Search Results
Results 601 - 650 of 915
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Faleh-Tamimi A - - 1995
STUDY DESIGN: This is a case report. OBJECTIVE: To report and to examine the clinical findings and management of epidural cavernous hemangioma. SUMMARY OF BACKGROUND DATA: Spinal epidural cavernous hemangiomatous malformation is a very rare entity. Only 20 cases of this disease have been reported in the literature. METHODS: The ...
Sato M - - 1995
Idiopathic spinal epidural lipomatosis rarely is found (8 reported cases) in the absence of steroid treatment or obvious endocrinopathy. One additional symptomatic case with gait difficulty is described here. The only common etiologic factor for all cases is their obesity. Magnetic resonance imaging is the most helpful diagnostic means and ...
Prall J A - - 1995
Rhabdomyolysis is commonly seen in association with multisystem trauma. We report an unexpected case of rhabdomyolysis and subsequent renal insufficiency after spinal cord injury unassociated with acute muscular injury. Immobilization, in conjunction with mild systemic hypoperfusion, was the suspected cause. Due to the likelihood of muscle catabolism, the difficulties of ...
Menticoglou S M - - 1995
OBJECTIVE: To inform obstetricians of a serious complication of forceps rotations of 90 degrees or more--high cervical spinal cord injury in neonates. METHODS: We reviewed the obstetric aspects of 15 cases of high cervical spinal cord birth injury diagnosed during 1982-1994 at two tertiary-care children's hospitals in Canada. RESULTS: The ...
García-Moncó J C - - 1995
This is a report of a patient who developed thoracic cystic myelopathy immediately following an otherwise successful decompression operation for spondylotic stenosis secondary to osteophyte formation of the thoracic spinal canal. As this case shows, thoracic laminectomy is not without risks, and cystic myelopathy is a potential complication that should ...
Robbins P M - - 1995
The combined spinal-extradural technique is used to provide analgesia and anaesthesia in obstetric anaesthetic practice. The accidental insertion of an extradural catheter into the dural opening made previously by the spinal needle is thought to be a theoretical risk. We report a case during combined spinal-extradural anaesthesia for Caesarean section ...
Moreno-Carvalho O A - - 1995
In order to evaluate if there is variation on the intensity of cerebral spinal fluid (CSF) response during HTLV-I associated tropical spastic paraparesis (TSP) evolution we retrospectively reviewed 128 cases. The results indicate that although CSF inflammatory alterations can persist over a 10-year period, they tend to become slight or ...
Hammen A - - 1995
This case report describes a combination of arterio-venous malformation of the Vein of Galen (VGAM) and intraspinal venous malformation in a newborn. Successful local embolization by Tantal coils was followed by spinal paraplegia. The child died at the 26th postnatal day. The neuropathological aspects of this course will be discussed ...
Tinkler S D - - 1995
The case notes of 35 patients treated for medulloblastoma using a standard technique of craniospinal irradiation (CSI) from 1978 to 1992 were reviewed. Two large opposed lateral fields to the whole brain and an orthogonal posterior spinal field were used. The position of the junction between the fields was constant ...
Huggare J - - 1995
The craniocervical junction is a highly specialized unit simultaneously supporting head during movements in all planes and protecting the spinal cord. Anatomically, it includes an atlantoaxial complex, part of which embryonically arises from the occipital region of the skull. This review deals with the gross anatomy, kinematics, and growth reactions ...
Lorio M P - - 1995
Sciatic spinal deformity or lumbosacral list has received little attention in the literature. The phenomenon was first described in 1881 by Remak, but it was not until 1942 that Duncan and Hoen made the association between disk herniation and lumbosacral list. Since that time, the literature concerning this topic has ...
Turker R J - - 1995
Two cases of thoracic level paraplegia after lumbar spinal surgery were retrospectively reviewed after 1 year of follow-up. Charts and perioperative records were reviewed in an effort to determine the possible etiology of this rare and devastating complication. We were unable to find any reports in the English-language literature regarding ...
