[Traumatic prolapse of the intervertebral disk--case report].
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Biomedical subjects
Publications and source records attributed to A Laun.
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Eight cases of intraspinal arachnoid cysts are described. The clinical, radiological, intraoperative and histological findings are presented and compared with similar reports in the literature. Opinions in the literature concerning the origin of arachnoid cysts are discussed, and compared with our own case reports. A traumatic or inflammatory origin of the arachnoid cysts is denied if accompanying histological changes are lacking. In such cases the arachnoid cysts are to be viewed as congenital malformations.
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Report on 3 cases of incidents or complications in discography and ossovenography. 1 patient developed reversible damage of the glossopharyngeal and recurrent nerve through hematoma following assovenography. Another patient developed aseptic discitis, the third infective discitis with parpharyngeal involvement. Pain and defects disappeared in all patients after treatment. Their causes are discussed. These rare complications do not represent contraindications considering the value of the diagnostic techniques.
Two unusual cases of complications following discography are reported. In the first case cervical discography was performed because of recurrent shoulder-arm-syndrome. The examination was performed on an outpatient basis. Acute cervical spondylodiscitis developed 48 hours later and some symptoms persisted for a 15 months period. In this case the bacterial aetiology of discitis was very likely. In the second case quadriplegia developed within seconds after injection of the contrast medium into the intervertebral space. During the injection the patient reported severe pain in the arm. During the operation sequestrated parts of the intravertebral disc were found in the spinal canal, dorsal to the posterior longitudinal ligament. Most likely additional sequestrated parts of the degenerated disc were pushed into the spinal canal during the examination. Slow recovery of neurological defects took place after the operation.