Sic Tapa 174 Sb 41610.Pmd

Total Page:16

File Type:pdf, Size:1020Kb

Sic Tapa 174 Sb 41610.Pmd Año XVI, Vol.17, Nº 4 - Marzo, 2010 ISSN 1667-8982 es una publicación de la Sociedad Iberoamericana de Información Científica (SIIC) La artritis de la poliarteritis nodosa cutánea en niños Año XVI, Vol.17, Nº 4 - Marzo, 2010 Vol.17, XVI, Año se relaciona con la infección por estreptococos Salud(i)Ciencia Carlos Alonso, «Jugete rabioso», acrílico, 140 x 100 cm, 1967. Carlos «La artritis es un signo frecuente en la poliarteritis nodosa; sus características clínicas (poliartritis aguda que afecta grandes articulaciones, fiebre, nódulos subcutáneos) y su relación con el estreptococo pueden inducir a una confusión diagnóstica con la fiebre reumática.» Ricardo A. G. Russo, Columnista Experto (especial para SIIC), Buenos Aires, Argentina. Pág. 342 Editorial La producción científica argentina debe editarse en medios locales especializados Rafael Bernal Castro, Buenos Aires, Argentina. Pág. 314 Expertos invitados Revisiones La artritis de la poliarteritis nodosa cutánea en niños se Aumento de la exhalación de peróxido de hidrógeno y de la relaciona con la infección por estreptococos interleuquina 18 circulante en la tuberculosis pulmonar Ricardo A. G. Russo, Buenos Aires, Argentina. Pág. 342 Silwia Kwiatkowska, Lodz, Polonia. Pág. 317 La resección transuretral de próstata bajo anestesia local La desregulación del complemento influye en el pronóstico y sedación es segura y bien tolerada de los niños trasplantados por síndrome urémico hemolítico Pedro Navalón Verdejo, Valencia, España. Pág. 347 Alejandra Rosales, Innsbruck, Austria. Pág. 320 Destacan la utilidad del mapeo de superficie corporal Lugar de los antipsicóticos de segunda generación en la pesquisa de la enfermedad coronaria en el tratamiento del trastorno bipolar Frantisek Boudik, Praga, República Checa. Pág. 352 Salvatore Gentile, Salerno, Italia. Pág. 325 Entrevistas a Expertos Describen la utilidad de la resonancia magnética «Ante problemas comunes, no sentimos tener fronteras políticas» en el diagnóstico del cáncer de cérvix Dr. Guillermo Cortés Muñoz, Arica, Chile. Pág. 357 Mar F. Jiménez de la Peña, Madrid, España. Pág. 330 Mielopatias agudas não compressivas Papelnet SIIC Andrei Fernandes Joaquim, Campinas, Brasil. Pág. 334 Los programas educativos para diabéticos también son útiles en zonas rurales Originales Antonio Hernández Torres, Teruel, España. Pág. 360 Incremento del factor de crecimiento transformante ß Más Papelnet SIIC, pág. 360-362 en las lesiones de vías biliares luego de la colecistectomía Crónicas de autores. Pág. 365 José Manuel Hermosillo Sandoval, Guadalajara, México. Pág. 338 Casos clínicos. Pág. 370 1980-2010 30 aniversario Sociedad Iberoamericana de Información Científica SIIC Sociedad Iberoamericana de Información Científica (SIIC) SIIC edita, en castellano y portugués, los principales entre la oferta masiva de Constituyó en 1992 la Red Creó obras innovadoras como Trabajos información científica relacionada con información. Internacional de Corresponsales Distinguidos, Index Internacional, la medicina y la salud. Publica artículos originales e inéditos Científicos, actualmente integrada por Temas Maestros, SIICDis, Sorpresas de Cuenta con la experiencia y escritos por prestigiosos más de 200 profesionales, cuya misión Medicina, SIIC En Línea, organización necesarias para investigadores, expresamente es recoger información en el lugar y Salud(i)Ciencia, Acontecimientos desplegar su labor, reconocida por invitados. momento en que se produce. Terapéuticos, agencia Sistema de Noticias Científicas, Círculo de profesionales, entidades oficiales, Promociona la producción de la Se relaciona con los medios científicos Lectores, Actualización, SIIC En Internet asociaciones científicas, empresas investigación científica en el ámbito estratégicos para obtener sin demora las (www.siicsalud.com, públicas