergency Medicine, 2010Co-Authors: Corina M Duja, Christophe Berna, Stéphane Kremer, Claude Géronimus, Jacques Kopferschmitt, Pascal BilbaultAbstract:Background Acute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology. Case presentation We report a 70-year-old man with an 8-month history of left posterior thigh and leg pain who had sudden confusion after a fall from standing. It was due to cerebral fat embolism suspected by computed tomography scan, later confirmed by brain magnetic resonance imaging (MRI). A spinal MRI scan was then performed and revealed a sacral fracture which drained into an unknown perineurial Cyst (Tarlov Cyst). Under medical observation the patient fully recovered within three weeks. Conclusions Sacral perineurial Cysts are rare, however they remain a potential cause of lumbosacral radiculopathy.
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Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov Cyst: Case report
BMC emergency medicine, 2010Co-Authors: Corina M Duja, Christophe Berna, Stéphane Kremer, Claude Géronimus, Jacques Kopferschmitt, Pascal BilbaultAbstract:Acute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology. We report a 70-year-old man with an 8-month history of left posterior thigh and leg pain who had sudden confusion after a fall from standing. It was due to cerebral fat embolism suspected by computed tomography scan, later confirmed by brain magnetic resonance imaging (MRI). A spinal MRI scan was then performed and revealed a sacral fracture which drained into an unknown perineurial Cyst (Tarlov Cyst). Under medical observation the patient fully recovered within three weeks. Sacral perineurial Cysts are rare, however they remain a potential cause of lumbosacral radiculopathy.
Imtiaz Hashmi - One of the best experts on this subject based on the ideXlab platform.
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Co-existing spinal intradural ependymal Cyst and sacral Tarlov Cyst in adult-onset tethered cord syndrome with syringomyelia: Case report and literature review.
Surgical neurology international, 2016Co-Authors: Hamid H Rai, Muhammad F Khan, Syed Ather Enam, Imtiaz HashmiAbstract:Synchronous spinal intradural ependymal Cysts and sacral Tarlov Cysts in adult onset tethered cord syndrome are extremely rare. A 23-year-old male presented with back pain radiating into both lower extremities, accompanied by acute onset of gait difficulty and sphincter dysfunction. Magnetic resonance imaging identified a low lying conus medullaris, syringomyelia with septations extending from T12 to S1, a tethered cord, and a thickened filum terminale with a sacral Tarlov Cyst. The patient underwent a L3-4 laminectomy for decompression of syringomyelia and excision/biopsy of a space occupying lesion along with S1-2 laminectomy for cord untethering and Tarlov Cyst fenestration. Postoperative histopathology confirmed that the lesion was an ependymal Cyst. Clinically, patient showed marked improvement in the neurological status. Simultaneous decompressive laminectomy of L3-4 and S1-2 effectively decompressed the syringomyelia while allowing for excision/biopsy of a space occupying lesion at the former and untethering and Tarlov Cyst fenestration at the latter levels.
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Co-existing spinal intradural ependymal Cyst and sacral Tarlov Cyst in adult-onset tethered cord syndrome with syringomyelia: Case report and literature review
Surgical Neurology International, 2016Co-Authors: Hamid H Rai, Muhammad F Khan, Syed Ather Enam, Imtiaz HashmiAbstract:BACKGROUND Synchronous spinal intradural ependymal Cysts and sacral Tarlov Cysts in adult onset tethered cord syndrome are extremely rare. CASE DESCRIPTION A 23-year-old male presented with back pain radiating into both lower extremities, accompanied by acute onset of gait difficulty and sphincter dysfunction. Magnetic resonance imaging identified a low lying conus medullaris, syringomyelia with septations extending from T12 to S1, a tethered cord, and a thickened filum terminale with a sacral Tarlov Cyst. The patient underwent a L3-4 laminectomy for decompression of syringomyelia and excision/biopsy of a space occupying lesion along with S1-2 laminectomy for cord untethering and Tarlov Cyst fenestration. Postoperative histopathology confirmed that the lesion was an ependymal Cyst. Clinically, patient showed marked improvement in the neurological status. CONCLUSION Simultaneous decompressive laminectomy of L3-4 and S1-2 effectively decompressed the syringomyelia while allowing for excision/biopsy of a space occupying lesion at the former and untethering and Tarlov Cyst fenestration at the latter levels.
