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Spinal Cord Series and Cases

Antonio Montalvo Afonso, Olga Mateo Sierra, Oscar Lucas Gil de Sagredo Del Corral, Antonio José Vargas López, Lain Hermes González-Quarante, Emma Sola Vendrell, Julia Romero Martínez
Introduction: Posterior migration of sequestered disc is an extremely rare event that mimics more common spinal lesions as spinal tumors, making difficult its preoperative diagnosis and appropriate management. We retrospectively reviewed all lumbar disc herniations treated by surgery at our institution from 2006 to 2016 to identify cases with posterior sequestered disc fragments and possible misdiagnosis for other spinal lesions. Complementarily, a literature review of misdiagnosed cases of posterior migrated discs was undertaken...
2018: Spinal Cord Series and Cases
Fin Biering-Sørensen, Michael Kennelly, Thomas M Kessler, Todd Linsenmeyer, Jürgen Pannek, Lawrence Vogel, Jean-Jacques Wyndaele
Study design: Revision, review, and presentation of the International Spinal Cord Injury (SCI) Lower Urinary Tract (LUT) Function Basic Data Set (version 2.0). Objectives: Describe the revision and review and present the data set. Setting: International. Methods: The first version of the data set was revised according to new knowledge and suggestions. The review included International SCI Data Sets Committee, American Spinal Injury Association (ASIA) board, International Spinal Cord Society (ISCoS) executive and scientific committees, major organizations, and interested individuals...
2018: Spinal Cord Series and Cases
Martin Brummerstedt, Marie Bangstrup, Toke S Barfod
Study design: Retrospective cohort study. Objective: In this pilot study, we aimed to assess the incidence, diagnostic strategies, treatment regimens, and outcomes of pyogenic vertebral osteomyelitis (PVO), in a non-urban, Northern European population during 1 year. Setting: Region Zealand, Denmark. Methods: All patients admitted to a hospital in Region Zealand during 2013 and subsequently discharged with a diagnosis of PVO or discitis were eligible for screening...
2018: Spinal Cord Series and Cases
Samay Sappal, Lance L Goetz, Randy Vince, Adam P Klausner
Study design: This study was a double-blind, placebo-controlled trial of a concentrated PACs compound (36 mg/capsule), in veterans with SCI and neurogenic lower urinary tract dysfunction (NLUTD) requiring intermittent catheterization (IC) over a 15-day period. Objectives: The objective of this study was to evaluate the acute effects of concentrated proanthocyanidins (PACs) in the cranberry supplement ellura® on bacteriuria, leukocyturia, and subjective urine quality in catheter-dependent veterans with SCI...
2018: Spinal Cord Series and Cases
Shyam S Swarna, David McKean, Maurizio Belci
Introduction: Subarachnoid haemorrhage is a catastrophic condition which has significant morbidity and mortality, with mortality rate ranging between 8-67% and is associated with significant morbidity among the survivors. Arachnoiditis of the spinal cord is a very rare complication which can occur months to years after the subarachnoid haemorrhage. Case presentation: We report a case of cervicothoracic arachnoiditis following the subarachnoid haemorrhage secondary to posterior inferior cerebellar artery (PICA) aneurysm with posterior fossa AVM (arterio-venous malformation) causing dense paraplegia...
2018: Spinal Cord Series and Cases
Andrei F Joaquim, Alpesh A Patel, Gregory D Schroeder, Alexander R Vaccaro
Study design: Review of illustrative cases of a new algorithm to help in the treatment decision of thoracolumbar spine trauma. Objectives: To illustrate the use of the new algorithm for managing thoracic and lumbar spine trauma. Settings: Recently, a new algorithm for helping in the decision of the best treatment modality for thoracolumbar spine trauma (TLST) was published. The algorithm considers injury morphology, neurological status, clinical status (pain and disability), and also multimodal radiological evaluation (MMRE) in the decision for non-operative versus operative treatment for TLST...
