The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord
We present the case of a woman who presented with weakness of both legs due to a low grade tumor of the spinal cord. Excision of the tumor was performed and confirmed with intraoperative ultrasound. Prior to dural closure the spinal cord was found to be pushed dorsally with herniation of the cord...
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Medical Communications Sp. z o.o.
2014-03-01
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doaj-bf66db7e826d45a295cc31880ef7a3822020-11-24T22:34:35ZengMedical Communications Sp. z o.o.Journal of Ultrasonography2084-84042451-070X2014-03-0114568993The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cordAnkur Saxena0Ganesh Rao1Marcel Ivanov2Departments of Neurosurgery, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United KingdomDepartments of Neurophysiology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United KingdomDepartments of Neurosurgery, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United KingdomWe present the case of a woman who presented with weakness of both legs due to a low grade tumor of the spinal cord. Excision of the tumor was performed and confirmed with intraoperative ultrasound. Prior to dural closure the spinal cord was found to be pushed dorsally with herniation of the cord through the dural defect. Intraoperative ultrasound showed a collection of cerebrospinal fluid in an anterior pocket giving the impression of the cord being swollen. Once cerebrospinal fluid was drained, the cord settled within the thecal space and closure of the dural defect was performed. Surgery for an intramedullary spinal cord tumor can cause a significant amount of swelling and either a duroplasty is required or the dura is left open with meticulous closure of the wound. Ultrasound is helpful to identify pathology anterior to the cord and prevents the potential complications associated with duroplasty or leaving the dura open.http://jultrason.pl/index.php/issues/volume-14-no-56/the-value-of-intraoperative-ultrasound-in-the-recognition-of-pseudo-swelling-of-the-spinal-cord?aid=231spinal cord tumorspinal cord edemaintraoperative ultrasoundduroplasty |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ankur Saxena Ganesh Rao Marcel Ivanov |
spellingShingle |
Ankur Saxena Ganesh Rao Marcel Ivanov The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord Journal of Ultrasonography spinal cord tumor spinal cord edema intraoperative ultrasound duroplasty |
author_facet |
Ankur Saxena Ganesh Rao Marcel Ivanov |
author_sort |
Ankur Saxena |
title |
The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord |
title_short |
The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord |
title_full |
The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord |
title_fullStr |
The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord |
title_full_unstemmed |
The value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord |
title_sort |
value of intraoperative ultrasound in the recognition of pseudo-swelling of the spinal cord |
publisher |
Medical Communications Sp. z o.o. |
series |
Journal of Ultrasonography |
issn |
2084-8404 2451-070X |
publishDate |
2014-03-01 |
description |
We present the case of a woman who presented with weakness of both legs due to a low
grade tumor of the spinal cord. Excision of the tumor was performed and confirmed
with intraoperative ultrasound. Prior to dural closure the spinal cord was found to be
pushed dorsally with herniation of the cord through the dural defect. Intraoperative
ultrasound showed a collection of cerebrospinal fluid in an anterior pocket giving the
impression of the cord being swollen. Once cerebrospinal fluid was drained, the cord
settled within the thecal space and closure of the dural defect was performed. Surgery
for an intramedullary spinal cord tumor can cause a significant amount of swelling and
either a duroplasty is required or the dura is left open with meticulous closure of the
wound. Ultrasound is helpful to identify pathology anterior to the cord and prevents the
potential complications associated with duroplasty or leaving the dura open. |
topic |
spinal cord tumor spinal cord edema intraoperative ultrasound duroplasty |
url |
http://jultrason.pl/index.php/issues/volume-14-no-56/the-value-of-intraoperative-ultrasound-in-the-recognition-of-pseudo-swelling-of-the-spinal-cord?aid=231 |
work_keys_str_mv |
AT ankursaxena thevalueofintraoperativeultrasoundintherecognitionofpseudoswellingofthespinalcord AT ganeshrao thevalueofintraoperativeultrasoundintherecognitionofpseudoswellingofthespinalcord AT marcelivanov thevalueofintraoperativeultrasoundintherecognitionofpseudoswellingofthespinalcord AT ankursaxena valueofintraoperativeultrasoundintherecognitionofpseudoswellingofthespinalcord AT ganeshrao valueofintraoperativeultrasoundintherecognitionofpseudoswellingofthespinalcord AT marcelivanov valueofintraoperativeultrasoundintherecognitionofpseudoswellingofthespinalcord |
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