Salem S. Fesal - One of the best experts on this subject based on the ideXlab platform.
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Surgical excision of symptomatic sacral perineurial Tarlov Cyst: case series and review of the literature
European Spine Journal, 2016Co-Authors: Ahmed Elsawaf, Tariq Elamam Awad, Salem S. FesalAbstract:Object Symptomatic sacral perineural Cysts are extremely rare. The aim of this retrospective study is to investigate the outcome of 15 consecutive patients treated by microsurgical resection of the Cyst and to review the literature. Methods The authors retrospectively reviewed their clinical data archive from 2002 to 2014. Fifteen patients who were operated on due to symptomatic sacral perineural Cysts were enrolled in the study. Patients’ symptoms, radiographs, intra-operative findings, and clinical results were evaluated. All 15 patients underwent microsurgical excision of the Cyst. The literature on this topic available in PubMed was also reviewed. Results There were 5 men and 10 women included in the study, with a mean age of 31 years (range 7–60 years). Preoperative symptoms include low back pain, coccydynia, buttock pain, perianal pain and radicular pain. All of the patients underwent surgical resection. The mean follow-up was 54 months (range 3–160 months). All the patients experienced complete or substantial resolution of the preoperative local and radicular pain after surgery. Conclusions Cyst excision is an effective and safe technique for symptomatic sacral perineural (Tarlov) Cysts. Careful patient selection is vital to the management and treatment of this difficult and controversial pathology.
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surgical excision of symptomatic sacral perineurial Tarlov Cyst case series and review of the literature
European Spine Journal, 2016Co-Authors: Ahmed Elsawaf, Tariq Awad, Salem S. FesalAbstract:Object Symptomatic sacral perineural Cysts are extremely rare. The aim of this retrospective study is to investigate the outcome of 15 consecutive patients treated by microsurgical resection of the Cyst and to review the literature.
Corina M Duja - One of the best experts on this subject based on the ideXlab platform.
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Open Access Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov Cyst:
2013Co-Authors: Corina M Duja, Christophe Berna, Stéphane Kremer, Claude Géronimus, Jacques Kopferschmitt, Pascal BilbaultAbstract:Background: Acute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology. Case presentation: We report a 70-year-old man with an 8-month history of left posterior thigh and leg pain who had sudden confusion after a fall from standing. It was due to cerebral fat embolism suspected by computed tomography scan, later confirmed by brain magnetic resonance imaging (MRI). A spinal MRI scan was then performed and revealed a sacral fracture which drained into an unknown perineurial Cyst (Tarlov Cyst). Under medical observation the patient fully recovered within three weeks. Conclusions: Sacral perineurial Cysts are rare, however they remain a potential cause of lumbosacral radiculopathy. Background In Emergency Care, patients admitted for low back pain with or without sciatica are common. Specific aetiology of low back pain is rarely found and does not need routinely imaging exploration [1]. But if physical examination is abnormal or pain unusually persistent, Emergency Physician should explore the lumbar spine with a CT or MRI scan. These imaging techniques can reveal herniated disk, spinal stenosis, early spinal infection or tumour. Nevertheless other rare causes can occur as in our observation where we report a sacral fracture of an unknown Tarlov Cyst complicated with cerebral fat embolism. Case presentation A 70-year-old man with an 8-month history of left posterior thigh and leg pain was admitted to our Emergency Department after a fall during a gym session. He presented with a moderate pelvic and head trauma. A physical examination showed only tenderness upon palpation and percussion of the lumbar and sacral spine
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Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov Cyst: Case report
BMC Emergency Medicine, 2010Co-Authors: Corina M Duja, Christophe Berna, Stéphane Kremer, Claude Géronimus, Jacques Kopferschmitt, Pascal BilbaultAbstract:Background Acute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology. Case presentation We report a 70-year-old man with an 8-month history of left posterior thigh and leg pain who had sudden confusion after a fall from standing. It was due to cerebral fat embolism suspected by computed tomography scan, later confirmed by brain magnetic resonance imaging (MRI). A spinal MRI scan was then performed and revealed a sacral fracture which drained into an unknown perineurial Cyst (Tarlov Cyst). Under medical observation the patient fully recovered within three weeks. Conclusions Sacral perineurial Cysts are rare, however they remain a potential cause of lumbosacral radiculopathy.
