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Query: UMLS:C0599766 (functional recovery)
 13,441 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Four patients with a typical clinical picture of spinal extradural heamatoma of the conus area are presented. Initial symptoms were acute low back pains. The development of symmetrical paraparesis took place in a matter of hours, and spread to total paraplegia. The sensory level was as high as the groins and bladder and rectum paralysis developed early. All patients were over 63, mean age 67 years. Two patients had coagulation defects, one was on anticoagulants, and the other had a severe thrombocytosis. Two patients had used salicylates for rheumatic pains; in one of those patients there was a hemangioma on PAD . In 2 patients, the neuroradiological diagnosis was confirmed with rhizography (Figs. 1 and 2); in the third patient the rhizography was misleading but in her and in a fourth patient the oxygen-myelography was diagnostic, showing an extradural compression in the conus area. Haematomas were removed in all patients through an extensive decompressive laminectomy within 24 hours from the onset of the symptoms. Recovery was good in 2 cases, and fair in one patient who had a poor recovery of the bladder function. In on patient, both paraplegia and bladder paralysis were permanent after 3 years. The differential diagnosis by myelography between the cauda equina syndrome caused by typical disc compression from the one side and from vascular medullary syndromes and myelitis from the other side should be clear. For good functional recovery, early myelography and operative decompression are imperative.
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PMID:Acute paraplegia caused by a spontaneous extradural heamatoma of the conus medullaris area. 118 53

Vertebral haemangiomas are slowly growing benign tumours and are usually asymptomatic. They rarely cause symptoms and signs related to cord compression. Larger lesions create significant problems during surgery because of haemorrhage and vascular supply crucial to spinal cord function. In such severely symptomatic vertebral haemangiomas, radiation therapy has been tried and good results obtained, especially in terms of good functional recovery. We have treated 17 patients (including nine paraplegic patients) with radiotherapy (Co-60). Treatment was given by single posterior field, encompassing the involved area with a dose of 35-40 Gy in 3 to 4 weeks (five fractions per week). All patients with pain and tenderness were relieved completely (87.5%) or partially (12.5%). Similarly patients with numbness and paresis showed either complete (66.7%) or partial response (33.3%) from symptoms on follow-up. Out of nine paraplegic patients six (66.6%) had recovered completely, one (11.2%) partially and two (22.2%) had no response. The two patients who did not show any marked relief, had paraplegia of longer duration (more than 6 months). Our study indicates that severely symptomatic vertebral haemangioma can be successfully treated by radiation therapy and it can be chosen as first line of treatment with an optimum dose of 35-40 Gy in 3 to 4 weeks.
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PMID:Radiation therapy for symptomatic vertebral haemangioma. 226 5

A case of haemangioma arising from the synovial sheath of the flexor tendons of the ring finger is described. The initial symptoms were those of subacute tenosynovitis. The tumour did not affect the flexor tendons and could be completely resected with functional recovery.
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PMID:Flexor tendon synovial sheath haemangioma mimicking subacute tenosynovitis. 770 68

Transfrontal approach is the way available for microsurgical removal of retrobulbar tumor. The tumor can be completely extirpated with minimal injury upon the optic nerve, oculomotor nerve, ciliary ganglion and ophthalmic vessels as well as ocular muscles. Thirty-two cases of retrobulbar tumor (cavernous hemangioma, telangioma, glioma, lymphangioma, neurinoma, neurofibroma and rhabdomyosarcoma) were operated through this approach with microsurgical techniques. Follow-up shows that in all cases no recurrence occurs in 3-9 years and reveals that in 29 cases the preservation or functional recovery of vision and ocular movement are satisfied. One case of rhadomyosarcoma and two cases of glioma lose their vision for the partial resection of optic nerve which was invaded by the tumor. It is useful to detect undesirable dissection of tumors from its surrounding oculomotor nerves with evoked potential monitoring.
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PMID:[Transfrontal approach for the microsurgery of retrobulbar tumor]. 774 23

A case of subarachnoid hemorrhage due to intramedullary cavernous angioma at the T9 level is presented. Literature dealing with subarachnoid hemorrhage due to intraspinal lesions is reviewed. The majority of cases of spinal subarachnoid hemorrhage are due to arteriovenous malformations, whereas bleeding by cavernous angioma is extremely rare. The subarachnoid hemorrhage is rare event (1.8%) in our series too. The clinical presentation of severe back pain with radicular component associated with signs of meningism (Fincher's syndrome) led us to carry out magnetic resonance imaging. This gave accurate diagnosis for surgical treatment. Laminectomy at T9-T10 level and total microsurgical removal of the vascular malformation were performed with total functional recovery.
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PMID:Spinal cavernous angioma producing subarachnoid hemorrhage. Case report. 856 58

Hemangioma is one of the most common soft tissue tumors comprising 7% of all benign tumors. The etiology is unclear. Many treatment modalities for the symptomatic deep subdermal or intramuscular hemangioma have been used, but surgical excision is the preferred treatment. During the past 20 years, 89 patients with soft tissue hemangiomas were treated by surgical excision at the authors' institution. This study was done to define the clinical characteristics of pathologically proven hemangiomas and to evaluate the outcome of the operative procedures. Intralesional or marginal excision for symptomatic hemangiomas yields satisfactory results for pain relief, functional recovery, and avoidance of recurrence. According to the data a hemangioma of the soft tissues is a benign lesion in which more aggressive surgery (wide or radical excision) or other modalities such as radiation usually are not warranted.
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PMID:Surgical treatment of hemangiomas of soft tissue. 1201 11

It has been previously noted that synovial haemangiomas in the hand and wrist are very rare pathological entities. We report the case of a 34-year-old right hand dominant male who presented to his general practitioner with an enlarging left volar wrist/ palmar mass, who further developed symptoms consistent with carpal tunnel syndrome. An MRI scan subsequently confirmed a large, complex mass with area of necrosis and peripheral enhancement. The rate of mass growth and radiological features raised the possibility of a soft tissue malignancy, and the gentleman was urgently referred to our unit for surgical exploration and removal of tumour. Surgical exploration demonstrated a tan-coloured soft tissue mass on the ulnar aspect of the median nerve. It appeared to arise from, and marginally infiltrated, the tendon sheath of the FDP tendon to the ring finger and the lumbrical muscle of the fourth ray; the distal and proximal extent of the tumour was difficult to define due to the diffuse growth of the tumour. Resection was achieved with macroscopic margins, with excellent functional recovery immediately and at 6 month follow-up. Histological analysis was consistent with a synovial haemangioma, comprising of numerous thin-walled blood vessels with a central cystic cavity containing blood and fibrin. Our case further demonstrates the diagnostic challenges posed by compressive neuropathy due to soft tissue masses, even with thorough clinical and radiological assessment. In the context of a rapidly growing tumour, malignancy must always be suspected and might highlight a role for pre-operative biopsy.
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PMID:Synovial Angioma of the FDP Flexor Sheath: A Rare Cause of Carpal Tunnel Syndrome. 2356 70

Intramuscular hemangioma is a rare type that has been reported in less than 0.8% of all hemangiomas. In particular, there are few reports of intramuscular hemangioma in the upper extremity. Authors describe the experience of complete excision of the hemangioma of the pronator quadratus muscle of the forearm with good functional recovery.
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PMID:Intramuscular Hemangioma of the Pronator Quadratus Muscle of Forearm. 2745 44