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Spinal Cord Series and Cases

Yuichiro Nishiyama, Akio Iwanami, Shuji Mikami, Soya Kawabata, Osahiko Tsuji, Narihito Nagoshi, Eijiro Okada, Nobuyuki Fujita, Mitsuru Yagi, Ken Ishii, Morio Matsumoto, Masaya Nakamura, Kota Watanabe
Introduction: Post-transplant lymphoproliferative disorder (PTLD) is a condition associated with post-transplant immunosuppression that can develop in various organs, including the grafted one. However, it has rarely been reported in nerve tissue. We encountered an unexpected case of PTLD in the cauda equina of a kidney transplant recipient who was being treated with chronic immunosuppressive therapies. Case presentation: The patient was a 39-year-old woman in whom lower limb muscle weakness appeared and progressed rapidly 10 years after kidney transplantation for glomerulonephritis...
2018: Spinal Cord Series and Cases
Ritika Singh, Sujata Chaturvedi, Ishita Pant, Gurbachan Singh, Rima Kumari
Introduction: Schwannomas at an intramedullary location constitute only 0.3% of primary spinal tumors. Those in the conus are extremely rare, especially in the absence of neurofibromatosis, with only 12 cases reported in the literature so far, excluding the present case. Case presentation: We report the case of a 27-year-old female who presented with complaints of backache since 1 year, weakness in both lower limbs with tingling and numbness since 6 months, and urinary incontinence since 1 month...
2018: Spinal Cord Series and Cases
Jürgen Pannek, Michael Kennelly, Thomas M Kessler, Todd Linsenmeyer, Jean-Jacques Wyndaele, Fin Biering-Sørensen
Study design: Revision, review, and presentation of the International Spinal Cord Injury (SCI) Urodynamic Basic Data Set (version 2.0). Objectives: Describe the revision and review and present the dataset. Setting: International. Methods: The first version of the dataset 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
David J Allison, David S Ditor
Study design: One-year follow-up of a randomized clinical trial. Objectives: Examine voluntary dietary compliance 1 year following the cessation of the intervention and the persistence of accrued benefits related to neuropathic pain and mood. Setting: Outpatient rehabilitation program within the Niagara region. Methods: Five individuals (4 female, 1 male; age 50.6 ± 11.8 years) with chronic SCI (C5-L3; ISNCSCI: A-D; 7-40 years post injury) who had previously completed a 3-month anti-inflammatory diet were reassessed after 1 year for measures related to dietary compliance, CES-D scores of depression, and NPQ scores of neuropathic pain...
2018: Spinal Cord Series and Cases
Geneviève Mailhot, Josée Lamarche, Dany H Gagnon
Study design: Prospective case series. Objectives: To assess the effectiveness and safety of two vitamin D3 repletion protocols given to individuals with spinal cord injury (SCI). Setting: Publicly-funded intensive inpatient rehabilitation center, Montreal, Canada. Methods: Thirty adults with recent SCI complete or incomplete sensorimotor impairments were recruited upon admission from designated regional SCI trauma centers...
2018: Spinal Cord Series and Cases
Avi Ohry
No abstract text is available yet for this article.
2018: Spinal Cord Series and Cases
Kendra R Todd, Kathleen A Martin Ginis
Study design: Case series. Objectives: The temporal relationships between exercise, neuropathic pain and affect are not well understood. The purpose of this study was to utilize ecological momentary assessment to measure intra-individual diurnal variations in neuropathic pain and affect on exercise and non-exercise days. This study aimed to provide a deeper understanding of how neuropathic pain and affect change from pre- to post-exercise, and over time. Setting: Community...
2018: Spinal Cord Series and Cases
Ashok Reddy Pedaballe, Harvinder Singh Chhabra, Vikas Tandon, Parashuram Chauhan, Rachna Verma
Background: The management of acute traumatic cervical spine injury in a third-trimester pregnancy is challenging with risks involved for both the mother and the fetus. We report one such case that was managed successfully with good maternal and fetal outcomes. Case presentation: A 30 years female, gravida 2, para 1, living 1 at 31 weeks 5 days of pregnancy, met with a RTA and was diagnosed with AIS B C4-C5 extension compression spinal cord injury (SCI) with a viable fetus...