2018: Spinal Cord Series and Cases
Colin K Franz, Kyriakos Dalamagkas, Lewis A Jordan, Gayle R Spill
Introduction: People with spinal cord injury (SCI) are getting older due to a combination of increased life expectancy and older age at the time of injury. This trend makes it more likely for these patients to have other chronic health conditions including cancer. Inevitably relatively rare cancers such as soft tissue sarcomas (STS), which are more common with advancing age, will occur in some SCI patients. The present case represents the first report of a limb STS in a patient with chronic paraplegia from a traumatic SCI...
2018: Spinal Cord Series and Cases
Kate Fiona Jones, Pat Dorsett, Lynne Briggs, Grahame Kenneth Simpson
Study design: Descriptive, qualitative study. Objectives: To explore the perspectives of health professionals (HPs) regarding the role of spirituality in spinal cord injury (SCI) rehabilitation. Setting: Single centre rehabilitation hospital, NSW, Australia. Methods: Two focus groups ( n  = 12) were conducted with HPs (e.g., nursing, allied health, medical) working in SCI inpatient rehabilitation. A semi-structured interview was employed, consisting of questions about spirituality and its role in SCI rehabilitation...
2018: Spinal Cord Series and Cases
Marcalee Alexander
No abstract text is available yet for this article.
2018: Spinal Cord Series and Cases
Shandy Fox, Lauren Allen, Jonathan Norton
Introduction: Odontoid fractures in young children are rare. Most authors advocate for closed reduction and external stabilization as first line treatment. Unlike adults, young children are much less amenable to an awake reduction for real-time assessment of neurological function. We used spinal cord monitoring, as used in spine surgery, to assess the function of the spinal cord during the closed reduction in our 31-month-old patient. Case presentation: A 31-month-old male presented with a displaced odontoid fracture and ASIA C spinal cord injury...
2018: Spinal Cord Series and Cases
Satoru Shimizu, Masashi Nakajima, Masayuki Yamazaki, Takashi Nagayama, Ryuta Suzuki
Introduction: Cervical spinal cord injury with the C3 neurological level may cause respiratory failure and require long-term mechanical ventilation. Conventional weaning of spontaneous breathing trials is difficult to perform outside of intensive care or spinal cord units. Case presentation: An 80-year-old man presented with total tetraplegia and restrictive respiratory failure that required assisted ventilation after a falling accident. Cervical spine magnetic resonance imaging showed cervical cord compression that was worst at the C3-C4 intervertebral level...
2018: Spinal Cord Series and Cases
Mojtaba Rezaei, Mahmoud Omidbeigi, Sara Hanaei, Negin Saeedi, Khatereh Naghdi, Alexander R Vaccaro, Vafa Rahimi-Movaghar
Study design: Descriptive study of the results of a web-based consultation service for individuals with spinal cord injury (SCI). Objectives: To review frequently asked questions (FAQ) among individuals with SCI and determine the most important topics. Setting: Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran. Methods: A cross-sectional study reviewing questions from patients with SCI that were collected from the Health and Safety Consultant Center (HSCC) between January and December 2015...
2018: Spinal Cord Series and Cases
Giovanni Galeoto, Anna Berardi, Rita De Santis, Laura Di Valentini, Rosmara Beccasio, Maria Auxiliadora Marquez, Maria Luisa Giordano, Domenico Guarino, Marco Tofani
Study design: Psychometric study. Objective: To assess the reliability and validity of the Italian-translated and adapted version of the Van Lieshout test (VLT) in a population of people with cervical spinal cord injury (C-SCI). Setting: Multicenter study in multiple hospitals in Italy. Methods: The original scale was translated from English to Italian according to international guidelines. The internal consistency, test-retest reliability, and responsiveness of the Italian version of the VLT (IT-VLT) were examined...
2018: Spinal Cord Series and Cases
Francisco Ismael Villarreal-García, Pedro Martin Reyes-Fernández, Oscar Armando Martínez-Gutiérrez, Víctor Manuel Peña-Martínez, Rodolfo Morales-Ávalos
Introduction: Stab-wound injuries to the spinal cord are rare and currently, do not have a well-established management in the literature despite its strong association with neurological injury. Case presentation: We report a case of a patient with a stab-wound injury with a knife in the lumbar region, who underwent direct removal in the operating room without surgical exploration. Upon admission, the patient had no neurological deficit. The X-rays and CT scan before removal showed the involvement of >50% of the intramedullary canal at L2...
