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Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report
RATIONALE: Limb dysfunction is not uncommon clinically after intramural tumor surgery. However, there are no relevant literature reports on the recovery of unilateral motor function caused by spinal cord dysfunction after short-term observation and treatment. The report of such cases is of great val...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637440/ https://www.ncbi.nlm.nih.gov/pubmed/37960788 http://dx.doi.org/10.1097/MD.0000000000035970 |
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author | Tian, Zhikang Li, Qingwei Gao, Sheng Meng, Chunyang |
author_facet | Tian, Zhikang Li, Qingwei Gao, Sheng Meng, Chunyang |
author_sort | Tian, Zhikang |
collection | PubMed |
description | RATIONALE: Limb dysfunction is not uncommon clinically after intramural tumor surgery. However, there are no relevant literature reports on the recovery of unilateral motor function caused by spinal cord dysfunction after short-term observation and treatment. The report of such cases is of great value for improving the cognition of postoperative complications of meningioma reducing misdiagnosis and providing reference for clinical treatment. PATIENT CONCERNS: A 73-year-old female patient with numbness and weakness in both lower limbs accompanied by unstable walking for 2 months. Combined with imaging data and postoperative pathological diagnosis, it was diagnosed as thoracic spinal meningioma. The patient experienced transient unilateral limb dysfunction after surgery. DIAGNOSES: Magnetic resonance imaging and its enhanced magnetic resonance imaging suggest a space occupying lesion on the left side of the spinal canal at the level of the thoracic 3 to 4 vertebral body, possibly a meningioma. The postoperative pathology was grade I meningioma. INTERVENTION: Administer 10 mL of dexamethasone, 1 g of methylprednisolone, and 250 mL of mannitol for treatment. OUTCOMES: After 3 hours, the patient’s muscle strength gradually recovered, and after 12 hours, it was better than the preoperative level. CONCLUSION: Spinal cord dysfunction may occur after surgery for intraspinal meningioma in the upper thoracic spine. Unlike spinal cord dysfunction caused by spinal cord injury, this dysfunction is short-term and transient. The use of hormones and diuretics is a feasible solution that can quickly restore patient limb function. |
format | Online Article Text |
id | pubmed-10637440 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-106374402023-11-15 Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report Tian, Zhikang Li, Qingwei Gao, Sheng Meng, Chunyang Medicine (Baltimore) 7100 RATIONALE: Limb dysfunction is not uncommon clinically after intramural tumor surgery. However, there are no relevant literature reports on the recovery of unilateral motor function caused by spinal cord dysfunction after short-term observation and treatment. The report of such cases is of great value for improving the cognition of postoperative complications of meningioma reducing misdiagnosis and providing reference for clinical treatment. PATIENT CONCERNS: A 73-year-old female patient with numbness and weakness in both lower limbs accompanied by unstable walking for 2 months. Combined with imaging data and postoperative pathological diagnosis, it was diagnosed as thoracic spinal meningioma. The patient experienced transient unilateral limb dysfunction after surgery. DIAGNOSES: Magnetic resonance imaging and its enhanced magnetic resonance imaging suggest a space occupying lesion on the left side of the spinal canal at the level of the thoracic 3 to 4 vertebral body, possibly a meningioma. The postoperative pathology was grade I meningioma. INTERVENTION: Administer 10 mL of dexamethasone, 1 g of methylprednisolone, and 250 mL of mannitol for treatment. OUTCOMES: After 3 hours, the patient’s muscle strength gradually recovered, and after 12 hours, it was better than the preoperative level. CONCLUSION: Spinal cord dysfunction may occur after surgery for intraspinal meningioma in the upper thoracic spine. Unlike spinal cord dysfunction caused by spinal cord injury, this dysfunction is short-term and transient. The use of hormones and diuretics is a feasible solution that can quickly restore patient limb function. Lippincott Williams & Wilkins 2023-11-10 /pmc/articles/PMC10637440/ /pubmed/37960788 http://dx.doi.org/10.1097/MD.0000000000035970 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Tian, Zhikang Li, Qingwei Gao, Sheng Meng, Chunyang Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report |
title | Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report |
title_full | Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report |
title_fullStr | Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report |
title_full_unstemmed | Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report |
title_short | Transient spinal cord dysfunction after surgery for intraspinal tumors: A case report |
title_sort | transient spinal cord dysfunction after surgery for intraspinal tumors: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10637440/ https://www.ncbi.nlm.nih.gov/pubmed/37960788 http://dx.doi.org/10.1097/MD.0000000000035970 |
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