ABSTRACT
Spinal cavernous haemangiomas are rare and an intradural extramedullary location is rarer still. We give a detailed report of four such cases with a review of 12 cases reported in the past. The clinical presentation, investigations and treatment are discussed.
Subject(s)
Hemangioma, Cavernous/pathology , Spinal Cord Neoplasms/pathology , Adult , Aged , Female , Hemangioma, Cavernous/diagnostic imaging , Hemangioma, Cavernous/surgery , Humans , Male , Middle Aged , Myelography , Spinal Cord Neoplasms/diagnostic imaging , Spinal Cord Neoplasms/surgeryABSTRACT
Three cases of extrdural spinal agiolipomas of dorsal region presenting as compressive myelopathy are reported. All of them recovered fully following surgery. The role of modern imaging techniques in detecting such lesions along with review of literature is presented. Histopathology in case 2 showed areas suggestive of haemingioma and predominant areas of angiolipoma supporting the hypothesis of common origin of al these from the same pluripotential stem cells.
ABSTRACT
The peculiar phenomenon of paradoxical progression during the treatment of central nervous system tuberculosis is discussed. A few cases with this phenomenon were reported in the past, and the authors have treated four such cases. During the treatment for tuberculous meningitis, the four patients developed new lesions, mainly in the form of tuberculomas, which progressed for some time and later regressed. In all these cases the initial drug regimen was not changed, except for the addition of steroids for a short period at the time of deterioration. All four patients underwent ventriculoperitoneal shunt insertion during the course of treatment. The authors discuss the significance of the changes in the lesions and management of such cases, and review the literature.
