AIM We aimed to investigate the importance of early diagnosis and proper management of paradoxical herniation based on the data of 13 patients who had 14 occurrences of paradoxical herniation. MATERIAL AND METHODS The characteristics and the effectiveness of treatments of 13 patients with paradoxical herniation were reviewed and analyzed retrospectively. RESULTS Paradoxical herniation occur...

A 21-year-old woman presented with cervical myelopathy due to nontraumatic cervical disc herniation associated with cervical canal stenosis. The patient underwent removal of the herniated disc and anterior fusion with an autogenous iliac crest bone graft. After surgery, the patient showed satisfactory improvement. Cases of cervical disc herniation in our center and reported cases without cervic...

OBJECTIVE The aim of this study was to predict the relationship between the symptomatic disc herniation level and the osteophyte level or decreased disc height in patients with cervical disc herniation. METHODS Between January 2011 and December 2012, 69 patients with an osteophyte of the cervical spine underwent surgery at a single center due to soft cervical disc herniation. Data including s...

Numerous surgical procedures have been developed for urinary diversion in patients who have undergone a radical cystectomy for bladder cancer or, less frequently, a benign condition. Because urinary diversion procedures are complex, early and late postsurgical complications frequently occur. Possible complications include alterations in bowel motility, anastomotic leaks, fluid collections (absc...

Cauda equina syndrome is defined as the compression of the nerve roots distal to L1 secondary to acute disc herniation, bony fragments, tumor, infection, or postsurgical intervention. The result is a complex of symptoms consisting of low back pain, unilateral or bilateral sciatica, motor weakness of the lower extremities, sensory disturbances, and loss of bowel or bladder function. The literatu...

INTRODUCTION Spinal cord compression is a potentially devastating condition that demands immediate attention. Efforts must be divided between addressing the symptoms of cord compression and identifying the precise etiology of the condition. CASE PRESENTATION A 76-year-old Peruvian man presented to our emergency department for evaluation of the gradual onset of lower extremity weakness over on...

BACKGROUND Uterine rupture at the site of a previous cesarean scar is an uncommon but catastrophic complication of pregnancy, which is associated with significant maternal and fetal morbidity and mortality. CASE PRESENTATION A 30-year old woman at 24th week of gestation and complaint of pain, contractions and spotting was admitted in Royan Institute in Tehran, Iran. She had a past medical his...

We present a case of an intradural arachnoid cyst that was successfully diagnosed via ultrasonography. It is challenging to distinguish between spinal cysts and cord herniations on preoperative computed tomography (CT) magnetic resonance imaging (MRI). Additionally, these diseases have been reported coexist. Therefore, definitive diagnosis not provided until intraoperative findings sufficiently...

A 77-year-old man observed abdominal swelling 7 months after epicardial implantation of an automatic implantable defibrillator. He applied an elastic belt to minimize motion of the generator within the pocket and within 2 months noted urinary frequency and rectal fullness. Attempts to locate the generator by palpation and interrogation were unsuccessful. A flat plate of the abdomen (Figure) dem...

Low back pain is common during pregnancy. However, the prevalence of symtomatic lumbar disc herniation is rare, and cauda equina syndrome due to disc herniation during pregnancy is even rarer. We report a rare case of lumbar disc herniation causing cauda equina syndrome during third trimester of pregnancy which successfully treated by endoscopic discectomy. This case shows that endoscopic disce...