y privadas de la región y el de los países de la región. Contribuye comunicaciones especializadas que sus mundo. a su difusión por los medios propios actividades requieren. www.saludpublica.com, www.siicginecologia.com). Sus consejeros y colaboradores son y de otras entidades científicas. Es pionera en la generación de expertos de reconocida trayectoria Dispone de un escogido comité sistemas informatizados para la SIIC En Internet es la expresión internacional que califican los de médicos redactores perfeccionado producción y distribución instantánea concreta de la evolución y desarrollo acontecimientos científicos destacando en técnicas de redacción objetivas. de información científica. permanente de la organización. SIIC edita, em espanhol e português, Publica artigos originais e inéditos informação no lugar e momento em En Línea, Salud(i)Ciencia, informação científica relacionada com a escritos por prestigiosos investigadores, que ela se produz. Acontecimientos Terapéuticos, medicina e a saúde. especialmente convidados. SIIC relaciona-se com os meios agência Sistema de Noticias Científicas, Círculo de Lectores, Sua experiência e organização são Promove a investigação científica no científicos estratégicos para obter, Actualización, SIIC En Internet amplamente reconhecidas por âmbito dos países da região. Contribui rapidamente, as informações (www.siicsalud.com, profissionais, entidades oficiais, para sua difusão através de meios especializadas necessárzias as suas www.saludpublica.com, associações científicas, empresas próprios e de outras entidades atividades. www.siicginecologia.com). públicas e privadas da região e do resto científicas. É pioneira na geração de sistemas do mundo. Dispõe de um seleto comitê de informatizados para a produção e SIIC En Internet é a expressão concreta médicos redatores especializados em distribuição instantânea de da evolução e desenvolvimento Seus conselheiros e colaboradores são permanente da organização. especialistas com uma trajetória técnicas de redação objetiva. informação cieífica. Versión en portugués, colaboración: internacional reconhecida que avaliam Em 1992 cria a Rede Internacional de Criou obras inovadoras como os acontecimentos científicos Correspondentes Científicos, Trabalhos Destacados, Index Nelson P. Bressan destacando os mais importantes entre atualmente constituída por mais de Internacional, Temas Maestros, Secretario de Redacción SIIC a grande oferta de informação. 200 profissionais que selecionam a SIICDis, Sorpresas de Medicina, SIIC (portugués) SIIC publishes in Spanish and Portuguese, SIIC veröffentlicht wissenschaftliche Information La SIIC ha l’esperienza e l’organizzazione La SIIC édite, en espagnol et en portugais, scientific information on medicine and über Medizin und Gesundheit in spanischer und necessaria per questo compito, è riconosciuta information scientifique en relation avec la healthcare. portugisischer Sprache. da professionisti, agenzie di governo, istituzioni médecine et la santé. scientifiche, aziende governative e compagnie SIIC has the experience and organization Verfügt über die notwendige Erfahrung und La SIIC possède l’expérience et l’organisation private regionali ed internazionali. needed for this accomplishment, acknowledged Organisation, um ihre Arbeit zu vollbringen, die nécessaires pour developper ses activités. by professionals, government agencies, von Sacherständigen, offizielle Vereinigungen, I membri del Consiglio e i collaboratori che Elle est reconnue par des professionnels, des scientific institutions, government enterprises, wissenschaftliche Vereine, öffentliche und fanno parte della SIIC sono esperti di fama organisations gouvernamentales, des and international and regional private private Unternehmen der Region und der Welt mondiale che esaminano la ricerca e sociétés scientifiques, ainsi que par des companies. anerkannt ist. l’informazione