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Padovani R - - 1989
The authors review the clinical course of 29 patients who underwent syringosubarachnoid shunting for syringomyelia. Twenty-two patients presented hindbrain-related syringomyelia; seven patients had non-hindbrain-related syringomyelia secondary to trauma (four cases) and to spinal arachnoiditis (three cases). The surgical technique is described in detail. All patients showed postoperative deflation or collapse ...
Sandson T A - - 1989
While the incidence of spinal cord ischemia is not known, it is generally considered to be rare. Diagnosis of presumed spinal cord ischemia requires the appropriate clinical picture and exclusion of other possible etiologies. Definitive diagnosis usually requires postmortem examination. During a 52-month period, 8 patients with presumed spinal cord ...
Kandel E - - 1989
An exceptional combination of an intracranial convexity and two thoracic spinal meningiomas in a 17-year-old girl is reported. The small meningioma in the left central parasagittal region was removed. One year later, paraplegia rapidly developed. Two meningiomas (one of them ossified) about 2 cm in size were removed from the ...
Littman B H - - 1989
A 28-year-old white man presented with neurologic symptoms and skin changes. Subsequent evaluation led to the diagnosis of transverse myelitis of the cervical spine (C8) and linear scleroderma. The progression of neurologic abnormalities prompted treatment with corticosteroids. Neurologic symptoms diminished and the progression of linear skin lesions halted. A review ...
Saito N - - 1989
A case of intramedullary cavernous angioma of the upper cervical spinal cord, initially associated with trigeminal neuralgia, is reported. Magnetic resonance imaging precisely depicted the entire extent of the lesion. The angioma was totally removed and the operation was successful in relieving the patient of neuralgia. The previously reported 23 ...
Voelker J L - - 1989
While there have been several cases of cerebral histoplasmoma published in the literature, the occurrence of such a lesion in an intramedullary spinal location has not previously been reported. The authors present a patient with a Brown-Séquard lesion secondary to an intramedullary Histoplasma granuloma in the cervical region. The case ...
Kulali A - - 1989
Massive spontaneous subarachnoid haemorrhage causing compression of the cauda equina is reported. The origin of haemorrhage is concluded to have been an intradural angioblastic meningioma of the filum terminale at the L 3/4. Our paper describes the course of this patient in respect of diagnostic problems and reviews 6 cases ...
Rodillo E - - 1989
We reviewed the incidence and severity of scoliosis in 37 patients with the intermediate type and 26 with the mild type of spinal muscular atrophy. In the intermediate type, scoliosis has an early onset and rapid progression before puberty, and a spinal fusion will be needed in virtually all cases. ...
Kojima Y - - 1989
A 28-year-old female with Klippel-Trenaunay-Weber syndrome associated with an arteriovenous malformation (AVM) of the spinal cord is reported. She was admitted to our hospital with a 4-month history of steadily progressive weakness and dysesthesia of the legs. A nevus flammeus, varices, hypertrophy and elongation of the left leg had been ...
Wirjosemito S A - - 1989
Type II altitude-related decompression sickness (DCS), due to its wide spectrum of symptoms, is often difficult to diagnose. This difficulty sometimes leads unnecessarily to the permanent grounding of an experienced aviator. So that this condition could be better understood, a total of 133 cases of Type II altitude DCS (on ...
Berard E J - - 1989
The authors report two cases of hypothermia due to a treatment associating Bethanechol and Adreno-Blockers. They emphasize the mechanisms of thermoregulation and discuss the pathophysiology of such hypothermia incidents. The most evident explanation is heat loss, principally mediated through Bethanechol, whereas mechanisms of heat preservation are prevented by Adreno-Blockers. Patients ...
Shikata J - - 1989
Atlanto-axial subluxation, which was causing symptoms in eight patients with Down's syndrome, was treated by operation. In every case various congenital bony anomalies were found. Marked myelopathy was present in four cases of ossiculum terminale, and mild myelopathy in one with anteroposterior spondyloschisis. Successful posterior arthrodesis was performed from C1 ...
