Cases reported "Back Pain"

Filter by keywords:



Filtering documents. Please wait...

1/18. Spinal subdural hematoma: a rare complication of lumbar puncture. Case report and review of the literature.

    Spinal subdural hematoma, though rare, is an established complication of lumbar puncture. A young man with persistent back and neck pain after a traumatic lumbar puncture for the diagnosis of lymphocytic meningitis is presented. A diagnosis of spinal subdural hematoma at T2 to T8 levels without significant spinal cord compression was confirmed by magnetic resonance imaging. Symptoms resolved after one month of analgesics and muscle relaxants.
- - - - - - - - - -
ranking = 1
keywords = puncture
(Clic here for more details about this article)

2/18. Cranial nerve palsy and intracranial subdural hematoma following implantation of intrathecal drug delivery device.

    BACKGROUND AND OBJECTIVES: Complications related to cerebrospinal fluid (CSF) leak and low CSF pressure can occur following placement of an intrathecal drug delivery device. methods: A 58-year-old man with chronic, intractable lower back pain underwent implantation of an intrathecal drug delivery device. On the fourth postoperative day, he developed a postural headache and diplopia with findings compatible with left sixth cranial nerve palsy. The headache subsequently became constant and nonpostural. Cranial magnetic resonance imaging was obtained that showed the presence of a posterior subdural intracranial hematoma. Conservative treatment for postdural puncture headache did not improve the symptomatology. Therefore, an epidural blood patch was performed that produced rapid improvement and eventual resolution of symptoms. CONCLUSIONS: Intrathecal catheter implantation can result in CSF loss that might not resolve promptly with conservative therapy. In this case, epidural blood patch proved to be a safe and effective form of treatment.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = puncture
(Clic here for more details about this article)

3/18. acupuncture for back pain in a patient with Forestier's disease (diffuse idiopathic skeletal hyperostosis/DISH).

    acupuncture was used to treat a 54-year-old man with low back pain and Forestier's disease. His symptoms were markedly improved with acupuncture where other treatments in the form of analgesics, non-steroidal anti-inflammatories, physiotherapy and hydrotherapy had proved ineffective. There would appear to be no cases reported in the literature where medical acupuncture has been used to treat back pain in a patient with this condition.
- - - - - - - - - -
ranking = 1.1666666666667
keywords = puncture
(Clic here for more details about this article)

4/18. Observations on the analgesic effects of needle puncture (acupuncture).

    The present study was undertaken in order to investigate the analgesic effect of needle puncture in a small self-selected group of patients with chronic or acute pain, and to examine the factors which determine success or failure of this treatment modality. We have found that in chronic painful conditions, needle puncture may be very effective in producing at least transient analgesia. It also can produce permanent relief of acute (self-limited) pains. Needle puncture was not helpful in the management of pain resulting from nerve damage. High score on psychometric indicators of anxiety and depression is a significant predictor os successful needle puncture analgesia in patients with chronic pain. Comparison of our results to studies of counterirritation indicate that the analgesia produced by needle puncture involves a mechanism similar to that of counterirritation-induced analgesia.
- - - - - - - - - -
ranking = 2.1666666666667
keywords = puncture
(Clic here for more details about this article)

5/18. Case report: pseudomonas aeruginosa-related intervertebral discitis in a young boy with medulloblastoma.