scientifica evidenziando ciò che entreprises publiques et privées régionales et The board members and collaborators that Die Berater und Mitarbeiter der SIIC sind è rilevante tra l’ampia offerta dell’informazione mondiales. disponibile. belong to SIIC, are experts of world-renown Experte mit anerkanntem internationalen Ses conseillers et collaborateurs sont des careers that review scientific research and Lebenslauf, sie qualifizieron wissenschaftliche La SIIC pubblica manoscritti originali e nuovi, experts reconnus internationalement. Ils information highlighting whatever is Forschung und Information um von dem scritti da prestigiosi ricercatori che sono stati qualifient les événements scientifiques et outstanding among the wide offering of vielfältigen Informationsangebot nur das specificamente invitati a scrivere sull’argomento sélectionnent les plus importants parmi la Wesentliche hersauszufiltern. available information. La SIIC promuove la ricerca scientifica tra i paesi littérature internationale. SIIC publishes original and novel manuscripts SIIC veröffentlicht originale und neu erschienene della regione e contribuisce alla sua diffusione Publie des articles originaux et inédits rédigés written by prestigious researchers who have Artikel von angesehenen Experten, die zu diesem attraverso i propri mezzi di comunicazione e le par des investigateurs de prestige, invités à been specially invited. Zweck ausdrücklich aufgefordert werden. istituzioni scientifiche affiliate. cette occasion. SIIC promotes scientific research among the SIIC fördert wissenschaftliche Forschung in den La SIIC è composta da uno staff editoriale di Stimule la recherche scientifique dans countries of the region, and contributes to its Ländern der Region, deren Verbreitung sie medici selezionati, esperti nelle materie che l’Amérique Latine.
Recommended publications
  • Retroperitoneal Approach for the Treatment of Diaphragmatic Crus Syndrome: Technical Note
    TECHNICAL NOTE J Neurosurg Spine 33:114–119, 2020 Retroperitoneal approach for the treatment of diaphragmatic crus syndrome: technical note Zach Pennington, BS,1 Bowen Jiang, MD,1 Erick M. Westbroek, MD,1 Ethan Cottrill, MS,1 Benjamin Greenberg, MD,2 Philippe Gailloud, MD,3 Jean-Paul Wolinsky, MD,4 Ying Wei Lum, MD,5 and Nicholas Theodore, MD1 1Department of Neurosurgery, Johns Hopkins School of Medicine, Baltimore, Maryland; 2Department of Neurology, University of Texas Southwestern Medical Center, Dallas, Texas; 3Division of Interventional Neuroradiology, Johns Hopkins School of Medicine, Baltimore, Maryland; 4Department of Neurosurgery, Northwestern University, Chicago, Illinois; and 5Department of Vascular Surgery and Endovascular Therapy, Johns Hopkins School of Medicine, Baltimore, Maryland OBJECTIVE Myelopathy selectively involving the lower extremities can occur secondary to spondylotic changes, tumor, vascular malformations, or thoracolumbar cord ischemia. Vascular causes of myelopathy are rarely described. An un- common etiology within this category is diaphragmatic crus syndrome, in which compression of an intersegmental artery supplying the cord leads to myelopathy. The authors present the operative technique for treating this syndrome, describ- ing their experience with 3 patients treated for acute-onset lower-extremity myelopathy secondary to hypoperfusion of the anterior spinal artery. METHODS All patients had compression of a lumbar intersegmental artery supplying the cord; the compression was caused by the diaphragmatic crus. Compression of the intersegmental artery was probably producing the patients’ symp- toms by decreasing blood flow through the artery of Adamkiewicz, causing lumbosacral ischemia. RESULTS All patients underwent surgery to transect the offending diaphragmatic crus. Each patient experienced sub- stantial symptom improvement, and 2 patients made a full neurological recovery before discharge.
