Search Results
Results 351 - 400 of 903
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Soni B M - - 2003
Case report. To report treatment of spasticity in a spinal cord-injured person with intrathecal morphine after the person developed tolerance to intrathecal baclofen. Spasticity in a 36-year-old man with T6 complete paraplegia was treated with increasing doses of intrathecal baclofen. When he developed tolerance to intrathecal baclofen, he was given ...
Sethi Seema - - 2003
Malignant fibrous histiocytoma (MFH) of the spermatic cord is rare. However, owing to its location it is diagnosed early and has a better prognosis. A case of MFH of the spermatic cord is reported in a 50-year-old male along with review of the literature, discussing the recommended management and prognosis ...
Nozaki Kazuhiko - - 2003
The spinal intradural extramedullary cavernous angioma is a rare clinical entity. Only 20 surgically treated cases have been reported. The authors report on an additional case in which the lesion was located in the cervical region, and they summarize its unique clinical features. Intradural extramedullary cavernous angiomas occur predominantly in ...
Guzel Necmettin - - 2003
We report a case of an intramedullary spinal cord abscess (ISCA) in a 14-month-old child. This case demonstrates clinical and radiological features and emphasizes the importance of early diagnosis and treatment. Early surgical intervention and adjuvant antibiotic therapy have been shown to improve the clinical outcome. Successful outcome depends on ...
Vidal Jose E - - 2003
Toxocariasis is usually manifested as visceral larva migrans. Nervous system involvement is a rare complication. In this report, we describe one case of meningoencephalitis due to Toxocara canis and review the literature. We report a previously healthy two-year-old boy who was admitted after 24 hours of severe neurologic symptoms with ...
Guéz Michel - - 2003
Clinical examination is the only tool available to assess the extent of the nerve tissue damage after a spinal cord injury, and it is well known that the reliability of classification based on clinical examination is not satisfactory, especially in cases with incomplete motor injuries. There is a need to ...
Ahn Tae-Beom - - 2003
BACKGROUND: Computed tomography is performed in suspicious cases of cerebral venous thrombosis. Although an empty delta sign is not uncommonly reported, a cord sign is rarely reported. But this is, if present, pathognomonic, especially in the case of cortical vein thrombosis. CASE DESCRIPTION: A young man with antithrombin III deficiency ...
Fiechtl James F - - 2003
STUDY DESIGN: The case of an 8-year-old girl with hereditary multiple exostosis presenting with atypical spinal curvature is reported. OBJECTIVE: To describe a case of spinal curvature caused by an osteochondroma, illustrating the need for careful evaluation of patients with hereditary multiple exostosis presenting with "scoliosis." SUMMARY OF BACKGROUND DATA: ...
Tanriverdi T - - 2003
To report three cases of intradural spinal tuberculosis (TB) by calling attention to atypical forms of spinal TB. A University Hospital, Istanbul, Turkey. Histopathological, radiological, surgical and physical examination findings of three patients with spinal TB were retrospectively reviewed. Based on histopathological, surgical and radiological findings, diagnosis of intramedullary abscess ...
do Souto Antonio Aversa - - 2003
We present a case of a 46-year old woman with a ventral epidural angiolipoma at the lumbosacral level with erosion of the sacrum. About ninety cases of spinal angiolipomas have been previously described in the literature, most of them situated on the thoracic region, dorsal to the dural sac. Angiolipomas ...
Rodi Zoran - - 2003
Our case report describes the electrophysiological features associated with the development of a spinal epidural hematoma during surgery of the lumbar spine. It stresses the importance of the evaluation of nonsurgical factors, which can potentially affect intraoperative evoked potentials; in this case, epidural local anesthetic or epidural hematoma.
Bertalanffy Helmut - - 2003
STUDY DESIGN: A retrospective case of an isolated paramedullary hemangioblastoma originating from the first cervical root is reported. OBJECTIVE: To describe an uncommon type of spinal hemangioblastoma and its operative treatment. SUMMARY OF BACKGROUND DATA: Spinal hemangioblastoma, rare finding accounting for approximately 1.5% to 2.5% of all spinal cord tumors, ...
