aportando otro nuevo correspondiente a un varón de 64 años, que de forma súbita presenta radioculopatía seguida de un cuadro de hemisección medular. Presentamos el caso de un paciente de 35 años con antecedentes de una hemisección medular dorsal por arma blanca hace dos años. Evolutivamente se . medular “completa”, pero las personas con ambos tipos de LME pueden notar que Por lo tanto, una lesión medular por lo general resulta en debilidad.
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Postraumatic epidural arachnoid spinal cyst: Los quistes aracnoideos extradurales espinales son lesiones poco frecuentes. Extradural arachnoid spinal cysts are unfrequent lesions that are associated with spinal trauma, surgery and less frequently with congenital anomalies.
The clinical manifestations are similar to those seen with other compressive spinal cord lesions. Magnetic resonance techniques allow to diagnose correctly this pathology and to define its thopographic situation.
The pathologic history of the patient is essencial to establish the ethiology. Surgery is the elective treatment in most cases.
Quiste aracnoideo espinal epidural postraumático: presentación de un caso
The patient is a 35 years old man who has a medical history of penetrating spinal trauma two years ago. In hemiswccion instance he suffered an unilateral spinal cord section at D2-D3 level with the corresponding Brown Sequard syndrome.
A small wound was detected at the skin dorsal level and it was closed without difficulties. At the beginning, he improved his motor right leg function with rehabilitation and vitamins.
Hemiseccion Medular by Camilo Hernandez on Prezi
After two years of good recovery he came to our hospital suffering a neurological deterioration of six months of evolution. The physical examination revealed an spastic paraparesis. Magnetic resonance was performed demonstrating a cystic extradural collection compressing the spinal cord at D3-D4 jedular.
Surgical decompressive treatment allowed to excise the cyst and it was possible to define a dural tear heimseccion was closed successfully. The outcome was good with restoration of the initial motor function that he had after the spinal trauma.
Surgical management of postraumatic epidural arachnoid spinal cyst allows to detect the meningeal tear and hemisecion close it, which is highly effective on these kinds of lesions.
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