Bartels R H - - 1995
STUDY DESIGN: A case of an intramedullary spinal cord abscess is presented. The literature on this subject is carefully reviewed. OBJECTIVES: To give an overview of clinical presentation, radiographic examination, pathogenesis, treatment, and outcome of intramedullary spinal cord abscesses. Cases presented in the literature are arranged and the findings summarized. ...
Milhorat T H - - 1995
This report summarizes neuropathological, clinical, and general autopsy findings in 105 individuals with nonneoplastic syringomyelia. On the basis of detailed histological findings, three types of cavities were distinguished: 1) dilations of the central canal that communicated directly with the fourth ventricle (47 cases); 2) noncommunicating (isolated) dilations of the central ...
James H E - - 1995
Human tails have been described intermittently in the literature, typically as isolated cases with varying forms of malformation. Attempts have been made to differentiate "true" tails from "tail-like" appearances. Unless identified, underlying occult spinal disorders, mass effect, and/or tethering of the spinal cord may lead to progressive neurologic damage. We ...
Knox D L - - 1995
A 47-year-old white man with dementia, supranuclear ophthalmoplegia, and myoclonic ocular and facial jerks died in 1931. The case report in 1936 by Ford and Walsh diagnosed encephalitis. In 1993, we made a clinical diagnosis of Whipple's disease on the basis of the 1936 publication. We restudied the pathologic material ...
Chaloupka J C - - 1995
A rare case of two separate spinal dural arteriovenous fistulae (DAVFs) occurring concurrently in a patient with a rapidly progressive myelopathy is reported. Although concurrent spinal DAVFs may be "well known," their occurrence has been only anecdotally reported. To the authors' knowledge, this well documented case of a presumably rare ...
Brodkey J A - - 1995
SUMMARY OF BACKGROUND DATA: Paragangliomas are neoplasms that arise from the autonomic nervous system-associated paraganglia. Most often they are benign tumors. However, infrequently they have been reported to metastasize. Involvement of the spine is rare and usually is intradural at the level of the cauda equina. OBJECTIVES: The authors report ...
Słowiński J - - 1995
A case of 56-year-old male with sarcomatosis of leptomeninges as well as of the brain and spinal cord coexisting with Recklinghausen's neurofibromatosis is presented. Neurological and neurophysiological symptoms of the disease resembled those of amyotrophic lateral sclerosis (ALS). Patient died 7 months after onset of the initial symptoms. The post-mortem ...
Rainov N G - - 1995
We report two cases of ventrolateral thoracic and lumbar meningoceles associated with neurofibromatosis type 1, and present a review of the literature. Thoracic and lumbar meningoceles are rare lesions which are associated with neurofibromatosis in 60% to 85% of cases. Large meningoceles may cause pain, neurological signs, or respiratory complaints ...
Rainov N G - - 1995
We report the case of a thoracic epidural hematoma at the T7-T9 level which occurred after placement of spinal epidural catheter for continuous anaesthesia in acute pancreatitis. The male patient felt a sudden back pain after six days of successful analgesia and became paraplegic 24 hours afterwards. An emergency laminectomy ...
Yang C C - - 1995
Heroin addiction is known to cause various medical and neurological complications. We report here a case of rhabdomyolysis following heroin abuse, in which a neurological lesion mimicking transverse myelitis was also noted. A 29-year-old man was found comatose in a kneeling position one day after a heroin overdose. On admission, ...
Beers R A - - 1995
BACKGROUND AND OBJECTIVES: An epidural anesthetic was planned for a 75-year-old man scheduled for elective femoral-popliteal bypass grafting. METHODS: Severe and persistent back pain and posterior thigh muscle spasm abruptly began 10 minutes after epidural injection of mepivacaine. RESULTS: Signs of impending or evolving neurologic injury completely resolved shortly thereafter. ...
McDonald A C - - 1995
We describe the case of a young man presenting with an extra-nodal, intramedullary non-Hodgkin's lymphoma of the cervical spinal cord. This is a very uncommon presentation of this neoplasm. The patient was treated with craniospinal radiotherapy, with survival for two and a half years before death from recurrent disease. A ...