S. Mongia, B. Indira ...
Intradural extramedullary epidermoid cysts are rare tumors especially those not associated with spinal dysraphism. We report 3 cases of spinal intradural extramedullary epidermoid cysts. In all the cases, the lesion was situated at dorsal level. The clinical features, MRI characteristics and surgical treatment of such rare intradural extramedullary benign tumors ...
Roe Justin P - - 2003
OBJECTIVES: The objective of the present study was to determine the incidence of acute spinal cord injuries (ASCI) in all forms of horse riding in New South Wales (NSW) for the period 1976-1996. Other aims of the present study were to compare and contrast ASCI with vertebral column injuries (VCI) ...
Arima Hajime - - 2003
Spinal muscular atrophy (SMA) type I is a relatively common inherited neuromuscular disease of hypotonic newborns, but is not associated with craniofacial abnormalities. There is nothing in the literature about difficult intubation in patients affected by this disease. We report a case of 34-month-old girl with SMA type I who ...
Tamburrini G - - 2003
Infantile myofibromatosis is the most common fibrous disorder of infancy and childhood. It may occur in two distinct forms: multicentric and solitary. In both cases involvement of the central nervous system (CNS) is unusual: brain myofibromas are usually intracranial in proximity of the dura mater, with infiltration of the calvarial ...
Solanki Guirish A - - 2003
INTRODUCTION: Four distinct dysraphic anomalies were observed in a single child. While combinations of such anomalies are well recognised, quadruple dysraphic pathology, nevertheless, is extremely uncommon. To our knowledge, no previous cases have been reported in the literature. CASE REPORT: We present the management of a child with a concurrent ...
Rosenberg Oded - - 2003
Spontaneous spinal epidural hematoma is a rare cause of spinal cord compression in adults and even rarer in children. It is characterized by a sudden onset of acute back pain followed by acute neurological deterioration within a few hours. We report the case of a 14-year-old girl who presented with ...
Ergun A - - 2003
Case report of SCIWORA following trivial trauma in childhood and review of the literature. To describe a case of 'spinal cord injuries without radiographic abnormality (SCIWORA)', which was diagnosed 2 years after the event, and define its relevance from a differential diagnostic and medico-legal viewpoint. An Austrian neuro-traumatological rehabilitation and ...
Richards Todd A - - 2003
The presence of a myelomeningocele at multiple levels along the spinal column is a rare event. There are only a few cases of double myelomeningocele reported in the world's literature. Large myelomeningoceles present surgical closure challenges due to the size and location of these defects. We report the case of ...
Fernando Ugarriza L - - 2003
We report a case of spinal eosinophilic granuloma with aggressive course. Initially, a conservative management was decided upon, but neurological deterioration of the patient prompted us to undertake a more aggressive attitude, with surgical excision and postoperative radiotherapy. The clinical and radiological features, and the different options of treatment are ...
Rollins Mark - - 2003
We report a case of upper airway obstruction after subclavian perivascular block in a patient with a preexisting unrecognized paralyzed vocal cord on the opposite side. We discuss the incidence of vocal cord paralysis after subclavian perivascular block and the risk of airway compromise if contralateral vocal cord paralysis is ...
Fieggen Graham - - 2003
INTRODUCTION: Pygopagus conjoined twins are joined at the rump and have union of the gastrointestinal and genitourinary systems as well occasional involvement of neural elements. CASE REPORT: We report a case where the terminal spinal cords were fused, despite which there was only a minor motor deficit in the lower ...
Simon Jakub K - - 2003
A case report of an intramedullary spinal cord abscess in a 13-month-old boy and a review of relevant existing pediatric literature is presented. Thirty-eight cases of pediatric intramedullary spinal cord abscess are analyzed for presenting signs and symptoms, microbiology of isolated organisms, surgical intervention, antibiotic administration and outcome. The most ...
Horwood E - - 2003
This report describes a case of myelofibrosis presenting as spinal cord compression on account of extramedullary haemopoietic tissue encroaching upon the spinal cord from a large pelvic mass.
Panagis A - - 2003
Myxoid liposarcoma of the spermatic cord (MLSC) is a rare variance of spermatic sarcomas, with only 14 previous cases having been reported. Typically it presents during the seventh decade of life as a painless scrotal or inguinal mass. Although local recurrences are not uncommon, prognosis following complete tumour removal is ...
