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Spinal Cord Series and Cases

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https://www.readbyqxmd.com/read/29736265/evaluation-of-a-clinical-implementation-of-a-respiratory-muscle-training-group-during-spinal-cord-injury-rehabilitation
#1
Anja M Raab, Jörg Krebs, Claudio Perret, Mirjam Pfister, Maria Hopman, Gabi Mueller
Study design: Retrospective cohort study. Objective: To evaluate the clinical implementation of a respiratory muscle training group during rehabilitation of individuals with spinal cord injury. Setting: Spinal cord injury rehabilitation center. Methods: Individuals with complete or incomplete lesions during inpatient rehabilitation, level C4-T12.Ten or more training sessions of either an inspiratory or a combined in- and expiratory muscle training were performed in a group setting with respiratory function measurements before and after the training period...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29736264/clinical-management-of-friedreich-s-ataxia-a-report-of-two-cases
#2
Yannis Dionyssiotis, Athina Kapsokoulou, Anna Danopoulou, Maria Kokolaki, Athina Vadalouka
Introduction: Friedreich's ataxia (FDRA) is the most common autosomal recessive, early-onset ataxia. FDRA is a progressive neurodegenerative disease that mainly affects the posterior (dorsal) columns of the spinal cord resulting in sensory ataxia. It manifests in initial symptoms of poor coordination and gait disturbance. Case presentation: We present two cases, a brother (54 years old) and sister (56 years old), with FDRA that are chronically institutionalized for incomplete quadriplegia without spasticity...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29736263/using-nerve-transfer-to-restore-prehension-and-grasp-12-years-following-spinal-cord-injury-a-case-report
#3
Ida K Fox, Christine B Novak, Lorna C Kahn, Susan E Mackinnon, Rimma Ruvinskaya, Neringa Juknis
Introduction: Nerve transfers are used routinely for reconstruction of hand function following lower motor neuron lesions. In people with cervical spinal cord injury (SCI), this novel and alternate reconstruction option may be useful to restore prehension and grasp, and improve hand function. Case presentation: A 34-year-old male presented 12 years post-mid-cervical SCI. Pre-operative electrodiagnostic studies revealed intact lower motor neurons below the SCI level...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29736262/feasibility-of-robotic-exoskeleton-ambulation-in-a-c4-person-with-incomplete-spinal-cord-injury-a-case-report
#4
Robert M Lester, Ashraf S Gorgey
Introduction: To determine whether an individual with C4 incomplete spinal cord injury (SCI) with limited hand functions can effectively operate a powered exoskeleton (Ekso) to improve parameters of physical activity as determined by swing-time, up-time, walk-time, and total number of steps. Case presentation: A 21-year-old male with incomplete chronic (>1 year postinjury) SCI C4, participated in a clinical exoskeleton program to determine the feasibility of standing up and walking with limited hand functions...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29707239/falls-mobility-and-physical-activity-after-spinal-cord-injury-an-exploratory-study-using-photo-elicitation-interviewing
#5
Kristin E Musselman, Catherine Arnold, Clara Pujol, Kaylea Lynd, Sarah Oosman
Study design: Exploratory qualitative study using photo-elicitation interviews. Objectives: To identify contributors to falls, as perceived by individuals with incomplete spinal cord injury, and describe the impact of perceived fall risk on mobility and physical activity. Setting: Participants' home and community environments. Methods: Eight individuals with chronic motor incomplete spinal cord injury participated. Participants took photographs of situations that increased/decreased their risk of falling, or depicted how this risk impacted mobility and physical activity...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29707238/open-surgery-for-haemorrhoids-in-persons-with-spinal-cord-injury
#6
J G Previnaire, N De Bont, H Bordi, N Senal, P E Mortier
Study design: Pilot retrospective study on the outcome of open surgery for grade III and IV haemorrhoids in patients with SCI. Objective: Haemorrhoids and anal fissures are common in patients with spinal cord injury (SCI). Grade I to III haemorrhoids are usually managed medically or by surgical ligation. Grade III and IV haemorrhoids are treated with surgical haemorrhoidectomy in the general population, but not in patients with SCI, most probably due to fear of complications...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29707237/pilot-study-of-a-training-program-to-enhance-transformational-leadership-in-spinal-cord-injury-peer-mentors
#7
Kathleen A Martin Ginis, Robert B Shaw, Matthew J Stork, Alfiya Battalova, Christopher B McBride
Study design: Experimental, pragmatic design. Objectives: (1) To determine the effects of a transformational leadership (TFL) training program on spinal cord injury (SCI) peer mentors and their mentees; (2) To document characteristics of mentorship within a community-based SCI peer mentor program. Methods: In total 23 SCI peer mentors (70% male; M age = 47.4 ± 12.1) were randomly allocated to an Experimental or Control condition. Experimental condition mentors received a half-day TFL workshop and bi-weekly emailed information on using TFL in SCI peer mentorship...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29707236/subacute-histopathological-features-in-a-case-of-varicella-zoster-virus-myelitis-and-post-herpetic-neuralgia
