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Kingsley R Chin, Fabio J R Pencle, Juan M Valdivia, Jason A Seale, Josue P Gabriel
Background: Authors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR). Methods: 10 patients with ACDF and posterior laminectomy reviewed. Results: 60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m2 . VAS and NDI showed significant improvement, p < 0.001, p = 0.02 respectively...
June 2018: Journal of Orthopaedics
Toshiyuki Takahashi, Junya Hanakita, Manabu Minami
Calcification of the ligamentum flavum (CLF) and ossification of the ligamentum flavum (OLF) in the cervical spine are differential diagnoses in patients with posterior extradural compressive lesions related to cervical degenerative disease. Preoperative computed tomography can facilitate the detection of characteristic findings and help to distinguish between CLF and OLF. Although these are rare entities in the cervical spine, adequately timed surgical decompression is required in most patients who present with radiculomyelopathy...
January 2018: Neurosurgery Clinics of North America
J Detzler, H Backes, J Guldner
The increasing migration of people from their homeland in far distant regions to Europe in the last few years has strongly influenced the rise of previously rarely seen diseases. They not only originate from the respective homeland but also from the transit countries during the migration process. We report the case of a 27-year-old male migrant from Eritrea, who after months of flight as a refugee travelling through various African countries, presented at our hospital with a progressive, painful radiculopathy...
November 16, 2017: Der Nervenarzt
Juneki Kim, Jin-Gyu Choi, Byung-Chul Son
Here we report a unique case of bilateral ganglion cysts originating from the ligamentum flavum in the cervical spine. Degenerative cysts of the ligamentum flavum are rare lesions, and most had been reported in the lumbar spine. Its occurrence in the cervical spine is extremely rare: only eight have been reported. A 66-year-old male patient presented with progressive paraparesis, pain, and paresthesia in his bilateral T1 dermatomes that had lasted for three weeks. Magnetic resonance imaging of the cervical spine demonstrated a well-demarcated cystic lesion in the bilateral dorsolateral aspects of the C7/T1 segment and significant compression of the cervical cord...
2017: Case Reports in Neurological Medicine
Diego Z Carvalho, Christopher J Boes
As opposed to finger flexion response upon tapping the styloid process with absent brachioradialis reflex (inverted brachioradialis reflex), toe flexion response upon patellar percussion with absent quadriceps reflex is a quite underrecognized neurological sign, and has been reported only once in the literature. Similar to the inverted brachioradialis reflex, this sign can also be useful for neurological localization. We hereby report a patient presenting with signs and symptoms of lumbar radiculopathy in the setting of an anterior epidural mass compressing the cauda equina at L2-L4, without evidence of myelopathy...
October 2016: Clinical Neurology and Neurosurgery
Salih Gulsen
BACKGROUND: Loss of cervical lordosis is a significant factor in the development of degeneration of the spine with aging. This degenerative changings of the cervical spine would cause pressure effect on the cervical root and/or medulla spinalis. AIM: Our goal is to understand the effect of the PEEK cage on cervical lordosis in the early postoperative period. Also, to interpret the effects of one- level, two- level, three-level and four- level disc pathologies on cervical lordosis...
June 15, 2015: Open Access Macedonian Journal of Medical Sciences
Satoko Kojima, Junichi Yoshimura, Tetsuro Takao, Tetsuro Tamura, Kenichi Nishiyama, Shigeru Maruyama, Masashi Suda, Yukihiko Fujii
The authors report the case of a mobile spinal enterogenous cyst in a 2-year-old boy, who was admitted to the hospital several times for intermittent paraplegia. Magnetic resonance imaging and CT revealed an isolated cyst in the lumbar spinal canal. The symptoms were caused by transient myelopathy of the conus medullaris and radiculopathy of the cauda equina due to the changing size and location of the cyst. The cyst was surgically extirpated, after which the symptoms resolved. The histopathological diagnosis was enterogenous cyst...
October 2016: Journal of Neurosurgery. Pediatrics
James H Diaz
Gnathostomiasis is a foodborne zoonotic helminthic infection, commonly described in Asia and Latin America, which may follow the consumption of raw fish, eels, amphibians, and reptiles infected with muscle-encysted larvae of Gnathostoma species nematodes. After an inoculum of as little as one infective larva and an incubation period of months to years, most infections are characterized by intermittent migratory swellings due to subdermal larval migration. Less commonly, larval migration to the central nervous system may result in radiculomyelopathy or eosinophilic meningoencephalitis with high fatality rates; or larval migration to the eye with resulting blindness in untreated cases...