Amr S S - - 1989
A 13-year old Yemeni boy who presented with flaccid paraplegia was thought to have a spinal cord tumor on myelography. Microscopic examination of surgically excised material revealed bilharzial granulomas. Brief review of relevant literature on schistosomiasis of the spinal cord, with particular reference to the Middle East, is presented.
Saltuari L - - 1989
The association of a syndrome of a degenerative nature such as syringomyelia and a neuroblastoma can be of clinical interest. We will describe the case of a young female suffering from a retroperitoneal neuroblastoma and secondary development of syringomyelia. The possible pathogenetic link between these two pathologies will be discussed. ...
Johnson M D - - 1989
The central nervous system (CNS) findings associated with congenital hypomyelinating polyneuropathy (CHN) are not established due to a paucity of reported post-mortem examinations. In this report we describe the pathologic changes found in the peripheral nervous system and CNS in a 2 1/2-week-old infant with a clinical diagnosis of CHN ...
Yates C M - - 1989
Choline acetyltransferase (ChAT) and acetylcholinesterase (AChE) were measured in anterior and posterior grey matter of the lumbar spinal cord and in temporal and frontal cortex from six cases of Alzheimer-type dementia (ATD), one case of Down's syndrome, three cases of schizophrenia (SZ) and six controls. Compared with control and SZ ...
Heinemann A W - - 1988
The validity of self-reported intoxication at time of spinal cord injury (SCI) was examined for 88 cases at admission to an acute SCI center by comparing self-reports with serum and urine analyses. Serum ethanol greater than 50 mg/dl was the most frequently found substance (observed in 40% of the cases) ...
Dickman C A - - 1988
A 30-year-old man presented with a subacute course of myelopathic signs and symptoms. Magnetic resonance imaging demonstrated an epidural mass lesion of the spinal canal at the cervicothoracic junction causing compression of the spinal cord. Laminectomy with resection of this lesion revealed a large varix with acute and chronic thrombus. ...
Peduto V A - - 1988
Skin necrosis has not been described as a complication following epidural sympathetic blockade. We report a case of bilateral extensive skin necrosis of the lower limbs after a 48-hour lumbar epidural blockade in a 71-year-old patient with right hemiplegia and mitral valve regurgitation, without any preoperative clinical evidence of peripheral ...
Shintaku M - - 1988
In an autopsied case of chronic multiple sclerosis, many axons in some demyelinated plaques of the spinal cord had remarkably increased diameters and reduced argentophilia. The increase in axonal diameter extended for some distance and was restricted to the demyelinated areas. A review of 22 autopsy cases of chronic multiple ...
Owen J H - - 1988
The purpose of this study was to report the effects of spinal cord compression, ischemia, and distraction on clinical status, and somatosensory (SEP) and neurogenic-motor evoked potentials (NMEPs) in animals. The authors also reported their clinical experience with NMEPs elicited from humans undergoing surgery for spinal deformities. Results from the ...
Heselson N G - - 1988
A case of long standing atlanto-axial subluxation following relatively minor trauma is reported. Progressive development of pain and spastic quadriparesis led to clinical and radiological investigation at Groote Schuur Hospital which revealed a spontaneous fusion of C1 and C2 with marked compromise of the spinal cord. The possibility of a ...
Feldmann J L - - 1988
The authors report 3 cases of spinal cord compression by vertebral collapse related to osteonecrosis. Two patients needed surgical decompression permitting pathological diagnosis. In the third case, osteonecrosis was ascertained by radiological evidence of an intravertebral vacuum phenomenon. Three etiologic factors were noticed: osteoporosis, corticotherapy, and radiotherapy. The relative frequency ...
Ballantyne J C - - 1988
When opiates are administered by the epidural and spinal routes, itching occurs as a side effect. We reviewed 52 reports in the literature of the use of epidural and spinal opiates to assess the incidence of itching and found an overall incidence of 8.5% in patients receiving epidural opiates, and ...
