Symptomatic spinal epidural lipomatosis after local epidural corticosteroid injections: case report.

Abstract:

OBJECTIVE AND IMPORTANCE:Spinal epidural lipomatosis, which causes symptomatic compression of neural elements, is a well known but uncommon complication of Cushing's syndrome. Spinal epidural lipomatosis has been reported frequently in association with chronic systemic corticosteroid therapy, but thus far only one case has been attributed to local epidural corticosteroid injections. CLINICAL PRESENTATION:We report another case of symptomatic spinal epidural lipomatosis after epidural corticosteroid injections. This is the first such case documented by magnetic resonance imaging and confirmed with surgical exploration. INTERVENTION:The patient's symptoms of neurogenic claudication resolved after lumbar laminectomy in the region of previous corticosteroid injections and the removal of epidural fat, which was compressing the thecal sac. CONCLUSION:This case should alert clinicians that epidural lipomatosis, which causes symptomatic thecal sac compression, is a possible complication, not only of systemic glucocorticoid therapy, but also of local epidural corticosteroid injections.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Sandberg DI,Lavyne MH

doi

10.1097/00006123-199907000-00037

keywords:

subject

Has Abstract

pub_date

1999-07-01 00:00:00

pages

162-5

issue

1

eissn

0148-396X

issn

1524-4040

journal_volume

45

pub_type

杂志文章
  • Volumetric stereotaxy and the supratentorial occipitosubtemporal approach in the resection of posterior hippocampus and parahippocampal gyrus lesions.

    abstract:OBJECTIVE:Resection of intracranial tumors in the posterior hippocampus and the parahippocampal gyrus can be associated with significant morbidity because of the parenchymal resection and the cortical retraction often required in gaining access to this infrequently explored region. With the use of image guidance, the o...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200205000-00010

    authors: Russell SM,Kelly PJ

    更新日期:2002-05-01 00:00:00

  • Concepts and hypotheses: inflammatory hypothesis in the pathogenesis of cerebral cavernous malformations.

    abstract:OBJECTIVE:Cerebral cavernous malformations (CCMs) affect more than one million Americans, predisposing them to a lifetime risk of hemorrhagic stroke and epilepsy. A potential role of the immune response in this disease has not been postulated previously but is compelling given the unique antigenic milieu of CCM lesions...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000298897.38979.07

    authors: Shenkar R,Shi C,Check IJ,Lipton HL,Awad IA

    更新日期:2007-10-01 00:00:00

  • A novel single twist-drill access device for multimodal intracranial monitoring: a 5-year single-institution experience.

    abstract:BACKGROUND:Multimodal intracranial monitoring in the neurosurgical patient requires insertion of probes through multiple craniostomies. OBJECTIVE:To report our 5-year experience with a novel device allowing multimodal monitoring though a single twist-drill hole. METHODS:All devices (Hummingbird Synergy, Innerspace) w...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0000000000000451

    authors: Chohan MO,Akbik OS,Ramos-Canseco J,Ramirez PM,Murray-Krezan C,Berlin T,Olin K,Taylor CL,Yonas H

    更新日期:2014-09-01 00:00:00

  • Paraplegia after tethered cord surgery: an uncommon combined anomaly of spinal arteriovenous fistula and sacral lipoma--case report.

    abstract:OBJECTIVE AND IMPORTANCE:The coexistence of spinal arteriovenous malformation (AVM) with congenital abnormalities is relatively common. However, the association of a spinal AVM and lipoma is rare. We present an adult patient with this combined anomaly and discuss the clinical relevance of this case. CLINICAL PRESENTAT...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000171028.96829.69

    authors: Cheung AC,Kalkanis SN,Ogilvy CS

    更新日期:2005-09-01 00:00:00

  • Spine patient outcomes research trial: do outcomes vary across centers for surgery for lumbar disc herniation?

    abstract:BACKGROUND:Lumbar discectomy is the most commonly performed spine procedure. Academic spine centers with potentially differing caseloads and experience may have different outcomes. OBJECTIVE:To determine whether the choice of center in which surgery is performed affects lumbar discectomy outcomes. METHODS:Spine Patie...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1227/NEU.0b013e31826772cb

    authors: Desai A,Bekelis K,Ball PA,Lurie J,Mirza SK,Tosteson TD,Zhao W,Weinstein JN

    更新日期:2012-10-01 00:00:00

  • Alexia without agraphia in a musician after transcallosal removal of a left intraventricular meningioma.

    abstract::After a meningioma situated in the trigone of the left lateral ventricle was excised by the transcallosal approach of Kempe and Blaylock, a right-handed musician with a right hemianopsia developed alexia without agraphia. In contrast to previously reported cases of this syndrome arising from other etiologies, he was u...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-197902000-00011

    authors: Levin HS,Rose JE

    更新日期:1979-02-01 00:00:00

  • Endovascular Management vs Intravenous Thrombolysis for Acute Stroke Secondary to Carotid Artery Dissection: Local Experience and Systematic Review.