Whitaker Camden - - 2003
STUDY DESIGN: A case of thoracic hyperkyphosis is reported as an atypical presentation of otherwise typical adolescent idiopathic scoliosis that showed a large syringomyelia on magnetic resonance imaging. OBJECTIVE To review atypical curve patterns that indicate the need for more intensive preoperative workup including a magnetic resonance imaging scan. SUMMARY ...
Reddy Praveen - - 2003
Intramedullary spinal cord metastasis (ISCM) is a rare condition that causes serious diagnostic and therapeutic problems. ISCM is usually discovered in less than 1% of autopsies, with fewer than 5% being diagnosed antemortem. The uncertain and non-standardized treatment of patients diagnosed with ISCM is a major concern of neurosurgeons today. ...
Inoue Tomohiro - - 2003
Almost 40 cases of spontaneous transdural spinal cord herniation have been reported in the literature. These patients often present with gait disturbance and sensory changes, and their condition is diagnosed as Brown-Séquard syndrome. The pathogenesis of this condition has remained poorly understood. In particular, there is no agreement whether the ...
Abe Masahiro - - 2003
The case of a 17-year-old boy who suffered from incomplete Brown-SEquard syndrome caused by dystrophic cervical kyphosis secondary to neurofibromatosis is presented. He became aware of weakness of his left upper and lower extremities and was unable to walk within 1 month of his first feeling numbness in the right ...
Osoegawa Manabu - - 2003
Histologically proven eosinophilic myelitis has rarely been reported except in connection with parasitism. To clarify its clinicopathological features, we conducted a nationwide survey of biopsy-proven eosinophilic myelitis of unknown cause throughout Japan. Six such cases were collected and studied immunologically and pathologically. All were young to middle-aged men. All showed ...
Sakai Daisuke - - 2002
STUDY DESIGN: Three case reports of solitary spinal osteochondromas in middle-aged and elderly patients. OBJECTIVES: To describe the treatment of three rare cases of spinal osteochondromas in patients significantly older than the cases previously reported in the literature. SUMMARY OF BACKGROUND DATA: Osteochondromas arising in the vertebral column are considered ...
Kumar Raj - - 2002
Terminal myelocystocele is an unusual form of occult spinal dysraphism. It consists of a cystic dilatation of a low-lying terminal cord herniated posteriorly through a skin covered lumbosacral spina bifida. This condition is often associated with OEIS complex i.e. opmphalocele, exstrophy of the bladder, imperforate anus and spinal abnormality. We ...
Aydin K - - 2002
Thyroid and cervical surgery, tracheal intubation, trauma and neurodegenerative and neuromuscular diseases may cause bilateral vocal cord paralysis. There are only a few reported cases of bilateral cord paralysis associated with cervical hyperostosis in the English literature. We report the MR and CT findings of a case of bilateral vocal ...
Eisenberg Elon - - 2002
This case presents a patient with neuropathic pain in a lower extremity, which appeared subsequent to the removal of a C1 meningioma and which was successfully treated by lower thoracic spinal cord stimulation.
Hejazi Nedal - - 2003
True intramedullary teratoma is an extremely rare tumor, with only seven cases reported in the literature. The authors present two personal cases of spinal intramedullary cystic teratoma of the conus medullaris with exophytic growth and some unusual aspects. Their cases are unusual not only because they were diagnosed by MRI ...
Rock Jack - - 2002
STUDY DESIGN: Case report. OBJECTIVES: The objective of this study was to document the long-term follow-up of a single case. SUMMARY OF BACKGROUND DATA: Radiosurgery is potentially a useful therapeutic option for spinal tumors. The authors present the unusual case of a patient with recurrent extraosseous Ewing's sarcoma of the ...
Ang B S P - - 2002
Eikenella corrodens is part of the normal flora of the mouth and upper respiratory tract and is usually associated with dental and head and neck infections. We report a case of Eikenella discitis occurring soon after spinal surgery in an otherwise healthy patient, review the literature on bone and joint ...
