In the morning a healthy 40 years old female had a successful spinal anesthetic with bupivacaine 1% 10 mg for hemorrhoidectomy followed by a second injection at midnight for severe pain. The second traumatic injection caused a conus medullaris/cauda equina lesion discovered by MRI 45 days later. The contribution of hyperbaric bupivacaine dosage and pencil point needle is discussed.

Capillary hemangiomas involving the neuraxis are very uncommon. In the spinal cord, they are located mainly intradural and extramedullary.1 According to the literature, vascular lesions account for approximately 6%–7% of all intradural spinal tumors, although intramedullary capillary are extremely rare.2 To our knowledge, only four cases in conus medullaris have been previously described since ...

Intramedullary cystic lesions of the conus medullaris are rare. Although an extensive literature describes syringomyelia as being a frequent basis for cystic cervico-thoracic lesions it is apparent that this does not occur frequently in the lumbosacral region (Kirgis and Echols, 1949; Netsky, 1953; Rand and Rand, 1960; Love and Olafson, 1966). Poser (1956), in a review of 234 cases of syringomy...

Neurocysticercosis is the most common central nervous system (CNS) parasitic disease worldwide, but spinal cysticercal infection is relatively rare, especially in the United States. Because of increased immigration to the United States from endemic areas, the incidence of neurocysticercosis has risen, especially in California, Texas, Arizona, and other southwestern states, but not in Wisconsin....

Background: One of the main components in spinal cord injury´s management lies early and adequate interventions, as well possible outcomes considering time from trauma to every step afterwards. This case reports course action taken an adult previously healthy that was diagnosed with conus medullaris syndrome because falling a considerable height. Intraoperative Monitoring can help us loo...