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Thompson W F - - 1986
This case report and review of the literature is presented to create a greater diagnostic awareness of occult spinal dysraphism. Early recognition is based upon an understanding of this congenital anomaly and its variable presentations. These most commonly include abnormal gait, various cutaneous manifestations, particularly subcutaneous lipomata, and less frequently ...
Wu W Q - - 1986
Gunshot injuries to the spine and spinal cord were covered adequately in the literature shortly after World War II. Similar injuries in the civilian population have been reported in the literature with regard to surgical and nonsurgical treatment. However, the two cases reported here concern intraspinally retained foreign bodies (one ...
McLaren A C - - 1986
Six cases of acute postdiscectomy cauda equina syndrome (C.E.S.) following lumbar discectomy were reviewed retrospectively in a series of 2842 lumbar discectomies over a ten-year period. Five cases had coexisting bony spinal stenosis at the level of the disc protrusion. The bony spinal stenosis was not decompressed at the time ...
Nishiura I - - 1986
Three cases of haemangiolipoma are described. Two of them were in the thoracic region and one in the lumbar region. All of them were subtotally removed, positively diagnosed histologically and good recovery was obtained. In reviewing 16 previous cases, the clinical characteristics, neurological features and neuroradiological findings were noted. Spinal ...
Ibrahim A W - - 1986
A case of ectopic extraspinal meningioma is reported which presented as a tumor at the back of the neck of a 51-year-old woman. This neoplasm was of considerable size and arose extradurally in the region of the C-2 nerve root, with its main bulk lying almost totally outside the spinal ...
Maynard F M - - 1986
Based on the author's experience with more than 20 cases of immobilization hypercalcemia following spinal cord injury, current concepts of this condition are presented. Symptoms may be mild or severe: laboratory findings are essential for differential diagnosis in older individuals, in whom preinjury Paget's disease and mild primary hyperparathyroidism must ...
Weisz G M - - 1986
A normal width of the peridural intracanal spinal space has been described as necessary for normal neural tissue mobility. This virtual functional space, called spinal reserve capacity (SRC) is measurable with the aid of computerized tomography. Aging and various lumbar pathological conditions have been described as leading to attenuation or ...
Feldberg D - - 1986
In a case of spontaneous hematoma of the umbilical cord, no pathologic lesion was found in the umbilical blood vessels. However, an extremely short cord (14 cm) may have contributed to the vessel rupture. A prolonged deceleration discovered during a routine nonstress test led to emergency cesarean section, with delivery ...
Helén P - - 1986
Spinal vascular malformations can present with acute symptoms suggesting spinal cord or nerve root compression. We describe a case of bleeding from a venous hemangioma within the filum terminale. This malformation caused acute compression of the lumbar spinal roots. Thus, vascular malformations may exist behind the symptoms of acute radiating ...
Skouen J S - - 1985
This article reports the case of a man who developed a pure motor paraplegia following epidural anesthesia with a pattern of slow recovery over subsequent months. Reviewing the available literature on post-epidural paraplegia we noted a number of potential etiologies and analyzed their role in its causation. On the basis ...
Scott B A - - 1985
Intractable lower extremity spasms after spinal cord injury is a significant source of morbidity. A case of refractory spasticity in paraplegia was successfully converted to flaccid paraplegia by intrathecal injection of phenol and glycerin in metrizamide. This chemical rhizolysis is simple and effective, and the presence of metrizamide allows both ...
Fager C A - - 1985
Operations on the nervous system continue to result in claims that rank among the most costly. A retrospective review of 300 cases of alleged or potential liability referred for opinion over an 11-year period is reported to catalog areas of vulnerability for the neurosurgeon and to alert younger practitioners in ...
Martinelli P - - 1985
Two cases of X-linked bulbo-spinal neuronopathy (BSN) of late onset are presented. An extensive review of the literature shows that, in addition to the signs of a chronic degeneration of brainstem and spinal neurons, other clinical features may also be present at the onset of the disease, or develop during ...