Grisoli F - - 1988
The Authors report four cases of spinal hemangiopericytomas. The diagnosis has been ascertained by electron microscopy. Despite the malignant nature, the association of surgery and radiotherapy is interesting in that it prolongs the survival rate. Clinical, neuroradiological, microscopic and ultrastructural features of intraspinal hemangiopericytomas are evaluated in the light of ...
Dubrow T J - - 1988
There have been 23 true vestigial tails reported in the literature since 1884. A new case is described, and its magnetic resonance imaging and pathological features are presented. A review of the literature and analysis of the pathological characteristics reveal that the vestigial human tail may be associated with other ...
Terunuma H - - 1988
A case of intramedullary spinal cord sarcoidosis with slowly progressing symptoms and signs attributable solely to the spinal cord is reported. Biopsy disclosed granulomatous foci but was not diagnostic of sarcoidosis. However, autopsy showed numerous minute granulomas compatible with those of sarcoidosis disseminated in the lower cervical and upper thoracic ...
Bergoin M - - 1988
We reviewed the results of 22 cases of Cotrel-Dubousset (C-D) instrumentation, 16 cases of anterior approach, and 200 cases of posterior approach by Harrington instrumentation and modifications of Harrington procedure. Posterior spinal fusion and instrumentation by C-D gives better correction and stabilization in thoracic and balanced double major curves. We ...
Calliauw L - - 1988
The authors report 4 cases of spinal epidural hematoma without a lesion of the spine. The medical literature relating to this subject is reviewed with special reference to the pathophysiology of the bleeding. There are arguments in favor of the venous origin as well the arterial origin of the bleeding. ...
Brown M S - - 1988
Umbilical artery catheter use in sick newborns has been associated with infarction of major organs such as the intestine and kidneys; spinal cord infarction has also been reported but is rare. We report two cases of spinal cord infarction and review the six others in the literature for preventable or ...
Yamamoto I - - 1988
The authors report seven cases of thoracic spinal stenosis caused by thickening of the laminar arch and facet joints. Claudication was a prominent clinical feature of this disorder. Motor and sensory abnormalities were found in all cases with either segmental or peripheral distribution. Diagnosis was best made from the computerized ...
Houang M - - 1987
OBJECTIVE: To review the first years experience of the only private MRI facility in Australia. METHOD: Utilisation Review. RESULTS: 1497 scans have been comprehensively analysed, with regard to the efficacy of the procedure in examining the brain, spinal cord, the lumbar region and the knee joint.
Lyons B M - - 1987
We have reviewed 21 cases with the clinical diagnosis of Post Traumatic Syringomyelia (P.T.S.). Fifteen of these cases had proven syrinx formation on Contrast Computed Tomography (C.C.T.) and the other 6 had obviously abnormal cords. A much earlier onset of P.T.C.M. was found in complete spinal injuries than in incomplete ...
Spanu G - - 1987
Authors present 2 cases of spinal epidural hematoma without vertebral fracture or dislocation and review the literature. 169 fully described cases were found in literature and have been analyzed. Data confirm our opinion that the results of an early diagnosis is a better prognosis. The severity of preoperative neurological status ...
Jentzen J M - - 1987
Medical and surgical complications of chiropractic manipulation occur infrequently in relation to the number of procedures performed. These complications include intracranial hemorrhage, spinal cord injuries, trauma to the carotid and vertebral arteries, and vertebral-basilar distribution infarction. This is a report of a case of vertebrobasilar infarction following chiropractic manipulation leading ...
Mayer F A - - 1987
Spinal anesthesia is a frequently used technique for surgery of the lower extremities. A complication of this form of regional anesthesia is post-lumbar puncture headache. Rapid diagnosis and treatment are essential in preventing prolonged disability and neurologic sequelae. Two case reports are presented, followed by a review of the literature ...
Nguyen J P - - 1987
Six cases of spinal hemangiomas with neurologic symptoms are reported. In three of them the diagnosis was obtained before surgery using plain x-rays and spinal computed tomography scan or biopsy. In the other cases the diagnosis was not done before surgery. In two cases preoperative embolization had minimized blood loss ...