Er┼čahin Yusuf - - 2002
Split cord malformations (SCMs) are uncommon congenital spinal anomalies and are seen mostly in females. SCMs in siblings are extremely rare. We report two sisters with SCM. These 10- and 8-year-old girls were the first and second children, respectively, of nonconsanguineous parents. Both sisters had a hypertrichosis and pes cavus ...
Singh S - - 2002
Neurological complications following viper bite are uncommon and are generally as a result of intracerebral or subarachnoid bleed and rarely due to cerebral infarction. We report a young male who following viperine bite developed local tissue swelling, haemorrhagic manifestations due to disseminated intravascular coagulation and later developed acute flaccid paraplegia ...
Young William F - - 2002
STUDY DESIGN: A case report of transient blindness after lumbar epidural steroids is presented. OBJECTIVE: To report the diagnosis and treatment of a case of blindness after administration of lumbar epidural steroids. SUMMARY OF BACKGROUND DATA: Nine previous cases of blindness after lumbar epidural injection for back pain were identified. ...
Lee Bong-Jin - - 2002
STUDY DESIGN: A case report and review of the literature are presented. OBJECTIVE: To present the first case of paraplegia as a complication of percutaneous vertebroplasty with polymethylmethacrylate in osteoporotic compression fracture. SUMMARY OF BACKGROUND DATA: Complications of percutaneous vertebroplasty with polymethylmethacrylate (PMMA) for the treatment of osteoporotic compression fracture ...
Iyer R V - - 2002
Spontaneous spinal cord herniation is a rare and under recognized condition. The commonest presentation is a Brown-sequard syndrome. It most commonly occurs in the thoracic region through an anterolateral dural defect, and the pathophysiology is ill understood. We present a case of spontaneous spinal cord herniation along with a review ...
Thomas Gregory - - 2002
STUDY DESIGN: A single case study was conducted. OBJECTIVES: To detail the occurrence of multiple intracranial, intraparenchymal hemorrhages following an iatrogenic acute reduction in cerebral spinal fluid pressure following excision of an intradural extramedullary spinal tumor. SUMMARY OF BACKGROUND DATA: Multiple supratentorial, intraparenchymal, intracranial hemorrhages following an acute reduction in ...
Pelletier Marc P - - 2002
Two cases of spinal cord infarction with clinical paraplegia are discussed in patients undergoing elective and uncomplicated cardiac procedures with cardiopulmonary bypass. In both cases, the primary etiology was likely peripheral embolization. Other possible etiologies are reviewed, previously reported cases are discussed, and possible solutions to avoid this devastating problem ...
Vaccaro Alexander R - - 2002
STUDY DESIGN: The data related to spinal applications of osteogenic protein-1 presented at national meetings or published in peer-reviewed literature are reviewed. OBJECTIVES: To review the available data related to the use of osteogenic protein-1 for spinal arthrodesis. REVIEW OF BACKGROUND DATA: Osteogenic protein-1 (bone morphogenetic protein-7) is a member ...
Martin A J - - 2002
Central neurocytoma is an unusual tumour that arises in the supratentorial ventricular system of young adults. Similar lesions, termed simply neurocytoma, have been described at a variety of locations outside the ventricular system. Here, we report the case of a 50-year-old man who presented with pain and a rapidly progressive ...
Houten John K - - 2002
We report a case of a 41-year-old man with a primary thoracic spine paraganglioma presenting with spinal cord compression and distant metastasis. Paragangliomas arising within the spinal canal are rare and when they occur are usually found in the intradural, extramedullary compartment and in the lumbosacral region. Thoracic paragangliomas are ...
Becker W J - - 2002
BACKGROUND: Pneumocephalus can be a cause of headache, but is easily overlooked in some clinical circumstances. CASE STUDY: A 35-year-old woman developed severe headache of abrupt onset during an epidural blood patch procedure done for a post-lumbar puncture headache. A brain CT scan showed subarachnoid air even though there was ...
Jamil F - - 2002
A case of extensive heterotopic ossification involving the left hip in a 16 year old girl who sustained non traumatic spinal paralysis at T4 ASIA scale A. This case demonstrates the practical difficulties facing clinicians involved in the rehabilitation of this paraplegic patient who required intervention before full maturation of ...
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