2018: Spinal Cord Series and Cases
Sona Saksena, Mahdi Alizadeh, Devon M Middleton, Chris J Conklin, Laura Krisa, Adam Flanders, M J Mulcahey, Feroze B Mohamed, Scott H Faro
Study design: Retrospective study. Objectives: To perform quantitative DTI measurements of the entire cervical and thoracic spinal cord (SC) in typically developing (TD) pediatric subjects with incidental findings of syringomyelia or hydromyelia on conventional MRI and in a TD population without any abnormalities. Setting: USA. Methods: 26 TD recruited as part of large SC DTI study, four of these had incidental findings...
2018: Spinal Cord Series and Cases
Torey M Anderson, Kaitlynn L McKirgan, Jennifer D Hastings
Study design: The primary study design was a pretest and posttest study performed in a single session with subjects as their own control. We summarize three integrated and sequential studies. Objective: The objective of this study was to investigate whether commercially available cushioned shorts would add skin protection when used in adaptive sports equipment (AE). Setting: Community in Tacoma Washington, USA. Methods: TekScan Pressure Mapping System for recording average (AP) and peak (PP) seating pressures...
2018: Spinal Cord Series and Cases
Ashley L de Padua, Kimberly Strickland, Mary Patrick, John F Ditunno
Introduction: Women with spinal cord injury (SCI) and who develop breast cancer are a vulnerable and potentially overlooked population. They experience risk factors owing to decreased mobility and are at risk for unique complications from their oncologic treatment. Case presentation: A 54-year-old woman who suffered a T6 AIS A traumatic SCI in 1981, who was diagnosed 32 years later with estrogen receptor and progesterone receptor positive and human epidermal growth factor receptor 2-negative invasive ductal carcinoma...
2018: Spinal Cord Series and Cases
H S Chhabra, G Sachdeva, A Kovindha, M S Hossain, N Hasnan, E Thapa, S Rajasekaran, M Y Yusniza, S Sybil Shah, N Pinto, C Groves, P Kammuang-Lue, S U Helal, A Ahmad Fauzi, S Aiyer, N B Ahmad Kasah, R A C Niroshanie
Study design: Global mapping project of ISCoS for traumatic spinal cord injury (T-SCI) highlighted paucity of data from low and middle income countries (LMICs). Recognizing this gap, IDAPP study of one year duration was proposed as the first step to develop an International SCI database. Objectives: Primary objective was to assess database variables, processes involved and web platform for their suitability with a view to provide guidance for a large scale global project...
2018: Spinal Cord Series and Cases
Raúl A Rosario-Concepción, Juan Carlos Pérez, Claudia Jiménez, Walter R Frontera, Carmen López-Acevedo
Introduction: Brown-Séquard Syndrome (BSS) is one of the rarest incomplete spinal cord syndromes. The combination of injuries to peripheral nerves and the central nervous system result in an array of symptoms that can result in overlapping clinical presentations and delayed diagnosis. Early detection of spinal cord injury in patients with peripheral nerve injury has been observed to have a positive effect on outcomes. Case presentation: This report discusses the case of a 29-year-old male patient with Brown-Sequard-Plus Syndrome (BSPS) and Brachial Plexopathy (BP) secondary to gunshot wound in the left inferior neck...
2018: Spinal Cord Series and Cases
Fatimah Ahmedy, Aishah Ahmad Fauzi, Julia Patrick Engkasan
Introduction: Tachycardia, or elevated heart rate is one of the important clinical parameters considered when diagnosing pulmonary embolism (PE) based on Wells' criteria. However, tachycardia is not highly specific and commonly presents in many other conditions. Case presentation: A 29-year-old female with incomplete paraplegia secondary to tuberculosis (TB) spondylodiscitis presented with asymptomatic sinus tachycardia. The related medical conditions, including anaemia, acute coronary syndrome, hyperthyroidism and other infective causes had been ruled out...
2018: Spinal Cord Series and Cases
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