Wednesday, 5 July 2017

Paraplegia Following A Failed Spinal Anesthesia: Case Report And Literature Review

Intradural spinal cord tumors are uncommon with an incidence of about 3-10 per 100,000 individuals. These tumors occur predominately in the third and fourth decades of life.

Paraplegia
Ependymomas, a subset of intradural spinal cord tumors, are the most common gliomas of the lower cord, conus and filum terminale, and approximately 40% of all spinal ependymomas arise within the proximal intradural filum terminale. Back pain is the most common presenting symptom, with neurological compromise rare secondary to the adaptive compressibility of the surrounding structures. Mork and Loken report that in 82% of patients with spinal ependymoma, symptoms were present for more than 1 year before the diagnosis was achieved. Spinal ependymomas can originate from either the ependymal lining of the central canal of the spinal cord, ependymal cell clusters in the terminal filum, or from ependymal rests left during embryonic development. Read more>>>>>

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