    abstract:BACKGROUND:Little is known regarding the endovascular management of acute ischemic stroke (AIS) related to carotid artery dissection (CAD). OBJECTIVE:To report our interventional experience in AIS from CAD and to compare it with conservative treatment of CAD with intravenous thrombolysis (IVT) via systematic review. ...

    journal_title:Neurosurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1227/NEU.0000000000001072

    authors: Haussen DC,Jadhav A,Jovin T,Grossberg JA,Grigoryan M,Nahab F,Obideen M,Lima A,Aghaebrahim A,Gulati D,Nogueira RG

    更新日期:2016-05-01 00:00:00

  • Neuropsychological functioning after surgery in children treated for brain tumor.

    abstract:OBJECTIVE:To describe the neuropsychological functioning of children treated with surgery only for localized brain tumors in Dana-Farber Cancer Institute Protocol 92-077. Subsequent reports will describe the neuropsychological functioning of children treated with surgery and stereotactic radiation therapy on Dana-Farbe...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000064804.00766.62

    authors: Carpentieri SC,Waber DP,Pomeroy SL,Scott RM,Goumnerova LC,Kieran MW,Billett AL,Tarbell NJ

    更新日期:2003-06-01 00:00:00

  • Cerebral salt wasting after pituitary exploration and biopsy: case report.

    abstract::We report a case of hyponatremia associated with volume depletion after pituitary exploration and biopsy. The presence of clinical dehydration precluded diagnosis of the syndrome of inappropriate secretion of antidiuretic hormone. The absence of a hypoadrenal state and the patient's response to volume reexpansion were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198604000-00015

    authors: Andrews BT,Fitzgerald PA,Tyrell JB,Wilson CB

    更新日期:1986-04-01 00:00:00

  • Receptor tyrosine kinase expression in astrocytic lesions: similar features in gliosis and glioma.

    abstract::The purpose of this study was to determine if the expression of receptor tyrosine kinases would distinguish astrocytosis from astrocytoma. Because the expression of this family of receptor proteins is greater in higher-grade tumors, a graded series of both reactive and neoplastic astrocytic lesions in humans was evalu...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199307000-00017

    authors: Kristt DA,Reedy E,Yarden Y

    更新日期:1993-07-01 00:00:00

  • Cortical stimulation and epileptic seizure: a study of the potential risk in primates.

    abstract:OBJECTIVE:The recent successful development of chronic stimulation of the motor cortex as a treatment for neuropathic and central pain does not exclude the possibility of eventual side effects, such as epileptic seizure or a lowering of the epileptic threshold. This study evaluates the behavioral and electroencephalogr...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199908000-00030

    authors: Bezard E,Boraud T,Nguyen JP,Velasco F,Keravel Y,Gross C

    更新日期:1999-08-01 00:00:00

  • Intramedullary epidermoid cyst of the cervical spinal cord associated with an extraspinal neuroenteric cyst: case report.

    abstract::A 4-year-old girl presented with an intramedullary epidermoid cyst of the cervical spinal cord. The clinical, radiological, and surgical features and a brief critical review of the literature are included in this report. The cyst contents were removed totally in two operations. The child had a coexisting neuroenteric ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199207000-00018

    authors: Tekkök IH,Palaoglu S,Erbengi A,Onol B

    更新日期:1992-07-01 00:00:00

  • The impact of provider volume on mortality after intracranial tumor resection.

    abstract:OBJECTIVE:Policies of regionalization and selective referral for a number of "high-risk" surgical procedures are being explored and implemented as a result of significant variation in postoperative mortality between high- and low-volume providers. The effect of provider volume on outcomes after intracranial tumor resec...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-200301000-00005

    authors: Cowan JA Jr,Dimick JB,Leveque JC,Thompson BG,Upchurch GR Jr,Hoff JT

    更新日期:2003-01-01 00:00:00

  • Inhibition of NFkappaB reduces cellular viability in GH3 pituitary adenoma cells.

    abstract:OBJECTIVE:Adenomas of the pituitary gland are among the most common types of tumors of the adult brain. Although adenomas are histologically benign, they may be associated with significant morbidity and mortality, mostly because of their invasive growth pattern and hormone hypersecretion. Current medical therapies are ...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000325874.82999.75

    authors: Vender JR,Laird MD,Dhandapani KM

    更新日期:2008-05-01 00:00:00

  • Pre- and intraoperative tractographic evaluation of corticospinal tract shift.