Kallina C - - 1985
Stenosis is a condition that is not recognized as frequently as it should be. The diagnosis should be suspected primarily on the basis of bizarre history and physical findings. Myelography is diagnostic. Surgical decompression is the treatment of choice in severe cases. Considerable clinical and experimental investigation remains to be ...
Giamundo A - - 1985
In this study an interesting and not frequent case of non-traumatic chronic subdural haematoma after spinal anaesthesia is reported. After a careful review of the cases described in the literature, the Authors discussed the physiopathological mechanisms, emphasizing how the break of the bridge veins or of the subarachnoid granulations, the ...
Isu T - - 1985
The authors report four cases of extremely rare spinal cord injuries due to foreign bodies. These include one case of injury to the spinal cord caused by glass splinters from a shattered automobile windshield, two cases of spinal cord injury resulting from acupuncture needles, and one case of spinal nerve ...
Sepulveda R - - 1985
Chemonucleolysis is a procedure in which an enzyme is injected into the intervertebral disc for the purpose of alleviating sciatic pain. This has a reported success rate of 70%-90%. Of the failures, several will benefit from a classic lumbar laminectomy for removal of a free fragment in the spinal canal ...
von Hanwehr R - - 1985
A rare case of thoracic spinal angiomyolipoma presenting with evidence of vertebral body infiltration and concurrent epidural spinal cord compression is described. Clinicopathological correlates, aspects of radiological diagnosis, considerations for surgical management, and histopathological features denoting possible unique attributes of biological behavior for this entity are discussed in conjunction with ...
Azzarelli B - - 1985
A large kindred, with two brothers coming to autopsy, of a syndrome consisting of ataxia, dementia, and some Parkinsonian features is reported; inheritance appears to be autosomal dominant. Neuropathologically, there were plaques and neurofibrillary tangles in the cerebral cortex as well as some in the basal ganglia, particularly reminiscent of ...
Emery P J - - 1984
Seventy-one cases of vocal cord palsy were seen over a 20-year period at the Hospital for Sick Children in Toronto. Forty-four percent of the cases had a bilateral vocal cord palsy. The etiology, management and outcome of all the cases are reviewed. Of the acquired vocal cord palsies, 64% recovered ...
Bates G J - - 1984
Injection of poly(tetrafluoroethylene) past (Teflon) into vocal cords is becoming more common, but immediate morbidity has not previously been described. A case is reported in which acute airway obstruction followed the injection of Teflon paste into a paralysed vocal cord. This was easily managed, without resort to tracheostomy, by topical ...
Bruning H - - 1984
The subject of ectopic adrenal tissue along the spermatic cord is reviewed in respect of incidental finding during operation for undescended testis. The condition is probably more common than previously reported and embryology and clinical implications are briefly discussed. Nodules consisting of aberrant adrenal tissue should be removed whenever incidentally ...
Enomoto H - - 1984
The present report covers an autopsied case of multiple hemangioblastomas in the cerebellum and the spinal cord, which did not involve the retinas and other organs. An intramedullary hemangioblastoma was found at the C3-4 level of the spinal cord and similar small tumors were present at the C-7 and Th-4 ...
Gaitzsch J - - 1984
Four cases of spinal subarachnoid hematoma are reported and three cases from the literature reviewed. Clinical presentation is characterized by a combination of back pain and meningismus and progressive compression of the spinal cord. Pathogenesis, diagnosis, and differential diagnosis are discussed. Information obtained from myelography was limited, and two patients ...
Hirsh L F - - 1984
Although chrondrosarcomas are common primary bone tumors, their occurrence in the spine is very rare. Because total excision in such cases is seldom possible, few long term survivors have been reported. We are reporting one patient with a high thoracic spinal chondrosarcoma who survived with useful function for over 18 ...
