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The Rapid Progression of Myelopathy Due to Cervical Epidural Fluid Collection From Metastatic Tumor in the Cervical Lamina: A Case Report.
Cureus
February 2025
Department of Spine Surgery, Kameda Medical Center, Chiba, JPN.
Various conditions can cause myelopathy due to cervical epidural fluid collection, including idiopathic cervical epidural hematoma, traumatic cervical epidural hematoma, infectious myelitis, epidural abscess, spinal cord infarction, post-traumatic cerebrospinal fluid (CSF) leakage, and epidural tumors. While physical compression from hematoma, abscess, or epidural tumors is common, and carcinomatous meningitis can cause CSF flow obstruction and accumulation leading to myelopathy, rapid progression of serous fluid collection causing myelopathy is rare. We report a case of myelopathy caused by rapid accumulation of epidural exudate from a metastatic tumor in the cervical lamina.
View Article and Find Full Text PDFStreptococcus pneumoniae-Related Infective Endocarditis Complicated by Development of Psoas and Epidural Abscesses.
Cureus
February 2025
Family Medicine, Louisiana State University Health Sciences Center at Ochsner University Hospital and Clinics, Lafayette, USA.
(), a gram-positive bacterium in the upper respiratory tract, can cause pneumonia, meningitis, and bloodstream infections. septicemia may lead to cardiac valve seeding, increasing the risk of epidural and psoas abscesses. Understanding its pathology is crucial for improving early detection and intervention.
View Article and Find Full Text PDFPerioperative complications in primary intramedullary tumors of the spine in adults. A multicenter surveillance study of 307 patients from the German Spine Registry (DWG-Register).
J Craniovertebr Junction Spine
January 2025
Department of Orthopedics and Traumatology, Faculty of Medicine, University of Cologne, Cologne, Germany.
Background: Intramedullary tumors represent only 10% of the spectrum of spinal tumors. Their management is not an easy task and depends essentially on the surgical resection which can be very challenging. The main aim of our study was to analyze the complication rate in intramedullary tumors as well as postoperative outcome after intramedullary tumor resection.
View Article and Find Full Text PDFEmergent spinal pathologies in late-term pregnancy.
J Craniovertebr Junction Spine
January 2025
Division of Neurosurgery, Mountainside Medical Center, Hackensack Meridian School of Medicine, Montclair, New Jersey.
Pregnancy-induced changes to spinal anatomy and physiology can increase the complexity of neurosurgical intervention in this population. There are numerous reports focused on the neurosurgical management of intracranial pathology for pregnant patients. However, less is known about the neurosurgical management of acute spinal pathology.
View Article and Find Full Text PDFPercutaneous pedicle screw fixation in the surgical treatment of monosegmental pyogenic spondylodiscitis.
J Orthop Surg Res
March 2025
Department of Orthopedics, 5th Affiliated Hospital, Lishui Municipal Central Hospital, Wenzhou Medical College, No. 289 Kuocang Road, Lishui, 323000, China.
Objective: The study assessed the efficacy of percutaneous pedicle screw fixation (PPSF) as a treatment approach for monosegmental pyogenic spondylodiscitis (PS), particularly in patients with compromised health conditions that reduce their ability to endure extensive surgical procedures.
Methods: From January 2019 and December 2021, a total of 38 patients with PS who underwent PPSF at our hospital were included in the study. Clinical outcomes were assessed using physical examinations, serological tests, Visual Analog Scale (VAS) scores, Oswestry Disability Index (ODI) scores, and imaging assessments.
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