Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review

IntroductionSimultaneous spinal stenosis in three regions of the spine is an unusual condition that demands proper clinical evaluation and imaging. Currently, there are no established guidelines for its diagnostic and therapeutic approach. The objective of this study is to describe, based on a case...

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Autores principales: Latallade, Valentino, Pereira Duarte, Matias, Gamsie, Sebastian, Kido, Gonzalo Rodrigo, Petracchi , Matías Gustavo, Gruenberg , Marcelo Fernando
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/43229
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container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic symptomatic triple-region spinal stenosis;
tandem spinal stenosis
cervical, thoracic, and lumbar stenosis
estenosis espinal de triple región sintomática
estenosis espinal en tándem
estenosis cervical, dorsal y lumbar
estenose espinhal de tríplice região sintomática
estenose espinhal em tandem
estenose cervical, dorsal e lombar
spellingShingle symptomatic triple-region spinal stenosis;
tandem spinal stenosis
cervical, thoracic, and lumbar stenosis
estenosis espinal de triple región sintomática
estenosis espinal en tándem
estenosis cervical, dorsal y lumbar
estenose espinhal de tríplice região sintomática
estenose espinhal em tandem
estenose cervical, dorsal e lombar
Latallade, Valentino
Pereira Duarte, Matias
Gamsie, Sebastian
Kido, Gonzalo Rodrigo
Petracchi , Matías Gustavo
Gruenberg , Marcelo Fernando
Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review
topic_facet symptomatic triple-region spinal stenosis;
tandem spinal stenosis
cervical, thoracic, and lumbar stenosis
estenosis espinal de triple región sintomática
estenosis espinal en tándem
estenosis cervical, dorsal y lumbar
estenose espinhal de tríplice região sintomática
estenose espinhal em tandem
estenose cervical, dorsal e lombar
author Latallade, Valentino
Pereira Duarte, Matias
Gamsie, Sebastian
Kido, Gonzalo Rodrigo
Petracchi , Matías Gustavo
Gruenberg , Marcelo Fernando
author_facet Latallade, Valentino
Pereira Duarte, Matias
Gamsie, Sebastian
Kido, Gonzalo Rodrigo
Petracchi , Matías Gustavo
Gruenberg , Marcelo Fernando
author_sort Latallade, Valentino
title Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review
title_short Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review
title_full Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review
title_fullStr Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review
title_full_unstemmed Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review
title_sort symptomatic triple-region spinal stenosis (trss): case report and narrative literature review
description IntroductionSimultaneous spinal stenosis in three regions of the spine is an unusual condition that demands proper clinical evaluation and imaging. Currently, there are no established guidelines for its diagnostic and therapeutic approach. The objective of this study is to describe, based on a case report, the clinical presentation, treatment, and patient progression concerning triple stenosis, contrasting it with available evidence through a narrative review of the literature. Case PresentationA 69-year-old woman presented with a progressive paraparesis accompanied by right sciatica and positive signs of upper motor neuron involvement. Imaging confirmed triple stenosis: cervical, dorsal, and lumbar. Dorsal decompression and tumor resection were performed in association with conservative treatment for cervical and lumbar stenosis, resulting in a favorable evolution one year post-surgery. ConclusionSymptomatic triple-region spinal stenosis is an unusual condition. Proper clinical and radiological assessments will enable accurate diagnosis and timely management.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2024
url https://revistas.unc.edu.ar/index.php/med/article/view/43229
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first_indexed 2024-09-03T21:05:06Z
last_indexed 2024-09-03T21:05:06Z