Costabile G - - 1984
Three cases of spinal epidural hematoma are reported, one lumbar, another cervical, and the third thoracic. All were dorsolaterally localized, the first and the third were dependent on anticoagulant therapy, and the second was spontaneous. In addition to the symptoms of sudden onset, acute spinal pain, flaccid paralysis, and loss ...
Markin R S - - 1984
A case of compression of the spinal cord and cauda equina secondary to collapse of the T-12 and L-3 vertebral bodies in a patient with type 1 Gaucher's disease is presented. Decompressive laminectomies were done at both the T-12 and L-3 levels with moderate improvement of the patient's neurologic findings. ...
Rubinstein I - - 1984
A case of histologically proven intramedullary spinal cord sarcoidosis diagnosed antemortem is presented. The patient manifested symptoms referable only to the spinal cord simulating a tumor--progressive tetraparesis. The histologic diagnosis of sarcoidosis was established through exploratory laminectomy. Surgical intervention is the only way to rule out a malignant process in ...
Dunki Jacobs P B - - 1984
Ischemic damage to the spinal cord after reconstructive procedures of the abdominal aorta is a rare complication. The literature up to and including 1980 records 46 of these cases. In this paper we present four additional cases and discuss the etiological factors and the practical measures available to minimize the ...
Cohen M E - - 1983
Myelopathy is a known complication of radiation therapy, but its association with chemotherapy has been less well documented. The authors report the case of a 12-year-old boy with medulloblastoma who had been followed for an 8 1/2-year period. In the context of accepted doses of intrathecal methotrexate and spinal irradiation, ...
Rudy D C - - 1983
Two sisters with juvenile type III spinal cord arteriovenous malformations were studied urodynamically. Micturitional dysfunction was prominent in the clinical presentation of both cases. Although both patients had similar lesions 1 demonstrated detrusor-sphincter dyssynergia and detrusor hyperreflexia, while the other showed only detrusor hyperreflexia. This is the first report of ...
Handforth A - - 1983
A 79 year old male acutely developed a Brown-Sequard syndrome two weeks following resection of renal cell carcinoma. The subsequent clinical course was marked by subacute progression of spinal cord signs. Pathologic studies showed extensive multifocal spinal cord necrosis that could not be attributed to vascular occlusion or to vasculitis. ...
Ohry A - - 1983
Among hundreds of spinal cord injured patients (SCIP) who have been rehabilitated in the Sir Ludwig Guttmann Spinal Cord Injury Unit at the Sheba Medical Centre, Tel Hashomer; we only found six patients who had lost one or more limbs (upper or lower limbs). Although many plastic and orthopaedic surgeons ...
Young H A - - 1983
A case of a very large intramedullary neurofibroma of the conus medullaris extending over 3 1/2 segments is reported. The tumor was successfully treated by midline myelotomy and radical excision with no exacerbation of the preoperative neurological deficit. Intramedullary neurofibroma is extremely rare, accounting for less than 1% of spinal ...
Garza-Mercado R - - 1983
Diastematomyelia is rarely diagnosed in the adult. Only a few such cases have been reported in the literature. A 26-year-old Mexican man with lumbar diastematomyelia is reported who also harbored a T-12 intramedullary epidermoid tumor and an extradural teratoma located in the dorsal aspect of the dural sac opposite L-4. ...
Girard R - - 1983
From November 1969 to December 1979, 1234 patients with spinal cord lesions were treated at the Henry Gabrielle Hospital. Of these 386 were from medical causes and 848 from trauma. The computer study of these cases brings out statistical differences between the sexes as the overall incidence in females is ...
Tanghetti B - - 1983
The authors report 5 cases of intramedullary metastases, observed in the last 5 years. In 2 cases, the way of spreading was via the CSF, in 2 cases via the systemic circulation, and in 1 case along the perineural sheaths. A comparison with similar studies in the literature is followed ...