2018: Spinal Cord Series and Cases
Michael D Stillman, Jeanne M Hoffman, Jason K Barber, Steve R Williams, Stephen P Burns
Study Design: Secondary analysis of data from a prospective clinical trial of telephone counseling. Objectives: To describe changes in bladder management and development of bladder-related complications in the first year after discharge from inpatient spinal cord injury (SCI) rehabilitation. To determine whether urinary tract infection (UTI) is associated with bladder management technique or severity of SCI during this time period. Setting: One SCI Model System center...
2018: Spinal Cord Series and Cases
Lance L Goetz, Sean McAvoy, Kate Zakrzewski
Introduction: Charcot spinal arthropathy (CSA) is an infrequent but potentially devastating complication after spinal cord injury. Case presentation: We report a case of a man with longstanding T3 complete (AIS A) paraplegia who developed severe CSA with spine disruption and aortic displacement. Discussion: Acute management of this patient is described along with both conservative and surgical management considerations and challenges as described in other reports...
2018: Spinal Cord Series and Cases
Ichiro Okano, Yuki Midorikawa, Natsuki Midorikawa, Yushi Hoshino, Takatoshi Sawada, Tomoaki Toyone, Katsunori Inagaki
Study design: Single-center, retrospective case-control study. Objectives: This study aimed to determine the risk factors for progression of neurological symptoms after anterior fusion for cervical spine trauma with no or incomplete spinal cord injury. Setting: Community-based hospital with an acute care center in Japan. Methods: We retrospectively reviewed 54 consecutive unstable subaxial cervical spine fracture/dislocation cases that had undergone surgical treatment...
2018: Spinal Cord Series and Cases
Ceren Yarar-Fisher, Adarsh Kulkarni, Jia Li, Paige Farley, Cassandra Renfro, Hammad Aslam, Patrick Bosarge, Landon Wilson, Stephen Barnes
Study design: Longitudinal, randomized study. Objectives: (1) Test the safety and feasibility of a ketogenic diet (KD) intervention in the acute stages of spinal cord injury (SCI), (2) assess the effects of a KD on neurological recovery, and (3) identify potential serum biomarkers associated with KD-induced changes in neurological recovery. Setting: Acute care and rehabilitation facility. Methods: The KD is a high-fat, low-carbohydrate diet that includes ≈70-80% total energy as fat...
2018: Spinal Cord Series and Cases
Xudong Wang, Yan Peng, Jincheng Qiu, Dongsheng Huang
Introduction: Vertebroplasty (VP) is a well-known and effective therapeutic method for relieving the pain and improving the quality of life of patients with vertebral compression fractures. Major complications of VP are infrequent, occurring in no more than 1% of such procedures, whereas spinal subdural and epidural hematomas are extremely rare complications. Case Presentation: We present a unique case of a spinal subdural hematoma (sSDH) (from T4 to T12) occurring immediately after VP to treat a traumatic vertebral compression fracture, followed by a spinal epidural hematoma (SEH) (from T3 to T12) after the decompressive laminectomy, occurring in a 64-year-old patient...
2018: Spinal Cord Series and Cases
Wail A Ahmed, Anitha Naidoo, Maurizio Belci
Study design: Retrospective case series study. Objective: To determine the success rate and neurological outcomes of rapid incremental closed traction reduction (RICTR) of cervical dislocations with spinal cord compression in the National Spinal Injuries Centre (NSIC), between June 2006 and December 2011. Setting: Tertiary spinal injuries centre, Stoke Mandeville Hospital, UK. Methods: A list of cervical trauma patients who were admitted to NSIC between January 2006 and December 2011 was retrieved from the hospital's electronic records, consultant and admission logbooks...