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spelling I10-R327-article-432292024-04-24T19:00:41Z Symptomatic Triple-Region Spinal Stenosis (TRSS): case report and narrative Literature Review Estenosis Espinal de Triple Región Sintomática (EETRS): reporte de un caso y revisión narrativa de la literatura Estenose Espinhal de Tríplice Região Sintomática (EETRS): relato de um caso e revisão narrativa da literatura Latallade, Valentino Pereira Duarte, Matias Gamsie, Sebastian Kido, Gonzalo Rodrigo Petracchi , Matías Gustavo Gruenberg , Marcelo Fernando symptomatic triple-region spinal stenosis; tandem spinal stenosis cervical, thoracic, and lumbar stenosis estenosis espinal de triple región sintomática estenosis espinal en tándem estenosis cervical, dorsal y lumbar estenose espinhal de tríplice região sintomática estenose espinhal em tandem estenose cervical, dorsal e lombar IntroductionSimultaneous spinal stenosis in three regions of the spine is an unusual condition that demands proper clinical evaluation and imaging. Currently, there are no established guidelines for its diagnostic and therapeutic approach. The objective of this study is to describe, based on a case report, the clinical presentation, treatment, and patient progression concerning triple stenosis, contrasting it with available evidence through a narrative review of the literature. Case PresentationA 69-year-old woman presented with a progressive paraparesis accompanied by right sciatica and positive signs of upper motor neuron involvement. Imaging confirmed triple stenosis: cervical, dorsal, and lumbar. Dorsal decompression and tumor resection were performed in association with conservative treatment for cervical and lumbar stenosis, resulting in a favorable evolution one year post-surgery. ConclusionSymptomatic triple-region spinal stenosis is an unusual condition. Proper clinical and radiological assessments will enable accurate diagnosis and timely management. Introducción: La estenosis espinal de las tres regiones de la columna en simultáneo es una entidad infrecuente, que requiere una adecuada valoración clínica e imagenológica. Actualmente no existen guías establecidas para su abordaje diagnóstico y terapéutico. El objetivo de este trabajo es describir, partiendo del reporte de un caso, la presentación clínica, el tratamiento y la evolución en un paciente con triple estenosis y contrastarlo con la evidencia disponible a través de una revisión narrativa de la literatura.Presentación del caso Mujer de 69 años de edad que consultó con un cuadro de paraparesia progresiva asociado a ciatalgia derecha y signos de motoneurona superior positivos. Imagenologicamente se constató una triple estenosis: cervical, dorsal y lumbar, realizándose una descompresión y resección tumoral dorsal asociado al tratamiento conservador de las estenosis cervical y lumbar, con una evolución favorable al año postquirúrgico. Conclusión La estenosis espinal de triple región sintomática es una condición rara, las valoraciones clínicas y radiológicas adecuadas permitirán un diagnóstico correcto con un abordaje adecuado y oportuno. Introdução: A estenose espinhal simultânea em três regiões da coluna vertebral é uma condição rara que demanda avaliação clínica e imagiológica adequada. Atualmente, não existem diretrizes estabelecidas para sua abordagem diagnóstica e terapêutica. O objetivo deste estudo é descrever, com base em um relato de caso, a apresentação clínica, o tratamento e a progressão do paciente em relação à estenose tripla, contrastando com a evidência disponível por meio de uma revisão narrativa da literatura. Apresentação do Caso Uma mulher de 69 anos procurou atendimento médico com uma paraparesia progressiva acompanhada por ciática direita e sinais positivos de envolvimento do neurônio motor superior. A imagem confirmou a estenose tripla: cervical, dorsal e lombar. Foi realizada descompressão dorsal e ressecção tumoral associada ao tratamento conservador para estenoses cervicais e lombares, resultando em uma evolução favorável um ano após a cirurgia. Conclusão A estenose espinhal sintomática em três regiões é uma condição rara. Avaliações clínicas e radiológicas apropriadas possibilitarão um diagnóstico preciso e manejo oportuno. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2024-03-27 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/43229 10.31053/1853.0605.v81.n1.43229 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 81 No. 1 (2024); 53-66 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 81 Núm. 1 (2024); 53-66 Revista da Faculdade de Ciências Médicas de Córdoba; v. 81 n. 1 (2024); 53-66 1853-0605 0014-6722 10.31053/1853.0605.v81.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/43229/44875 https://revistas.unc.edu.ar/index.php/med/article/view/43229/44757 Derechos de autor 2024 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0