    [Show full text]
  • The Putative Role of Spinal Cord Ischaemia
    J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.51.5.717 on 1 May 1988. Downloaded from Journal of Neurology, Neurosurgery, and Psychiatry 1988;51:717-718 Short report Neurological deterioration after laminectomy for spondylotic cervical myeloradiculopathy: the putative role of spinal cord ischaemia GEORGE R CYBULSKI,* CHARLES M D'ANGELOt From the Department ofNeurosurgery, Cook County Hospital,* and Rush-Presbyterian St Luke's Medical Center,t Chicago, Illinois, USA SUMMARY Most cases of neurological deterioration after laminectomy for cervical radi- culomyelopathy occur several weeks to months postoperatively, except when there has been direct trauma to the spinal cord or nerve roots during surgery. Four patients are described who developed episodes of neurological deterioration during the postoperative recovery period that could not be attributed to direct intraoperative trauma nor to epidural haematoma or instability of the cervical spine as a consequence of laminectomy. Following laminectomy for cervical radiculomyelopathy Protected by copyright. four patients were unchanged neurologically from their pre-operative examinations, but as they were raised into the upright position for the first time following surgery focal neurological deficits referrable to the spinal cord developed. Hypotension was present in all four cases during these episodes and three of the four patients had residual central cervical cord syndromes. These cases represent the first reported instances of spinal cord ischaemia occurring with post-operative hypo- tensive episodes after decompression for cervical spondylosis. A number of possible causes for neurological deterio- postoperative haematomas or spine dislocation. Be- ration after laminectomy for cervical spondylosis cause of the nature of the deficits and the exclusion of have been suggested.
    [Show full text]
  • Transverse Myelitis Clinical Manifestations, Pathogenesis, and Management
    11 Transverse Myelitis Clinical Manifestations, Pathogenesis, and Management Chitra Krishnan, Adam I. Kaplin, Deepa M. Deshpande, Carlos A. Pardo, and Douglas A. Kerr 1. INTRODUCTION First described in 1882, and termed acute transverse myelitis (TM) in 1948 (1), TM is a rare syndrome with an incidence of between one and eight new cases per million people per year (2). TM is characterized by focal inflammation within the spinal cord and clinical manifestations are caused by resultant neural dysfunction of motor, sensory, and autonomic pathways within and passing through the inflamed area. There is often a clearly defined rostral border of sensory dys- function and evidence of acute inflammation demonstrated by a spinal magnetic resonance imaging (MRI) and lumbar puncture. When the maximal level of deficit is reached, approx 50% of patients have lost all movements of their legs, virtually all patients have some degree of bladder dysfunction, and 80 to 94% of patients have numbness, paresthesias, or band-like dysesthesias (2–7). Autonomic symptoms consist variably of increased urinary urgency, bowel or bladder incontinence, difficulty or inability to void, incomplete evacuation or bowel, constipation, and sexual dysfunction (8). Like mul- tiple sclerosis (MS) (9), TM is the clinical manifestation of a variety of disorders with distinct presen- tations and pathologies (10). Recently, we proposed a diagnostic and classification scheme that has defined TM as either idiopathic or associated with a known inflammatory disease (i.e., MS, systemic lupus erythematosus [SLE], Sjogren’s syndrome, or neurosarcoidosis) (11). Most TM patients have monophasic disease, although up to 20% will have recurrent inflammatory episodes within the spinal cord (Johns Hopkins Transverse Myelitis Center [JHTMC] case series, unpublished data) (12,13).