September 2015: Journal of the Louisiana State Medical Society: Official Organ of the Louisiana State Medical Society
Chang Kyu Lee, Dong Ah Shin, Seong Yi, Keung Nyun Kim, Hyun Chul Shin, Do Heum Yoon, Yoon Ha
OBJECTIVE: The goal of this study was to determine the relationship between cervical spine sagittal alignment and clinical outcomes after cervical laminoplasty in patients with ossification of the posterior longitudinal ligament (OPLL). METHODS: Fifty consecutive patients who underwent a cervical laminoplasty for OPLL between January 2012 and January 2013 and who were followed up for at least 1 year were analyzed in this study. Standing plain radiographs of the cervical spine, CT (midsagittal view), and MRI (T2-weighted sagittal view) were obtained (anteroposterior, lateral, flexion, and extension) pre- and postoperatively...
January 2016: Journal of Neurosurgery. Spine
Ting Wang, Min Pan, Chu-Qiang Yin, Xiu-Jun Zheng, Ya-Nan Cong, De-Chun Wang, Shu-Zhong Li
BACKGROUND: Ossification of the ligamentum flavum (OLF) is being increasingly recognized as a cause of thoracic myelopathy. This study was to describe a rare clinical entity of spinal cord kinking (SK) in thoracic myelopathy secondary to OLF. METHODS: The data of 95 patients with thoracic myelopathy secondary to OLF were analyzed retrospectively. The incidence and location of SK were determined using preoperative magnetic resonance imaging (MRI). The clinical presentation and radiological characteristics in patients with SK were analyzed...
October 5, 2015: Chinese Medical Journal
Yutaka Suto, Satoru Ito, Takashi Nomura, Yasuhiro Watanabe, Shinichiro Kitao, Hiroyuki Nakayasu, Kenji Nakashima
A 30-year old man was admitted with right hip pain and gait disturbances. Neurological findings revealed muscular weakness in the lower limbs, hyporeflexia, dysesthesia in the sacral region, and bowel and bladder disturbances. Cerebrospinal fluid (CSF) examination indicated a white blood cell count of 371/μl (lymphocyte:polymorphonuclear leukocyte = 97:3), protein levels of 463 mg/dl and sugar of 20 mg/dl. Although CSF culture was negative, tuberculous infection was presumed. Magnetic resonance imaging revealed areas of enhancement in the intramedullary region surrounding the spinal cord and cauda equina...
2015: Rinshō Shinkeigaku, Clinical Neurology
А А Skoromets, Е V Bubnova, S М Endalceva, D S Kapitonov, Т V Lalayan, S V Perfilev, D G Smolko, А P Skoromets, Т А Skoromets, О V Sukhatskaya, А А Shmonin
AIM: Treatment of patients with neurological manifestations of degenerative-dystrophic lesions of the spine must be integrated and optimized from the perspective of pathogenesis. Antiedematous therapy is an important moment that takes into account the development of localized swelling affected the spinal structures. We studied the efficacy of L-lysine aescinat in the treatment of patients with discogenic-venous lumbosacral radiculomyelopathy. MATERIAL AND METHODS: We analyzed the therapeutic efficacy of antitumor therapy with the drug L-lysine aescinat in 40 patients with discogenic-venous lumbosacral radiculomyelopathy in comparison with a control group of 40 patients treated with conventional therapy in a neurological hospital...
2015: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
José A Corredor, Gerald Quan
Study Design Case report. Objective Synovial cysts in the subaxial cervical spine are rare and are most commonly reported at the cervicothoracic junction. Only six cases of symptomatic C5-C6 synovial cysts have been reported in the literature; the condition is usually treated with decompressive laminectomy. We present a patient with a synovial cyst arising from the C5-C6 facet joint, associated with spondylolisthesis, and causing radiculomyelopathy. The patient was treated with a posterior excision of the cyst, decompressive laminectomy, and fusion...
August 2015: Global Spine Journal
Michael K Hehir, Eric L Logigian
PURPOSE OF REVIEW: Infections are important, potentially treatable causes of peripheral nervous system disease. This article reviews the clinical presentation and management of several common peripheral nervous system diseases due to viral, bacterial, spirochetal, and parasitic infections. RECENT FINDINGS: The clinical presentation and evaluation of infectious peripheral nervous system diseases are well established. Advances in the treatment and, in some cases, the prevention of these diseases are still evolving...
