ABSTRACT
The course of treatment of 28-years old pregnant woman by reason of the tumour of the left cerebellum hemisphere was presented. The urgent operation was performed in 31-st week of pregnancy because of increase of intracranial pressure. The tumour 5 cm in diameter was removed totally. Pathomorphological examination demonstrated haemangioblastoma. Cesarean section was performed in 38-th week of pregnancy by reason of cerebrospinal fluid accumulation in tumor place. Nine month after operation and 7 month after delivery mother and child are in good condition.
Subject(s)
Cerebellar Neoplasms/surgery , Hemangiosarcoma/surgery , Pregnancy Complications, Neoplastic/surgery , Adult , Cerebellar Neoplasms/diagnosis , Female , Hemangiosarcoma/diagnosis , Humans , Pregnancy , Pregnancy Complications, Neoplastic/diagnosis , Pregnancy Trimester, ThirdSubject(s)
Intervertebral Disc Displacement/surgery , Laminectomy/methods , Lumbar Vertebrae/surgery , Nerve Compression Syndromes/surgery , Spinal Nerve Roots , Adult , Age Factors , Aged , Female , Humans , Intervertebral Disc Displacement/complications , Intervertebral Disc Displacement/rehabilitation , Laminectomy/rehabilitation , Lumbar Vertebrae/innervation , Male , Middle Aged , Nerve Compression Syndromes/etiology , Time FactorsABSTRACT
In the years 1969-1986 operations were carried out in 1650 cases of lateral prolapse of the lumbar nucleus pulposus at one level, they accounted for 75% of patients operated on for symptomatic sciatic pains. The operations were done in lateral recumbent position. In 29% of cases it was necessary to extend the typical fenestration by reducing the size of one or two halves of the vertebral arches, and in 12% of cases full hemilaminectomy was done. The most frequent cause of fenestration extension was narrow yellow ligament and massive broad vertebral arches at the level of the prolapsed nucleus, as well as congenital or acquired narrowing of the lateral recess of the vertebral canal. In only 4% of cases the necessity of fenestration extension was due to displacement of the free fragments of the prolapsed nucleus far from the intervertebral space or their falling into the meningeal sac.
Subject(s)
Nerve Compression Syndromes/surgery , Sciatica/surgery , Humans , Intervertebral Disc Displacement/surgery , Laminectomy/methods , Lumbar Vertebrae/surgery , Spinal Stenosis/surgeryABSTRACT
The authors present 28 patients aged 15-19 years selected from 1600 cases treated surgically for intervertebral disc prolapse. In the light of these cases and a survey of the pertinent literature the authors consider that disc prolapse is not always a consequence of injury. Certain differences of the clinical picture could be observed in younger patients.