    [Show full text]
  • Clinical and Epidemiological Profiles of Non-Traumatic Myelopathies
    DOI: 10.1590/0004-282X20160001 ARTICLE Clinical and epidemiological profiles of non-traumatic myelopathies Perfil clínico e epidemiológico das mielopatias não-traumáticas Wladimir Bocca Vieira de Rezende Pinto, Paulo Victor Sgobbi de Souza, Marcus Vinícius Cristino de Albuquerque, Lívia Almeida Dutra, José Luiz Pedroso, Orlando Graziani Povoas Barsottini ABSTRACT Non-traumatic myelopathies represent a heterogeneous group of neurological conditions. Few studies report clinical and epidemiological profiles regarding the experience of referral services. Objective: To describe clinical characteristics of a non-traumatic myelopathy cohort. Method: Epidemiological, clinical, and radiological variables from 166 charts of patients assisted between 2001 and 2012 were compiled. Results: The most prevalent diagnosis was subacute combined degeneration (11.4%), followed by cervical spondylotic myelopathy (9.6%), demyelinating disease (9%), tropical spastic paraparesis (8.4%) and hereditary spastic paraparesis (8.4%). Up to 20% of the patients presented non-traumatic myelopathy of undetermined etiology, despite the broad clinical, neuroimaging and laboratorial investigations. Conclusion: Regardless an extensive evaluation, many patients with non-traumatic myelopathy of uncertain etiology. Compressive causes and nutritional deficiencies are important etiologies of non-traumatic myelopathies in our population. Keywords: spinal cord diseases, myelitis, paraparesis, myelopathy. RESUMO As mielopatias não-traumáticas representam um grupo heterogêneo de doenças
    [Show full text]
  • American College of Radiology ACR Appropriateness Criteria®
    Date of origin: 1996 Last review date: 2011 American College of Radiology ® ACR Appropriateness Criteria Clinical Condition: Myelopathy Variant 1: Traumatic. Radiologic Procedure Rating Comments RRL* CT spine without contrast 9 First test for acute management. ☢☢☢ For problem solving or operative MRI spine without contrast 8 planning. Most useful when injury is not O explained by bony fracture. May be first test in multisystem trauma, X-ray spine 7 especially when CT is delayed. To assess ☢☢☢ stability. Myelography and postmyelography CT 5 MRI preferable. spine ☢☢☢☢ Usually performed in conjunction with X-ray myelography 3 CT. ☢☢☢ For suspected vascular trauma. Use of MRA spine without and with contrast 3 contrast may vary depending on technique O used. For suspected vascular trauma. Use of MRA spine without contrast 3 contrast may vary depending on technique O used. CTA spine with contrast 3 For suspected vascular trauma. ☢☢☢ Arteriography spine 2 Varies MRI spine without and with contrast 2 O CT spine with contrast 2 ☢☢☢ Tc-99m bone scan with SPECT spine 2 ☢☢☢ In-111 WBC scan spine 2 ☢☢☢☢ MRI spine flow without contrast 2 O CT spine without and with contrast 1 ☢☢☢☢ Epidural venography 1 Varies US spine 1 O X-ray discography 1 ☢☢☢ *Relative Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate Radiation Level ACR Appropriateness Criteria® 1 Myelopathy Clinical Condition: Myelopathy Variant 2: Painful. Radiologic Procedure Rating Comments RRL* MRI spine without contrast 8 O If infection or neoplastic disorder is suspected. See statement regarding MRI spine without and with contrast 7 O contrast in text under “Anticipated Exceptions.” CT spine without contrast 7 Most useful for spondylosis.
    [Show full text]
  • 81) Designated States (Unless Otherwise Indicated, for Every PCT/EP2020/062343 Kind of National Protection Av Ailable
    ) ( (51) International Patent Classification: (74) Agent: ZWICKER, Jork; Zwicker Schnappauf & Part¬ A61K 39/00 (2006.01) C07K 1 7/00 (2006.01) ner Patentanwalte PartG mbB, Hansastr. 32, 80686 Munich C07K 7/00 (2006.01) A61P25/28 (2006.01) (DE). (21) International Application Number: (81) Designated States (unless otherwise indicated, for every PCT/EP2020/062343 kind of national protection av ailable) . AE, AG, AL, AM, AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, BZ, (22) International Filing Date: CA, CH, CL, CN, CO, CR, CU, CZ, DE, DJ, DK, DM, DO, 04 May 2020 (04.05.2020) DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, HN, (25) Filing Language: English HR, HU, ID, IL, IN, IR, IS, JO, JP, KE, KG, KH, KN, KP, KR, KW, KZ, LA, LC, LK, LR, LS, LU, LY, MA, MD, ME, (26) Publication Language: English MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, NO, NZ, (30) Priority Data: OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, RW, SA, 19172392.3 02 May 2019 (02.05.2019) EP SC, SD, SE, SG, SK, SL, ST, SV, SY, TH, TJ, TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, WS, ZA, ZM, ZW. (71) Applicant: DEUTSCHES ZENTRUM F R NEU- RODEGENERATIVE ERKRANKUNGEN E.V. (84) Designated States (unless otherwise indicated, for every (DZNE) [DE/DE]; Venusberg-Campus 1, Gebaude 99, kind of regional protection available) . ARIPO (BW, GH, 53 127 Bonn (DE). GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, ST, SZ, TZ, UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, (72) Inventors: EDBAUER, Dieter; Blumenstralk 30, 821 10 TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, Germering (DE).
