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Intradural extramedullary spinal cord tumors are rare but can cause significant neurological symptoms. We present a case of a 23-year-old male who developed progressive bilateral leg pain and lower limb weakness 2 years after undergoing posterior spinal fixation for a T12 burst fracture. Magnetic resonance imaging (MRI) revealed an intradural extramedullary tumor at the site of the previous surgery.

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Due to the absence of studies supporting the role of intraoperative neurophysiological monitoring (IONM) in intradural spinal tumors, this study evaluates the clinical outcome after these surgeries in relation to the use of the advanced intraoperative neurophysiological techniques. This is an observational, descriptive and retrospective study of two cohort groups in relation to the presence or absence of IONM during the intervention and the subsequent evaluation of the clinical and functional results in the short and medium terms. Ninety-six patients with extra- or intramedullary intradural spinal tumors operated on by the neurosurgery team of our center completed the current study.

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Article Synopsis
  • Neurosarcoidosis can be difficult to diagnose, especially when there are no other systemic symptoms of sarcoidosis, and it often shows varying clinical presentations.
  • Most cases involve issues like cranial neuropathies or meningitis, making isolated spinal cord involvement rare.
  • This case study discusses a 64-year-old woman with a unique form of neurosarcoidosis presenting as myelopathy due to extra-dural nodules, with pathology confirming the diagnosis and no other neurological or systemic symptoms.
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Article Synopsis
  • Spinal Arteriovenous Metameric Syndrome is a rare genetic vascular disorder that affects multiple tissues in the spinal region and can lead to serious complications.
  • A 20-year-old man experienced a sudden headache and temporary loss of consciousness, which was found to be linked to subarachnoid hemorrhage shown on imaging scans, with no cerebral abnormalities but significant spinal vascular issues identified.
  • The case highlights the rare connection between spinal vascular malformations and intracranial bleeding, suggesting that the hemorrhage may have been caused by abnormal blood flow from the spinal veins into the brain.
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