2018: Spinal Cord Series and Cases
Emma Nally, Suzanne L Groah, Marcos Pérez-Losada, Ljubica Caldovic, Inger Ljungberg, Neel J Chandel, Bruce Sprague, Michael H Hsieh, Hans G Pohl
Introduction: People with neuropathic bladder (NB) secondary to spinal cord injury (SCI) are at risk for multiple genitourinary complications, the most frequent of which is urinary tract infection (UTI). Despite the high frequency with which UTI occurs, our understanding of the role of urinary microbes in health and disease is limited. In this paper, we present the first prospective case study integrating symptom reporting, urinalysis, urine cultivation, and 16S ribosomal ribonucleic acid (rRNA) sequencing of the urine microbiome...
2018: Spinal Cord Series and Cases
M C Maijers, O Verschuren, J M Stolwijk-Swüste, C F van Koppenhagen, S de Groot, M W M Post
Study design: It is a longitudinal pilot study. Objectives: To investigate the feasibility of a low-cost and widely used fitness tracker with step count and heart rate data to monitor daily physical activity in wheelchair users with spinal cord injury (SCI). Setting: Dutch community. Methods: Six participants with SCI who were in training for a handbike event were recruited. They were asked to wear a Fitbit Charge 2® 24 h a day for at least 2 weeks and were questioned about the utility and user-friendliness of this device...
2018: Spinal Cord Series and Cases
Brandon M Haynes, Nathan C Osbun, Claire C Yang
Study design: Case series. Objective: Bladder chemodenervation is effective in treating neurogenic detrusor overactivity (NDO) in patients with neurogenic bladder due to spinal cord injury. Anecdotal reports also describe the improvement of non-bladder symptoms, specifically those related to autonomic dysreflexia (AD) and muscle spasticity. We conducted a study to further investigate this phenomenon. Setting: USA, Urban Tertiary Care Center...
2018: Spinal Cord Series and Cases
Oliver Enke, Jasan Dannaway, Matthew Tait, Charles H New
Introduction: Incidental durotomy is a relatively common complication of spine surgery. Prevalence ranges from 3 to 5% in primary and 7 to 17% in revision procedures. Despite this relatively common occurrence the subsequent development of pseudomeningoceles following lumbar spine surgery is reported to be between 0.07 and 2%. Giant pseudomeningoceles (GP) are rare and therefore we report our experience with a case. Case presentation: We report a case of an iatrogenic GP post revision lumbar surgery that extended 19 cm in length...
2018: Spinal Cord Series and Cases
Kentaro Haraya, Katsuhisa Yamada, Terufumi Kokabu, Akira Iwata, Tsutomu Endo, Hideki Sudo, Norimasa Iwasaki, Masahiko Takahata
Introduction: Postoperative infection is a potentially devastating complication of spine surgery and an appropriate strategy and timely decision-making are essential for successful treatment of deep surgical site infection (SSI) after spinal instrumentation surgeries. However, there is a lack of consensus on implant removal or retention. We report on a case of deep SSI after posterior lumbar interbody fusion (PLIF) surgery in which we achieved clinical cure by debridement and removal of the interbody fusion cage without removing the percutaneously inserted pedicle screws (PPS)...
2018: Spinal Cord Series and Cases
Sandra Huguet, Natàlia Ibáñez, Martí Bernaus, Lluís Font-Vizcarra
Introduction: Septic arthritis of a facet joint (SAFJ) is a rare entity and frequently underdiagnosed. It is most frequently localised in the lumbar segment. Case presentation: A 48-year-old woman presented at our emergency room with a chief complaint of lumbar pain and perineal hypoesthesia. An urgent lumbar Magnetic Resonance Imaging (MRI) was performed showing no signs of compressive pathology. Intravenous painkillers were administered improving her clinical symptoms, so she was discharged from the emergency department to be followed at our out-patient clinic...
2018: Spinal Cord Series and Cases
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