October 2014: Continuum: Lifelong Learning in Neurology
Si-Hyuck Oh, Kyeong-Wook Yoon, Young-Jin Kim, Sang-Koo Lee
OBJECTIVE: To evaluate the utility of anterior cervical discectomy and fusion (ACDF) with polyetheretherketone (PEEK) cage and autograft through long term(average 36 months) follow-up. METHODS: Thirty selected patients (male:20/female:10) who suffered from cervical radiculopathy, myelopathy or radiculomyelopathy underwent a single level ACDF with PEEK cage and autograft from iliac crest from March 2006 to July 2008 in single institute. We followed patients for an average 36...
June 2013: Korean Journal of Spine
Woo-Seok Bang, Kyoung-Tae Kim, Dae-Chul Cho, Joo-Kyung Sung
We report a case of 29-year-old man diagnosed as a primary eosinophilic granuloma (EG) lesion of the seventh cervical vertebra. He had paresthesia on both arms, and grasping weakness for 10 days. Cervical magnetic resonance image (MRI) showed an enhancing mass with ventral epidural bulging and cord compression on the seventh cervical vertebra. Additionally, we performed spine series MRI, bone scan and positive emission tomography for confirmation of other bone lesions. These studies showed no other pathological lesions...
July 2013: Journal of Korean Neurosurgical Society
Marie Vidailhet
Symptomatic treatment of cerebral palsy (CP) is difficult, with variable beneficial effect. The choice of therapy is guided by the main clinical features (spasticity, dystonia/choreoathetosis), by the experience of experts, and by the results of open-label trials and a few controlled studies. Treatments of spasticity are not discussed in depth here. From open-label trials and a few controlled studies in dystonia/choreoathetosis CP, it appears that treatment should be started at a low dose and increased slowly, and that more beneficial effects are obtained on upper extremity function, face and jaw dystonia and drooling, and in children...
2013: Handbook of Clinical Neurology
Nobuhiro Tanaka, Yoshinori Fujimoto, Tadayoshi Sumida, Hideki Manabe, Kazuyoshi Nakanishi, Yasushi Fujiwara, Naosuke Kamei, Toshio Nakamae, Bunichiro Izumi, Mitsuo Ochi
OBJECT: In this retrospective analysis the authors describe the long-term clinical results of microsurgical transdural discectomy with laminoplasty (MTDL) in patients with cervical disc herniation (CDH). METHODS: Thirty patients (21 males, 9 females; mean age at surgery 55 years) with CDH had surgical treatments consisting of MTDL between 1990 and 1998. All patients demonstrated signs or symptoms of cervical myelopathy and/or radiculomyelopathy. Clinical outcomes were evaluated by the Japanese Orthopaedic Association (JOA) scoring system and by recovery rate (RR)...
June 2013: Journal of Neurosurgery. Spine
Arvind Gupta, Ravindra Kumar Garg, Maneesh Kumar Singh, Rajesh Verma, Hardeep Singh Malhotra, Shiv Narayan Sankhwar, Amita Jain, Ragini Singh, Anit Parihar
BACKGROUND: Micturitional disturbances in tuberculous meningitis have been reported infrequently and that too without urodynamic studies. Bladder dysfunction in tuberculous meningitis is often considered secondary to tuberculous radiculomyelopathy. We, in this study, evaluated the incidence and pattern of bladder dysfunction in tuberculous meningitis. MATERIALS AND METHOD: In this prospective study, 51 patients were included. In addition to clinical evaluation, patients were subjected to a urodynamic study along with magnetic resonance imaging (MRI) of brain and spine...
April 15, 2013: Journal of the Neurological Sciences
Kingsley R Chin, Gary Ghiselli, Vanessa Cumming, Christopher G Furey, Jung U Yoo, Sanford E Emery
STUDY DESIGN: A cross-sectional study. OBJECTIVE: To assess using postoperative magnetic resonance imaging whether the posterior longitudinal ligament (PLL) caused residual cord compression after anterior cervical decompression and fusion (ACDF) in a series of patients in whom the PLL was retained. SUMMARY OF BACKGROUND DATA: There is a lack of data evaluating the postoperative compressive effects of the PLL in patients undergoing ACDF providing guidance as to whether to remove or retain the PLL during discectomy to facilitate adequate decompression...
February 1, 2013: Spine
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