Broome J R - - 1995
A minority of divers with neurological decompression illness (DCI) fail to improve with recompression treatment. This is particularly seen in cases where features of severe spinal cord injury develop soon after surfacing. Haemorrhage into the spinal cord is implicated in the pathogenesis of these cases, and evidence is presented that ...
Maggi G - - 1994
Intramedullary arteriovenous malformations are rare in childhood. Yasargil reports only two cases in children under ten years of age out of a total of forty-one cases of AVM operated on between 1967 and 1983 in which microsurgical techniques were used. The early symptoms of these lesions are those due to ...
White B D - - 1994
Two cases of anterior spinal hernia are presented. The medical literature is reviewed, the syndrome characterised, and its cause and treatment discussed. The patient is typically middle aged with a history of stepwise slowly progressive mid-thoracic anterior hemicord syndrome manifesting as hemianalgesia below the affected segment, followed by contralateral lower ...
Huang W Y - - 1994
A case of true, complete diphallus in an adult, associated with multiple malformations, is presented. The left urethra was perineal hypospadic; the right posterior urethra was small in caliber; and the right testis and spermatic cord were absent. The chordee was released; the right penis was resected and transferred to ...
Radhakrishnan V V - - 1994
Among all extra-adrenal locations, paragangliomas are least commonly found within the spinal canal. so far over 60 cases of paragrangliomas in the Cauda equinal region have been reported. In this report we describe the salient clinical and histopathological features of paraganglioma of the cauda equinal region in two patients.
Drewry G R - - 1994
STUDY DESIGN: This is a case report of Gorham disease of the spine with review of the literature. OBJECTIVE: To review the diagnosis, therapy, clinical course, and prognosis of Gorham disease of the spine. SUMMARY OF BACKGROUND DATA: This is the 17th reported case of spinal involvement by this rare ...
Longatti P L - - 1994
A case of spontaneous spinal subdural hematoma is reported. Clinical signs at onset, laboratory investigations and bloody CSF at lumbar punction were suggesting of subarachnoid hemorrhage. MRI was fully diagnostic. Surgery was ruled out and spinal compression cleared spontaneously over one week. Etiological factors, possible diagnostic pittfalls and the indication ...
Grabb P A - - 1994
Seven children aged birth to 17 years with spinal cord injury without radiographic abnormality (SCIWORA) were studied with magnetic resonance imaging (MRI) between 3 hours and 16 days after the injury. There were six cervical cord injuries and one thoracic cord injury. The MRI findings were divided into two groups: ...
Nicoletti G F - - 1994
A case of intramedullary neurinoma of the cervical spinal cord in a patient with no sign of von Recklinghausen's disease is reported. This case was diagnosed by computed tomography and magnetic resonance imaging and treated surgically. The literature covering 46 other cases is reviewed. The discussion, examines the possible etiology, ...
Qureshi F - - 1994
Marked segmental thinning of the umbilical cord vessels is an infrequent finding of undetermined origin and significance. We identified this lesion in 17 (1.5%) of 1100 consecutively examined placentas and reviewed the clinical records of both mothers and infants to determine its clinicopathologic significance. In each case, the tunica media ...
Barrow D L - - 1994
Intradural perimedullary arteriovenous fistulas (Type IV spinal cord arteriovenous malformations (AVM's)) are rarely reported in the literature and occasionally are classified together with Type II AVM's as intradural spinal cord AVM's. The authors report eight cases of Type IV spinal cord AVM's managed over a 2-year period. Seven of these ...
Byrne R W - - 1994
Two cases of chronic spinal cord abscess are reported, and the relevant literature is reviewed with emphasis on the last 20 cases. Presentation, cause, modern diagnostic testing, operative findings, treatment choices, and prognosis are all discussed. Significant changes in the presentation, management, and outcome in these more recent cases are ...
Vazquez D - - 1994
The case of a patient with thoracic intervertebral disc prolapse, cord compression, and delayed paraplegia with recovery secondary to high-tension electrical current is presented. The unusual entry wound in the neck, makes this a rare event that to our knowledge has not been previously described in the literature. Magnetic resonance ...
