The presence of air within the spinal canal secondary to trauma is a rare condition. These rare cases are generally asymptomatic. We report our first case of closed thoracic trauma with pneumorachis associated with neurological disorders. According to a review of the literature and after personal record analysis, neurologic symptoms can be correlated to the occurrence of intraspinal air. Theref...

We report the clinical, MR imaging, and proton MR spectroscopy findings in a middle-aged woman with proved methadone-induced toxic leukoencephalopathy. The imaging characteristics of this unusual condition have been reported only rarely in the medical literature. We show that the imaging findings in methadone-induced toxic leukoencephalopathy are similar, though not identical, to previously rep...

Study Design Case study. Objectives We report the case of a 58-year-old Caucasian man, who presented with a 4-month history of increasing low back pain and gait difficulty. Objective neurologic examination revealed a severe paraparetic symptomatology without any sphincter involvement. Methods Spinal magnetic resonance imaging (MRI) showed an extradural mass formation situated dorsally at the le...

Atlantoaxial dislocation is the loss of normal alignment and stability of the first (atlas) and second (axis) cervical vertebrae with respect to each other. Etiologies are various, including trauma, congenital factors, infection, and connective tissue and autoimmune disorders. The condition must be appropriately diagnosed and managed to prevent deformity, spinal instability, and potential neuro...

Spinal epidural abscess (SEA) was first described in the medical literature in 1761 and represents a severe infection of the epidural space requiring emergent neurosurgical intervention to avoid permanent neurologic deficits [1]. Epidural abscess is a rare condition, with a reported incidence of 1 ± 2 / 10.000 of all patients admitted to hospital [2]. It is generally thought to be a "very rare,...

Five cases of syringomyelia are reported in which the spinal cysts were percutaneously punctured and filled with metrizamide for preoperative diagnosis. There were no side effects from the puncture or the contrast medium. In all cases the cyst was larger than had been demonstrated by previous myelography. A communication to the fourth ventricle was seen in two cases. Four patients had surgical ...

Background Acute hemorrhagic encephalomyelitis (AHEM) is considered a rare form of Acute disseminated encephalomyelitis (ADEM), due to acute cerebral vasculitis. The symptomatology consists in similar neurological findings, (meningismus, headache, seizures, multifocal neurologic signs, asymmetrical neurological deficits and coma) with rapid onset of encephalopathy and biphasic evolution. Althou...

Langerhans cell histiocytosis (LCH) is a rare disorder that affects the pediatric population. LCH complicated with a neurologic deficit due to the presence of epidural involvement is a rare condition. We describe the CT imaging features in a 2-year-old boy who presented with drowsy consciousness resulting from an epidural hematoma caused by spontaneous bleeding in an LCH of the skull. CT is an ...

The latter makes the object of this article and occurs in severe medullary and brain traumatisms, less frequently in vascular accidents, encephalitis, tetanus and severe burns. It is a condition that exacerbates the morbidity of HO neurologic traumatism, leading to important range of motion limitations, even more so when it localises near joints. The most frequently affected is the hip joint, t...

This 54-year-old patient with a breast carcinoma of one year's evolution presented a progressive paraparesis and sphincter disregulation of a week evolution; MRI image showed a tumor in the medullary conus. She improved after removal of the conus mass. The histologic diagnosis was metastasis of adenocarcinoma. Metastasis at this level is infrequent and represents less than 1% of all spinal meta...