#8
Pouria Moshayedi, Diana Thomas, Charles R Rinaldo, John J Moossy, Joseph C Maroon, Geoffrey H Murdoch, Ronald L Hamilton, Houman Homayoun
Introduction: Post-herpetic neuralgia is a crippling complication of varicella zoster virus (VZV) reactivation, also known as zoster disease. In rare cases, VZV spreads to the spinal cord and causes myelitis. There is a paucity of data on spinal cord histopathology in the subacute phase of post-herpetic neuralgia and VZV myelitis. Case description: In this report, we present a case of post-herpetic neuralgia in a patient who died 5 weeks after initiation of symptoms...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29644101/spinal-cord-injury-epidemiological-profile-in-the-sarah-network-of-rehabilitation-hospitals-a-brazilian-population-sample
#9
D C Barbetta, T R Smanioto, M F Poletto, Rfa Ferreira, Acg Lopes, F M Casaro, Acs Camargo, T O Ogashawara
Study design: Retrospective cross-sectional study. Objective: To describe the epidemiological profile of individuals with spinal cord injury (SCI), who visited the Sarah Network in 2014. Setting: Brazil, Brasília-Federal District. Methods: A review of the electronic medical records of persons with SCI, aged over 15 years, was carried out. Results: The medical records of 2076 persons were evaluated: 83% were male, the mean age was 31 years, 40% did not complete elementary school, 67...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29644100/persistent-urine-leakage-around-a-suprapubic-catheter-the-experience-of-a-person-with-chronic-tetraplegia
#10
Subramanian Vaidyanathan, Jerry Ward, Bakul M Soni, Peter Hughes, Tun Oo
Introduction: Persistent urine leakage after suprapubic cystostomy in tetraplegic subjects occurs due to shrinkage of the urinary bladder and bladder spasms. The patient's social life is adversely affected as clothes become wet, smelly, and require frequent changing, thus increasing the workload of carers. Case presentation: A 48-year-old male sustained C-4 complete (AIS:A) tetraplegia while swimming in 2007. Suprapubic cystostomy was performed in 2009. From 2012, this patient had urine leakage around the suprapubic catheter, which became progressively more frequent...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29619251/spinal-subdural-hematoma-and-ankylosing-spondylitis-case-report-and-review-of-literature
#11
Darian R Esfahani, Harsh P Shah, Mandana Behbahani, Gregory D Arnone, Ankit I Mehta
Introduction: Spinal subdural hematomas are rare, disabling hemorrhages. Ankylosing spondylitis (AS) is a relatively common inflammatory condition of the spine that can progress to a fragile, unstable fusion vulnerable to fracture. While spinal epidural hematomas have been described, subdural hematomas to date have not been reported in AS. In this report, we describe the unique case of a patient on warfarin with AS who developed a spinal subdural hematoma and fracture in the absence of trauma...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29619250/relationship-between-autonomic-cardiovascular-control-and-obstructive-sleep-apnoea-in-persons-with-spinal-cord-injury-a-retrospective-study
#12
Xizhe Fang, Min Yin Goh, Christopher O'Callaghan, David Berlowitz
Study design: Retrospective study. Objective: To determine if there is an association between obstructive sleep apnoea (OSA) and blood pressure (BP) pattern or heart rate variability (HRV) in people with spinal cord injury (SCI). Setting: A state-based spinal cord service in Victoria, Australia. Methods: We identified 42 subjects who had ambulatory BP monitoring (ABPM) within 6 months of a diagnostic sleep study at Austin Hospital between 2009 and 2014...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29619249/participation-restriction-and-assistance-needs-in-people-with-spinal-cord-injuries-of-more-than-40-year-duration
#13
Gordana Savic, Hans L Frankel, Mohamed Ali Jamous, Bakulesh M Soni, Susan Charlifue
Study design: Prospective observational. Objectives: Examine changes in participation restriction and assistance needs in a sample of people with long-standing spinal cord injuries (SCIs). Setting: Two British spinal centres. Methods: The sample consisted of British ageing with SCI study participants who were seen at baseline (1990 or 1993) and in the final follow-up (2010). Outcome measures were the Craig Handicap Assessment and Reporting Technique-Short Form (CHART-SF) and interview questions about assistance needs...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29581893/effect-of-indoor-wheelchair-curling-training-on-trunk-control-of-person-with-chronic-spinal-cord-injury-a-randomised-controlled-trial
#14
Tanja Herzog, Jaap Swanenburg, Markus Hupp, Anne-Gabrielle Mittaz Hager