Citow J S - - 1994
A case report of intramedullary tuberculoma is presented. Only one other case of intramedullary tuberculoma has been reported in the North American literature in the last 30 years. It is also unique because it is the only documented case of the paradoxical enlargement of an intramedullary tuberculoma after the initiation ...
Ryan M D - - 1994
OBJECTIVE: The author reports symptomatic spinal canal stenosis due to degenerative spondylolisthesis at L4-5 in identical twins. SUMMARY OF BACKGROUND DATA: The patient reported his brother had a similar condition. METHODS: Monozygosity was established by phenotyping. CONCLUSIONS: Spinal morphology and degenerative disease may be genetically determined.
Chou M S - - 1994
Twenty-six cases with leptomeningeal metastasis were analyzed and Gd-DTPA enhanced MR imaging was found to be the most useful tool for making the diagnosis. The important manifestations in order of frequency were: 1) leptomeningeal enhancement; 2) ependymal enhancement; 3) plaque, nodule or mass in the subarachnoid space or ventricles; 4) ...
Smith M D - - 1994
Congenital cervical or cervicothoracic scoliosis is an unusual but potentially severe disfiguring cause of spinal deformity in the growing child and adolescent. These forms of scoliosis are among the most infrequently encountered, and therefore, relatively little literature is available to guide the orthopedic surgeon. This article presents a brief overview ...
Kim S K - - 1994
Diastematomyelia is a rare congenital anomaly characterized by a division of the spinal cord or the filum terminale into two parts. In Korea, only one case has been reported. The authors have operated on 5 cases of diastematomyelia with septum since July, 1978. The ages ranged from 1 to 44 ...
Versari P - - 1994
The authors report a case of leptomeningeal spinal metastasis of chiasmatic juvenile pilocytic astrocytoma. A 7-year-old boy underwent surgery and radiation therapy for a chiasmatic pilocytic astrocytoma. Three years later he experienced a syndrome of medullary compression. A lumbosacral intradural extra-axial tumor was discovered and subtotally excised. Pathologic examination revealed ...
Caldarelli M - - 1994
The cases of two children under the age of two who presented with spontaneous spinal epidural hematoma (SSEDH) are reported. The patients were operated on soon after the diagnosis had been confirmed by magnetic resonance imaging examination. The present paper highlights the fact that in toddlers the diagnosis of SSEDH ...
Green D - - 1994
Fatal pulmonary embolism (PE) is a major cause of mortality in patients with spinal cord injury. In order to ascertain those characteristics that might predict this event, we reviewed the records of all patients with autopsy-proven massive PE admitted to a regional spinal cord care center over a 5-year period. ...
Herpers M J - - 1994
The authors present the clinical, radiological, and pathological features of a patient with a recurrent pleomorphic xanthoastrocytoma located in the spinal cord. This is the first report of a pleomorphic xanthoastrocytoma at this location; until now, only cerebral supratentorial pleomorphic xanthoastrocytomas have been described. The treatment of this case is ...
van den Berg J P - - 1994
In this case study a specially designed electrically powered mobile stand up device, for a patient with a complete spinal cord lesion under cervical level C7, is described. It has proved to be satisfactory in a flower nursery, where both sitting and standing work is done. It is a usable ...
Iffy L - - 1994
Five cases identified in the course of medicolegal reviews are described where the umbilical cord wrapped around the neck of the foetus once was cut intentionally, or broken, prior to the extraction of the body. Delivery was delayed on account of shoulder dystocia for a period of time varying from ...
Malbrain M L - - 1994
A 65 year-old woman with a filum terminale ependymoma is reported, presenting with acute cauda equina compression syndrome due to intratumoural and subsequent spinal subarachnoid hemorrhage (SAH) following therapy with oral anticoagulants. Few cases of spinal ependymoma have been reported with an acute cauda equina compression syndrome as the initial ...
Brunori A - - 1994
We present a patient whose radicular syndrome resulted from combined compression by disk herniation and lumbar chronic spinal epidural hematoma (CSEH). The lesion was extensively studied by CT and MRI and the preoperative diagnosis confirmed by microscopic examination. CSEH is a rare entity, typical of elderly and invariably involving the ...
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