    We report a case of a 15-year-old boy with desmoplastic medulloblastoma of the posterior fossa (T3M3, according to Chang classification) incompletely resected, with leptomeningeal and nodular spread in the posterior fossa and in the cervical and thoracic tracts of the spine, treated with sequential high dose iv chemotherapy and with hyperfractionated cranio-spinal radiotherapy. While on maintenance chemotherapy, the boy developed fever and septic status caused by pseudomonas aeruginosa, and 1 week later also low back pain. magnetic resonance imaging (MRI) demonstrated abnormal signal in the fourth ventricle and in the dorso-lumbar tract suggesting medulloblastoma recurrence, so he started with a chemotherapy program. Due to a worsening of back pain, a second MRI of the spine was performed that showed a spondilodiscitis of T11-T12 and L1-L2 discs. The histological and cultural examination of a fine-needle biopsy of the L1-L2 disc revealed the presence of P. aeruginosa. So patient was treated with intensive antibiotic therapy with resolution of the infection. Spondilodiscitis is a rare complication in neoplastic patients, maybe due to either immunodeficient status or invasive procedures such as lumbar puncture. This case demonstrates that MRI is a useful method for differentiating between infection and malignancy in the spine, but sometimes it may be difficult to distinguish metastatic tumor from a lesion due to spondilodiscitis. In this case surgicopathological assessment is crucial and mandatory.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = puncture
(Clic here for more details about this article)

6/18. Spinal subdural empyema: report of two cases.

    Spinal subdural empyema (SSE) is a rare variety of intraspinal infection. SSE should be suspected in patients presenting with fever, back pain, and signs of cord or nerve root compression. Two patients with SSE are presented. The first patient complained of fever and back pain. She had no neurological deficit but was found to have SSE. The second patient, who presented with intracerebral hemorrhage in the fifth month of pregnancy and spontaneous abortion, was found to have SSE at lumbar puncture. The clinical manifestations and management are discussed.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = puncture
(Clic here for more details about this article)

7/18. Spinal subarachnoid hematoma after lumbar puncture producing acute thoracic myelopathy: case report.

    A case of subarachnoid hematoma after a difficult lumbar puncture and anticoagulation is presented. Subarachnoid adhesions preventing the free flow of spinal fluid at the T-6 level served to limit the cranial progression of the hemorrhage and produced a transverse myelopathy at that level. The underlying pathology, clinical course, and myelographic findings are reviewed. Pertinent literature is presented.
- - - - - - - - - -
ranking = 0.83333333333333
keywords = puncture
(Clic here for more details about this article)

8/18. Transforaminal cervical blood patch for the treatment of post-dural puncture headache.

    A 40-yr-old woman received a series of three interlaminar epidural steroid injections for the treatment of axial neck pain secondary to degenerative disc disease. Immediately after her third injection, she experienced symptoms of a dural puncture-induced headache. This headache persisted on a daily basis for 3 mos, despite two epidural blood patches using an interlaminar approach, which was finally completely abated with a transforaminal blood patch. The headache was immediately relieved and remained alleviated through the follow-up interval of 1 yr. In this patient, a fluoroscopically guided transforaminal epidural blood patch proved to be more effective than the classic blind interlaminar approach in the treatment of post-dural puncture headache.
- - - - - - - - - -
ranking = 1
keywords = puncture
(Clic here for more details about this article)

9/18. A subdural abscess and infected blood patch complicating regional analgesia for labour.

    We report two very unusual cases of infection complicating labour analgesia. The first case was a sub-dural abscess presenting with deep-seated backache seven days after combined spinal-epidural analgesia for labour. The second was a painful lumbar swelling and septicaemia that presented three days after a blood patch for a post dural puncture headache. Because of their complicated and unusual presentation, the diagnosis and management of both were initially delayed.
- - - - - - - - - -
ranking = 0.16666666666667
keywords = puncture
(Clic here for more details about this article)

10/18. Post-dural puncture arm and upper back pain--a report of two cases.

    The typical postdural puncture headache manifests as postural frontal, frontotemporal, or occipital headache, which is worsened by ambulation, and improved by decubitus. Accompanying symptoms are nausea, vomiting, and neck stiffness. Various rare presentations after dural puncture, such as upper back pain, arm pain, thoracic pain, bowel and bladder dysfunction have been sparsely reported. We report two cases who sustained arm and upper back pain after spinal anesthesia, and epidural blood patch gave them a complete relief of the symptoms.
- - - - - - - - - -
ranking = 1
keywords = puncture
(Clic here for more details about this article)
| Next ->


Leave a message about 'Back Pain'


We do not evaluate or guarantee the accuracy of any content in this site. Click here for the full disclaimer.