    [Show full text]
  • Vascular Myelopathy
    J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.30.3.195 on 1 June 1967. Downloaded from J. Neurol. Neurosurg. Psychiat., 1967, 30, 195 Spinal cord arteriosclerosis and progressive vascular myelopathy KURT JELLINGER From the Neurological Institute of University of Vienna, Austria Spinal cord arteriosclerosis is considered to be Hughes and Brownell, 1966). Recently we reported infrequent compared with atheromatosis in other on more than 60 cases, all verified at necropsy, in parts of the body. Whereas Staemmler (1939) could which a complex neurological syndrome, often not observe any atheromatous changes in the spinal referable to a combined lesion ofthe upper and lower cords of 700 unselected cadavers, Nunes Vicente motor neurone, was associated with generalized (1964) noted mild arteriosclerosis of major spinal arteriosclerosis and severe aortic atheroma without vessels in 13 out of 200 consecutive necropsy cases. thrombosis or occlusion of the spinal tributaries Mannen (1963) even reported the incidence of 2-6% (Jellinger and Neumayer, 1966). The pathogenesis of atheromatous plaques in the anterior spinal artery this rarely diagnosed condition is obscure as, till of 300 unselected cases upon which necropsies were now, there have been neither sufficient observations performed in a geriatric hospital. Moderate to severe regarding the incidence of spinal cord atherosclerosis atheroma of cord nor data on in spinal vessels has been observed relevant the changes of spinal vessels Protected by copyright. incidentally but only exceptionally has spinal cord old age, generalized arteriosclerosis, and systemic infarction been caused by documented occlusion of hypertension. spinal arteries (Thill, 1923; Zeitlin and Lichtenstien, In this communication the incidence of arterio- 1936; Antoni, 1941; Garstka, 1953; Hogan and sclerotic changes and vascular fibrosis in the spinal Romanul, 1966; Jellinger, 1966, 1967).
    [Show full text]
  • Myelopathy in Systemic Diseases
    Faculty of Medicine Siriraj Hospital Mahidol University The Neurological Society of Thailand February 6th, 2020 Chiangrai Hospital Myelopathy in Systemic Diseases Naraporn Prayoonwiwat, M.D. Neurology Division, Department of Medicine Siriraj Hospital [email protected] 02 419 7101-2 Myelopathy An Approach Scope Essential neuroanatomy ascending tract descending tract vascular supply Approach: differential diagnosis clinical presentation clinical course etiology d NP AscendingMyelopathy tracts LateralAn spinothalamicApproach tract Scope Ventral spinothalamic tract Essential Dorsalneuroanatomy funiculus: Fasciculus cuneatus Fasciculus gracilis P ascendingSpinoreticulothalamic tract tract descendingSpinocerebellar tract tract vascularCuneocerebellar supply tract Approach:Rostrocerebellar differentialtract diagnosis clinical presentation clinical course etiology d NP Brazis: Localization in Clinical Neurology 2017 Myelopathy An Approach Scope Essential neuroanatomy P ascending tract descending tract Sensory vascularafferent fibers supply via dorsal root Unmyelinated fiber (pain, temperature) ascend/descend few Approach:levels to synapse differential in dorsal horn diagnosis (2nd order neurons) axons decussateclinical presentationin anterior white commissure to ventrolateral clinical quadrant course as lateral spinothalamic tract ascends etiology to ventrolateral thalamus d NP Brazis: Localization in Clinical Neurology 2017 Sensory Spinothalamic tract in Tracts dorsolateral Pain and brain stem Temperature Sensation S Pathway
    [Show full text]