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Confusion after spine injury: cerebral fat embolism after traumatic rupture of a Tarlov Cyst: Case report
BMC emergency medicine, 2010Co-Authors: Corina M Duja, Christophe Berna, Stéphane Kremer, Claude Géronimus, Jacques Kopferschmitt, Pascal BilbaultAbstract:Acute low back pain is a very common symptom and reason for many medical consultations. In some unusual circumstances it could be linked to a rare aetiology. We report a 70-year-old man with an 8-month history of left posterior thigh and leg pain who had sudden confusion after a fall from standing. It was due to cerebral fat embolism suspected by computed tomography scan, later confirmed by brain magnetic resonance imaging (MRI). A spinal MRI scan was then performed and revealed a sacral fracture which drained into an unknown perineurial Cyst (Tarlov Cyst). Under medical observation the patient fully recovered within three weeks. Sacral perineurial Cysts are rare, however they remain a potential cause of lumbosacral radiculopathy.
Hamid H Rai - One of the best experts on this subject based on the ideXlab platform.
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Co-existing spinal intradural ependymal Cyst and sacral Tarlov Cyst in adult-onset tethered cord syndrome with syringomyelia: Case report and literature review.
Surgical neurology international, 2016Co-Authors: Hamid H Rai, Muhammad F Khan, Syed Ather Enam, Imtiaz HashmiAbstract:Synchronous spinal intradural ependymal Cysts and sacral Tarlov Cysts in adult onset tethered cord syndrome are extremely rare. A 23-year-old male presented with back pain radiating into both lower extremities, accompanied by acute onset of gait difficulty and sphincter dysfunction. Magnetic resonance imaging identified a low lying conus medullaris, syringomyelia with septations extending from T12 to S1, a tethered cord, and a thickened filum terminale with a sacral Tarlov Cyst. The patient underwent a L3-4 laminectomy for decompression of syringomyelia and excision/biopsy of a space occupying lesion along with S1-2 laminectomy for cord untethering and Tarlov Cyst fenestration. Postoperative histopathology confirmed that the lesion was an ependymal Cyst. Clinically, patient showed marked improvement in the neurological status. Simultaneous decompressive laminectomy of L3-4 and S1-2 effectively decompressed the syringomyelia while allowing for excision/biopsy of a space occupying lesion at the former and untethering and Tarlov Cyst fenestration at the latter levels.
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Co-existing spinal intradural ependymal Cyst and sacral Tarlov Cyst in adult-onset tethered cord syndrome with syringomyelia: Case report and literature review
Surgical Neurology International, 2016Co-Authors: Hamid H Rai, Muhammad F Khan, Syed Ather Enam, Imtiaz HashmiAbstract:BACKGROUND Synchronous spinal intradural ependymal Cysts and sacral Tarlov Cysts in adult onset tethered cord syndrome are extremely rare. CASE DESCRIPTION A 23-year-old male presented with back pain radiating into both lower extremities, accompanied by acute onset of gait difficulty and sphincter dysfunction. Magnetic resonance imaging identified a low lying conus medullaris, syringomyelia with septations extending from T12 to S1, a tethered cord, and a thickened filum terminale with a sacral Tarlov Cyst. The patient underwent a L3-4 laminectomy for decompression of syringomyelia and excision/biopsy of a space occupying lesion along with S1-2 laminectomy for cord untethering and Tarlov Cyst fenestration. Postoperative histopathology confirmed that the lesion was an ependymal Cyst. Clinically, patient showed marked improvement in the neurological status. CONCLUSION Simultaneous decompressive laminectomy of L3-4 and S1-2 effectively decompressed the syringomyelia while allowing for excision/biopsy of a space occupying lesion at the former and untethering and Tarlov Cyst fenestration at the latter levels.