    abstract:BACKGROUND:Magnetic resonance with diffusion tensor image (DTI) may be able to estimate trajectories compatible with subcortical tracts close to brain lesions. A limit of DTI is brain shifting (movement of the brain after dural opening and tumor resection). OBJECTIVE:To calculate the brain shift of trajectories compat...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e31821a8555

    authors: Romano A,D'Andrea G,Calabria LF,Coppola V,Espagnet CR,Pierallini A,Ferrante L,Fantozzi L,Bozzao A

    更新日期:2011-09-01 00:00:00

  • Neurotrophin 3 improves delayed reconstruction of sensory pathways after cervical dorsal root injury.

    abstract:BACKGROUND:Spinal root avulsion, or section, results in devastating functional sequels. Whereas reconstruction of motor pathways based on neurotization can reduce motor deficit, associated permanent limb anesthesia limits expected benefit. Sensory pathway reconstruction after dorsal root injury is limited by the inabil...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/NEU.0b013e318200512f

    authors: Liu S,Blanchard S,Bigou S,Vitry S,Bohl D,Heard JM

    更新日期:2011-02-01 00:00:00

  • Multimodal reperfusion therapy in patients with acute basilar artery occlusion.

    abstract:OBJECTIVE:Multimodal reperfusion therapy (MMRT) has been advocated for the treatment of acute basilar artery occlusion (ABAO). We aimed to identify prognostic factors in patients with ABAO who underwent MMRT. METHODS:Clinical and radiological data from consecutive ABAO patients were analyzed. All patients underwent MM...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/01.NEU.0000350862.35963.49

    authors: Raphaeli G,Eichel R,Ben-Hur T,Leker RR,Cohen JE

    更新日期:2009-09-01 00:00:00

  • Osteoid osteomas and osteoblastomas of the spine.

    abstract::Benign osteoblastic lesions are rare bone tumors and they are usually divided into osteoid osteomas and benign osteoblastomas based on their biological behavior. Both lesions are prevalent in the spine, with the lamina and pedicle being involved frequently. Long diagnostic delays are frequent. Pain, the most prominent...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198101000-00007

    authors: Janin Y,Epstein JA,Carras R,Khan A

    更新日期:1981-01-01 00:00:00

  • Spinal Fusion for Pediatric Spondylolisthesis: National Trends, Complications, and Short-Term Outcomes.

    abstract:BACKGROUND:Current surgical management guidelines for pediatric spondylolisthesis (PS) are reliant on data from single-center cohorts. OBJECTIVE:To analyze national trends and predictors of short-term outcomes in spinal fusion surgery for PS by performing a retrospective cross-sectional analysis of the Kids' Inpatient...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1093/neuros/nyx295

    authors: Rumalla K,Yarbrough CK,Pugely AJ,Dorward IG

    更新日期:2018-05-01 00:00:00

  • Treatment of intact familial intracranial aneurysms: a decision-analytical approach.

    abstract::Clinical decision analysis is applied to the treatment decisions for four patients with unruptured familial aneurysms. The surgical treatment was uneventful in all patients except one with mild mixed aphasia and facial weakness postoperatively; these deficits disappeared in less than 2 years. In the decision analysis,...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198809000-00007

    authors: ter Berg HW,Dippel DW,Habbema JD,Bijlsma JB,van Gijn J,Tulleken CA,Willemse J

    更新日期:1988-09-01 00:00:00

  • Clinical clerkships in neurosurgery and neurology at United States medical schools.

    abstract::The neurology and neurosurgery clinical clerkship experience (excluding lectures and conferences) of the students in U.S. allopathic medical schools during one of the academic years 1986 to 1987 or 1987 to 1988 was surveyed. Almost all schools have at least some students taking these clerkships. The majority of studen...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1097/00006123-199110000-00027

    authors: Lehman RA,Brodner RA,Greenblatt SH,Hirsh LF,Loeser J,Smith K,Curran L

    更新日期:1991-10-01 00:00:00

  • Spinal deformity: a new classification derived from neutral upright spinal alignment measurements in asymptomatic juvenile, adolescent, adult, and geriatric individuals.

    abstract:OBJECTIVE:In this literature review, the authors analyze data from previously published studies that evaluated neutral upright spinal alignment (NUSA) from the occiput to the pelvis in asymptomatic individuals. Based on the data for NUSA in asymptomatic volunteers, a new classification is proposed for spinal deformity....