  • Syringomyelia As a Sequel to Traumatic Paraplegia
    Paraplegia 19 ('98,) 67-80 0031 -1758/81/00200067 $02.00 © 198 I International Medical Society of Paraplegia Papers read at the Annual Scientific Meeting of the International Medical Society of Paraplegia held at Beekbergen, July 1980 I. Session on Post-Traumatic Cystic Degeneration of the Cord SYRINGOMYELIA AS A SEQUEL TO TRAUMATIC PARAPLEGIA By BERNARD WILLIAMS, M.D., Ch.M., F.R.C.S.I, ARTHUR F. TERRY, M.D.2, H. W. FRANCIS JONES, M.D., F.R.C.P., D.P.M.D.A.2, and T. MCSWEENEY, M.Ch.Orth., F.R.C.S.2 1 The Midland Centre for Neurosurgery & Neurology, Holly Lane, Smethwick, Warley, West Midlands, B67 7JX. 2 Midland Spinal Injuries Unit, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, SYIO lAG. Abstract. Ten cases of post-traumatic paraplegia are described in whom syringomyelia symptoms have supervened. Five patients have been operated upon after investigation. Operative results have been encouraging. A discussion of likely pathogenetic mechanisms is presented. Key words: Paraplegia; Syringomyelia; CSF dynamics; CSF pressure; CSF pulsation. PRIOR to World War II few patients with traumatic paraplegia survived for long. Survival of these patients has been helped by antibiotics and improved nursing care. In spite of improvements in the overall management of these patients, many complications and post-traumatic sequelae occur. Among these is the syndrome of progressive ascending post-traumatic syringomyelia. Although the reported incidence of this condition is low, 0'3 to 2'3 per cent (Barnett & Jousse, 1976), the effect on the patients can be disastrous. There are several varieties of cord cavita­ tion of which post-traumatic syringomyelia is but one example (Barnett, Foster & Hudgson, 1973).
    [Show full text]
  • |||GET||| Rare Diseases and Syndromes of the Spinal Cord 1St Edition
    RARE DISEASES AND SYNDROMES OF THE SPINAL CORD 1ST EDITION DOWNLOAD FREE Ibrahim M Eltorai | 9783319451466 | | | | | Anesthetic Management in Mucopolysaccharidoses The CoRDS registry serves as a central resource for data on rare diseases to accelerate research into those diseases. Cowan, B. Back pain prevalence and visit rates: estimates from US Nation Surveys, Rheumatologic and Myofascial Pain. The American Journal of Medicine Review. Early extubation, immediately after the procedure, reduces the risk of urgent tracheotomy [ 246970 ]. Hillman, P. Ketorolac must be used with great caution if used in persons over age 70, orally, or in persons Rare Diseases and Syndromes of the Spinal Cord 1st edition renal compromise. A contrast MRI of the lumbar-sacral spinal canal is required for a confirmatory diagnosis providing the history, symptoms, and physical examination are also compatible see Table I. In case of malacia, however, the neck extension to maintain tracheal patency could be necessary [ 20 ]. These patients sent us their MRIs with a clinical history to develop a profile, which is described and summarized in Table I. Baluch, R. In cases where more than one year has passed a new evaluation is necessary because the new deposition of GAGs may have altered the previous airway anatomy, the cardiac and pulmonary functions, causing impairments such as Obstructive Sleep Apnoea Syndrome OSAS. Lumbrosacral arachnoiditis. Picilli, A. Yaplito-Lee, and H. Major causes of AA cases today include degenerative spine disorders that anatomically compress cauda equina nerve roots and initiate a process of friction, inflammation, and adhesion formation. When this occurs, lower back pain develops. Sign up here as a reviewer to help fast-track new submissions.
