Posts Tagged ‘Spine’

Case Study Series: Langerhans Cell Sarcoma

One of the most amazing patients I’ve treated was an incredibly brave 7-year old girl, who came in to the emergency room with her parents having extreme difficulties walking.

In addition to feeling numb in both of her legs, she had been experiencing chest pains at night for the past month. In search of answers, we ran emergency imaging and found a lesion on her T6 vertebrae with severe spinal cord compression.

This lesion was a cancerous form of Langerhans Cell Sarcoma. This is an incredibly rare disease with only 50 cases of it ever reported worldwide. Without quick treatment, this condition would leave this young girl paralyzed for the rest of her life.

The shaded area of the spine represents the lesion of the T6

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Case Studies Series: Cervical Foraminotomy

This patient was a 59 year-old when I initially met him.  He presented with a 6 month history of left arm pain extending into the shoulder and upper arm. The pain did occasionally go down to his forearm.  He had numbness around the left shoulder and mild weakness of the deltoid and biceps muscles. He had seen another spine surgeon who had recommended doing an anterior cervical discectomy and fusion between cervical 4 and 5 as well as between cervical 5 and 6 (ACDF of C4/5 and C5/6). He then saw me for a second opinion. 

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Case Studies Series: Lumbar Instability after Prior Surgery

This patient was a 32 year-old with a history of multiple prior back surgeries.  I met her in early 2017 when she presented with severe lower back pain and bilateral leg pain.  Her pain was basically preventing her from a normal life.  Walking any distance caused a rapid increase in her pain. Her leg pain went down the back of both legs and resulted in numbness in the feet. 

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Case Studies Series: Cervical Spine Fracture

This patient was the first case I ever did after completing my training. He was a 14 year-old high-school student on the local wrestling team.  He was horsing around with a friend and the friend picked him up and dropped him on his head.

He was instantly unable to move his arms or legs.

He was brought in by the paramedics to the emergency room as a complete C4 quadriplegic.  Complete means that he had no function (either motor or sensory) below the level of injury and being at the C4 level meant he had no muscle control in his arms or legs. He could only breathe spontaneously and move the muscles of his face and head.

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