Tomarken J L - - 1987
Spinal subdural hematoma (SSH) is an uncommon entity. There is a higher incidence among patients with a bleeding diathesis and among those with a bleeding diathesis having a lumbar puncture. The case reported here is of a 65-year-old woman on oral anticoagulants presenting with atypical symptoms who developed SSH over ...
Hirayama K - - 1987
A new clinical entity under the name of "juvenile muscular atrophy of unilateral upper extremity" was first described in 1959. Although about 150 cases in Japan, and several additional cases in other countries, have been clinically reported in the literature, the pathology has remained unknown because of the benign course ...
Bodenham A - - 1987
Two patients who each had a paralysed left vocal cord are discussed. Both had poor coughing ability preoperatively. The affected cords had been injected with tetrafluoroethylene (Teflon) paste 3 days before operation and this had given immediate improvement in coughing and speech. During induction of anaesthesia, respiratory obstruction occurred that ...
Stevens J M - - 1987
A case of myelopathy with both intradural and extradural spinal arachnoid cysts is reported treated by cysto-peritoneal shunt, the spinal end of which was inserted percutaneously under fluoroscopic control. The site of drainage was determined by findings at computed myelography. The case illustrates the value of the latter in demonstrating ...
Namer I J - - 1987
Between the years of 1970-1982 29 spinal meningioma cases were operated on; 22 cases (76%) were female and 7 (24%) were male. The youngest patient was 16, and the oldest was 68 years old. On neurological examination, patients had neurological deficits in varying degrees. Diagnosis were done by myelography in ...
Davis C - - 1987
Compression of the anterior aspect of the thoracic cord is a common neurosurgical emergency. Treatment is generally unrewarding. Decompression by the anterior and antero-lateral approach is difficult and time consuming, and decompressive laminectomy offers poor results. It is suggested that in selected cases the removal of a small part posterior ...
Anderson J R - - 1987
This case report describes a paraganglioma of the cauda equina in a 63 year old woman. Very few examples of paraganglioma have been recorded in this site. Histologically these neoplasms may have considerable similarity with ependymoma, the most common neoplasm of the lower spinal cord, and the diagnosis can be ...
Nielsen O G - - 1987
Familial accumulation of spinal osteochondrosis (Scheuermann's disease) and hereditary juvenile anterior fusion of the vertebral bodies in the thoraco-lumbal area are reported for the first time in the same family. Radiological examination of the spine in 2 planes of 73 persons formed the basis for the study. Nine cases of ...
Dore D D - - 1987
A 34-year-old woman with congenital cleidocranial dysostosis had scoliosis diagnosed at age 13. The scoliosis was treated during adolescence with spinal orthoses but continued to progress after skeletal maturation. She was diagnosed as having syringomyelia at age 34. The possibility of syringomyelia should be considered in patients with cleidocranial dysostosis, ...
Pásztor A - - 1987
Age-dependent characteristics of the clinical course of traumatic epidural haematomas of the infant and child have been summarized in a survey of 34 cases. Establishing the diagnosis of epidural haematoma is not an immediate indication for surgery in the infant, because there are cases of spontaneous drainage of the haematoma ...
Alfonso I - - 1986
Encephalocraniocutaneous lipomatosis is a rare hamartomatosis involving the craniofacial region and the central nervous system. The most prominent clinical features are large areas of scalp alopecia, soft subcutaneous craniofacial masses, lipomas, connective tissue nevi of the eyelids and surrounding areas, pterygium-like choriostoma of the ocular conjunctiva, mental retardation, motor deficit, ...
Sceats D J DJ - - 1986
Primary leptomeningeal gliomas are rare. Historically, they have been found in the spinal canal more frequently; however, in the recent literature nearly all have been found within the cranium. In the only cadaveric study of leptomeningeal glial nests, the most frequent site was the medulla and pons. Until now, no ...
Arias M J - - 1986
An unusual case of spontaneous spinal subarachnoid haematoma (SAH) is reported. A 42-year-old man developed sudden and excruciating back pain immediately after sitting up from a supine position, and meningeal irritation and spinal cord compression signs of then appeared. Myelography disclosed a filling defect of contrast column at T2 level. ...
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