    [Show full text]
  • Intracranial Dural Arteriovenous Fistula with Venous Reflux to the Brainstem and Spinal Cord Mimicking Brainstem Infarction —Case Report—
    p024 p.1 [100%] Neurol Med Chir (Tokyo) 44, 24¿28, 2004 Intracranial Dural Arteriovenous Fistula With Venous Reflux to the Brainstem and Spinal Cord Mimicking Brainstem Infarction —Case Report— Jun LI*,#, Masayuki EZURA**,AkiraTAKAHASHI**,andTakashiYOSHIMOTO*** *Department of Neuroendovascular Therapy, Kohnan Hospital, Sendai, Miyagi; Departments of **Neuroendovascular Therapy and ***Neurosurgery, Tohoku University School of Medicine, Sendai, Miyagi; #Department of Neurology, Qingdao Municipal Hospital, Qingdao, P.R.C. Abstract A 73-year-old man presented with a rare transverse sinus dural arteriovenous fistula (dAVF) with venous reflux to the brainstem and medulla manifesting as brainstem and spinal cord edema mimicking brainstem infarction. Complete occlusion of the fistula was achieved by transvenous embolization, resulting in angiographic cure of the fistula and progressive improvement of the symptoms. Intracrani- al dAVFs with perimedullary venous drainage, type V according to the Cognard classification, are rare lesions with distinctive clinical, radiological, and therapeutic aspects. This case demonstrates that the symptoms of dAVF with perimedullary venous reflux are variable, so dAVF should be considered in patients with clinical and radiological findings suggestive of congestion in the brainstem and spinal cord. Dysfunction of the medulla and spinal cord caused by venous hypertension is the most probable cause of the neurological symptoms in such cases. Interventional therapy can lead to angiographic cure and resolution of the symptoms. Key words: dural arteriovenous fistula, vascular myelopathy, venous hypertension, embolization Introduction We present a rare case of transverse sinus dAVF with venous reflux to the brainstem and medulla Dural arteriovenous fistulae (dAVFs) are character- manifesting as brainstem and spinal cord edema ized by abnormal shunting of blood between the mimicking brainstem infarction.
    [Show full text]
  • Elsberg Syndrome a Rarely Recognized Cause of Cauda Equina Syndrome and Lower Thoracic Myelitis
    Elsberg syndrome A rarely recognized cause of cauda equina syndrome and lower thoracic myelitis Filippo Savoldi, MD ABSTRACT Timothy J. Kaufmann, Objective: Elsberg syndrome (ES) is an established but often unrecognized cause of acute lumbo- MD sacral radiculitis with myelitis related to recent herpes virus infection. We defined ES, determined Eoin P. Flanagan, its frequency in patients with cauda equina syndrome (CES) with myelitis, and evaluated its clin- MBBCh ical, radiologic, and microbiologic features and outcomes. Michel Toledano, MD Methods: We searched the Mayo Clinic medical records for ES and subsequently for combinations Brian G. Weinshenker, of index terms to identify patients with suspected CES and myelitis. MD Results: Our search yielded 30 patients, 2 diagnosed with ES and an additional 28 with clinical or radiologic evidence of CES retrospectively suspected of having ES. We classified patients in 5 Correspondence to groups according to diagnostic certainty. MRI and EMG confirmed that 2 had only myelitis, 5 only Dr. Weinshenker: radiculitis, and 16 both. Two had preceding sacral herpes infection and 1 oral herpes simplex. [email protected] Spinal cord lesions were commonly multiple, discontinuous, not expansile, and centrally or ven- trally positioned. Lesions generally spared the distal conus. Nerve root enhancement was occa- sionally prominent and was smooth rather than nodular. Lymphocytic CSF pleocytosis was common. Thirteen patients (43%) had viral isolation studies, which were commonly delayed; the delay may have accounted for the low rate of viral detection. Acyclovir was administered to 6 patients. Most patients recovered with sequelae; 1 patient experienced encephalomyelitis and died. Conclusion: ES is a definable condition likely responsible for 10% of patients with combined CES and myelitis.
    [Show full text]