Study design: Randomised, controlled, single-blind crossover design study. Objective: Effect of indoor wheelchair curling training on trunk control of a person with chronic spinal cord injury (SCI). Setting: SCI Centre of Balgrist University Hospital in Zurich, Switzerland. Methods: The trunk control of 13 subjects was assessed by the modified functional reach test (MFRT) and nonlinear dynamic systems analysis (NDSA) before and after eight indoor curling training sessions and compared to everyday life over 4 weeks...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29581892/primary-intramedullary-spinal-cord-tumour-in-pregnancy-a-case-report
#15
Kyoko Fujii, Makoto Orisaka, Makoto Yamamoto, Koji Nishijima, Yoshio Yoshida
Introduction: Primary spinal cord tumours can lead to severe neurological complications and even death. Pregnant women often complain of discomfort of the lower limbs, which is usually caused by sciatica. Here we present the case of a pregnant woman, who was initially considered to have sciatica, but was finally diagnosed with a primary intramedullary spinal cord tumour. Case presentation: A 28-year-old pregnant woman presented to our hospital with inexplicable numbness in her lower limbs...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29581891/multifocal-primary-melanoma-of-the-cervical-spinal-cord-successfully-treated-by-tumorectomy-a-case-report
#16
Takahito Iga, Akio Iwanami, Takeru Funakoshi, Shuji Mikami, Osahiko Tsuji, Narihito Nagoshi, Eijiro Okada, Nobuyuki Fujita, Mitsuru Yagi, Kota Watanabe, Masaya Nakamura, Morio Matsumoto
Introduction: Multifocal primary melanoma of the spine is extremely rare. Here, we report a case of multifocal primary melanoma of the cervical spinal cord. Case presentation: A 39-year-old man presented with a 1-year history of numbness of the upper extremities and back. Magnetic resonance imaging of the cervical spine suggested multifocal intradural extramedullary tumors at levels C2 and C4-C5. A diagnostic biopsy revealed a pathological diagnosis of malignant melanoma...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29581890/recurrent-discitis-in-the-acute-rehab-setting-a-case-report
#17
Kunj Patel, Lauren Hutts, Stephen Porter, Zachary Fausel, Dale Strasser
Introduction: Discitis is an infection of the intervertebral disc space that can lead to paralysis, sepsis, epidural abscess, or other life-threatening complications if left untreated and may sometimes present with limited laboratory abnormalities to clue a diagnosis. Case presentation: We present a case of a 67-year-old female in an acute rehabilitation setting who had presenting symptoms of sudden unexplained back pain refractory to pain control. She had a previous history of discitis and multiple failed knee replacement surgeries secondary to MSSA infections...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29581889/non-traumatic-myelopathy-associated-with-prolonged-hyperextension-during-swimming-an-unusual-variation-of-surfer-s-myelopathy
#18
Edward Green, Umme Sara Zishan, Nicola Robertson, Joseph Papanikitas, Sarah Yanny, Richard Hughes, David McKean
Introduction: Surfer's myelopathy (SM) is a rare cause on non-traumatic acute myelopathy. This has classically been described in novice surfers however has been reported in other scenarios. Case presentation: We present a case of non-traumatic paraparesis associated with prolonged cervical hyperextension during swimming with imaging characteristics consistent with an unusual variation of SM in a swimmer. Discussion: SM and its variants should be considered in the differential diagnosis of any patient presenting with an anterior spinal cord syndrome with a history of either sustained or repeated spinal hyperextension...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29560278/the-importance-of-preoperative-tissue-sampling-for-mobile-spine-chordomas-literature-review-and-report-of-two-cases
#19
Jeffrey A Zuccato, Christopher D Witiw, Julia Keith, Erin Dyer, Arjun Saghal, Leodante da Costa
Introduction: Pre-operative biopsy and diagnosis of chordomas of the mobile spine is indicated as en bloc resections improve outcomes. This review of the management of mobile spine chordomas includes two cases of unexpected mobile spine chordomas where a preoperative tissue diagnosis was decided against and may have altered surgical decision-making. Case presentation: Two lumbar spine chordomas thought to be metastatic and primary bony lesions preoperatively were not biopsied before surgery and eventual pathology revealed chordoma...
2018: Spinal Cord Series and Cases
https://www.readbyqxmd.com/read/29560277/awareness-of-traumatic-occult-lateral-mass-fracture-of-the-cervical-spine-triggered-by-the-presence-of-unilateral-vertebral-artery-occlusion-a-case-report
#20
Tsunehiko Konomi, Kota Suda, Satoko Matsumoto, Miki Komatsu, Masahiko Takahata, Norimasa Iwasaki, Akio Minami
Introduction: We present an unusual case of traumatic occult lateral mass fracture of the cervical spine with unilateral occlusion of the vertebral artery (VA), that was missed by plain X-ray and magnetic resonance imaging (MRI), but identified by computed tomography (CT) after suspecting high-energy trauma as the underlying cause. Case presentation: A 67-year-old male was injured in a car accident and came to our institute on foot 4 days after injury with complaints of neck pain and numbness in the right hand...
2018: Spinal Cord Series and Cases
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