Stöhr M - - 1983
Three cases are presented to demonstrate the diagnostic value of sensory neurography in combination with somatosensory evoked potentials in the diagnosis of proximally located neuropathy and its differentiation to centrally located demyelinating processes. Simultaneous recording of cortical and spinal evoked potentials, as well as peripheral nerve action potentials, revealed in ...
Hashizume Y - - 1983
This report describes pathologic findings of pencil-shaped softening in 12 autopsy cases. Nine cases were associated with extradural metastasis of malignant tumor and three were observed in brain death. The cavity of the pencil-shaped softening containing necrotic debris and abundant macrophages was located mainly in the ventral part of the ...
Padovani R - - 1982
Two cases of a rare entity, spinal extrathecal hemangiolipoma, are presented. The clinical and histological features of the tumor are discussed, with particular attention to the uncommonly sudden onset of symptoms in one patient. Complete neurological recovery was exhibited by one patient after excision of the lesion, whereas only a ...
Honma K - - 1982
A case of hepatic alveolor echinococcosis with contiguous invasion of the pancreas, vertebrae, and spinal cord and intrathecal metastases to the brain stem is reported. The long course after a hemihepatectomy may be a factor in the modification of the natural course of the disease and in the induction of ...
Abramovitz J N - - 1982
A case of multiple episodes of central cord injury after minor trauma is reported. Cervical films showed a canal diameter of 11 mm at C-3, C-4 and minor instability with a canal diameter of 9 mm in extension. Anterior cervical fusion resulted in a stable spine and the prevention of ...
Atkinson R - - 1982
A unique case of sarcoidosis, presenting as a unilateral multilevel cervical radiculopathy without spinal cord compression, is discussed. The clinical presentation, along with the initial myelographic findings and emphasis on local compressive etiologies delayed the diagnosis. The aim of this report is to focus on this unique entity and to ...
Fen G - - 1982
Hüftlendenstrecksteife (HLS) is not a clinical entity, but a symptom-complex which can be produced by many diseases both inside and outside the spinal canal. Its clinical characteristics are: a) the wooden board sign, b) fixed lumbar lordosis, c) the special shifting gait. The etiology of HLS reported here was mostly ...
Scher A T - - 1982
Deliberate crashing of the opposing packs prior to a rugby scrum is an illegal but commonly practised manoeuvre which can lead to abnormal flexion forces being applied to players in the front row, with resultant cervical spine and spinal cord injury. Two cases of cervical spinal cord injury sustained in ...
Boyko W J - - 1982
Six cases of functional hyposplenism associated with amyloidosis are presented. This association has been infrequently reported. Typical erythrocytic changes were found at initial presentation in five patients, and provided an early clue to the correct diagnosis. Extensive amyloid effacement of the splenic cords was the anatomic basis of the functional ...
Nathan P W - - 1982
Ten cases are presented which illustrate aspects of the anatomy of the rubrospinal and central tegmental tracts in man. It is concluded that the number of large fibres arising from the magnocellular part of the red nucleus and constituting the classical rubrospinal tract is small and that only a few ...
Griffiths R A - - 1982
Clinical and histological accounts are given of a sister and brother, dying aged 61 and 56 years respectively after illnesses lasting 5-6 years marked by a progressive mental and physical disability. The family history suggested transmission by a dominant gene. The histological findings were of a very severe congophilic angiopathy ...
Robinson W F - - 1982
Two male Angora goats presented with ataxia and weakness of the hind limbs. Both tired easily when exercised and often stumbled and fell. In both cases, post-mortem examination revealed focal areas of gliosis and diffuse Wallerian degeneration in the spinal cord at the level of the atlanto-axial joint. There were ...
Oonishi T - - 1982
Presented here is an autopsy case of pachymeningitis cervicalis hypertrophica. A 77-year-old female had the initial symptoms of cervical radiculopathy which terminated in the syndrome of spinal cord transection. Prior to the onset of radiculopathy, the patient had been admitted to the hospital because of a fever and had been ...
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