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.NEU.0000313120.81565.D7

    authors: Kuntz C 4th,Shaffrey CI,Ondra SL,Durrani AA,Mummaneni PV,Levin LS,Pettigrew DB

    更新日期:2008-09-01 00:00:00

  • Prognostic implications of p53 overexpression in supratentorial astrocytic tumors.

    abstract::The wild-type p53 gene is thought to play a critical role in tumor suppression and has been shown to reverse the transformed phenotype of tumor cells in vitro. Mutational inactivation of this aspect of p53 activity occurs frequently in many human neoplasms, including astrocytomas, and is thought to represent a critica...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-199411000-00005

    authors: Chozick BS,Pezzullo JC,Epstein MH,Finch PW

    更新日期:1994-11-01 00:00:00

  • Femoral ring allograft for anterior cervical interbody fusion: technical note.

    abstract:OBJECTIVE:Cadaveric fibula with locking plate internal fixation has been reported to be associated with fewer complications and better long-term results, compared with autologous iliac crest. With the knowledge that cortically dense allografts collapse less with time, new machined femoral ring allografts were developed...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:

    authors: Shapiro S,Bindal R

    更新日期:2000-12-01 00:00:00

  • Effect of osmotic blood-brain barrier disruption on methotrexate pharmacokinetics in the dog.

    abstract::Infusion of 25% mannitol into the internal carotid artery of the dog results in a reversible disruption of the blood-brain barrier (BBB). This osmotic BBB disruption enhances the penetratin of systemically administered methotrexate (MTX) into the ipsilateral cerebral hemisphere. Brain methotexate levels were maximized...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/00006123-198007000-00006

    authors: Neuwelt EA,Frenkel EP,Rapoport S,Barnett P

    更新日期:1980-07-01 00:00:00

  • Intrinsic hematoma of the oculomotor nerve: case report and review of the literature.

    abstract:OBJECTIVE AND IMPORTANCE:Intrinsic oculomotor nerve hematoma is an exceptional cause of third nerve palsy. This case report illustrates the clinical, radiological, and intraoperative relevance of this rare pathological finding. CLINICAL PRESENTATION:A 25-year-old woman with a 12-year history of gross total resection o...

    journal_title:Neurosurgery

    pub_type: 杂志文章,评审

    doi:10.1227/01.neu.0000166687.59462.42

    authors: Ratilal BO,Galo SM,Luiz CA

    更新日期:2005-08-01 00:00:00

  • Does navigated transcranial stimulation increase the accuracy of tractography? A prospective clinical trial based on intraoperative motor evoked potential monitoring during deep brain stimulation.

    abstract:BACKGROUND:Tractography based on diffusion tensor imaging has become a popular tool for delineating white matter tracts for neurosurgical procedures. OBJECTIVE:To explore whether navigated transcranial magnetic stimulation (nTMS) might increase the accuracy of fiber tracking. METHODS:Tractography was performed accord...

    journal_title:Neurosurgery

    pub_type: 临床试验,杂志文章

    doi:10.1227/NEU.0000000000000715

    authors: Forster MT,Hoecker AC,Kang JS,Quick J,Seifert V,Hattingen E,Hilker R,Weise LM

    更新日期:2015-06-01 00:00:00

  • Hyperacute neuropathological findings after proton beam radiosurgery of the rat hippocampus.

    abstract:OBJECTIVE:To study the hyperacute histological and immunohistochemical effects of stereotactic proton beam irradiation of the rat hippocampus. METHODS:Nine rats underwent proton beam radiosurgery of one hippocampus with nominal doses of cobalt-2, -12, and -60 Gray equivalents (n = 3 each). Control animals (n = 3) were...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.neu.0000159885.34134.20

    authors: Brisman JL,Cosgrove GR,Thornton AF,Beer T,Bradley-Moore M,Shay CT,Hedley-Whyte ET,Cole AJ

    更新日期:2005-06-01 00:00:00

  • Anatomoradiological landmarks for accuracy of radiofrequency thermorhizotomy in the treatment of trigeminal neuralgia.

    abstract:OBJECTIVE:The correct positioning of the electrode is of prime importance for effectiveness and selectivity of percutaneous trigeminal radiofrequency thermorhizotomy (RF-TR) for the treatment of trigeminal neuralgia (TN). The aim of our study was to establish some anatomoradiological landmarks for the purpose of accura...

    journal_title:Neurosurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1227/01.neu.0000335027.00650.83

    authors: Tatli M,Sindou M

    更新日期:2008-07-01 00:00:00

  • Primary melanocytic tumor of the cerebellopontine angle mimicking a vestibular schwannoma: case report.

    abstract:OBJECTIVE:The majority of tumors of the cerebellopontine angle (CPA) are benign. We report the case of a primary malignant melanoma of the CPA that mimicked a vestibular schwannoma (acoustic neuroma). We discuss the differential diagnosis and prognosis of melanotic lesions at this location. CLINICAL PRESENTATION:A 49-...

    journal_title:Neurosurgery

    pub_type: 杂志文章

    doi:10.1227/01.NEU.0000219236.48886.44

    authors: Piedra MP,Scheithauer BW,Driscoll CL,Link MJ

    更新日期:2006-07-01 00:00:00