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sudden paraplegia

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https://www.readbyqxmd.com/read/28659571/chest-pain-and-sudden-onset-paraplegia-at-the-emergency-department-an-uncommon-presentation
#1
Feng Han Chiu, Shih Hung Tsai, Cheng Hsuan Ho
BACKGROUND Coarctation of the aorta is characterized by narrowing of the descending aorta. The narrowing typically is at the isthmus, the segment just distal to the left subclavian artery. Adults with undiagnosed aortic coarctation are asymptomatic or may present with nonspecific hypertension. We present a case that highlights the uncommon complication of aortic coarctation with spinal compression syndrome. CASE REPORT A 45-year-old male presented to the emergency department (ED) with acute-onset chest pain; he experienced urinary incontinence and bilateral lower limb weakness during his ED visit...
June 29, 2017: American Journal of Case Reports
https://www.readbyqxmd.com/read/28582275/acute-isolated-paraplegia-revealing-an-ewing-sarcoma-of-the-thoracic-spine
#2
Pierre-Aurélien Beuriat, Sarah Melloul, Louise Galmiche, Irene Cristofori, Michel Zerah, Kevin Beccaria
Ewing sarcoma (ES) infrequently affects the spine. Diagnosis is usually made several weeks following growing symptoms. In this report, we present the case of a child with ES localized at the upper thoracic level. ES was revealed by isolated acute complete paraplegia mimicking medullary stroke. The girl was operated for decompressive laminectomy and tumor removal. Afterwards, she received adjuvant therapy. Subsequently, the child showed a slow improvement of her leg sensitivity associated with a partial motor recovery...
June 2, 2017: Journal of Pediatric Hematology/oncology
https://www.readbyqxmd.com/read/28580205/solid-variant-of-an-aneurysmal-bone-cyst-of-the-thoracic-spine
#3
Varshil Mehta, Pravin Padalkar, Maya Kale, Ambadas Kathare
The solid variant of an aneurysmal bone cyst (ABC) has been observed very rarely, especially those involving the spine. In this case report, we present a very unusual tumour of the thoracic spine which was managed by 360˚ decompression via posterior-only approach and stabilization. A 16-year-old boy presented to us with a sudden onset of weakness in both lower limbs leading to paraplegia. He also had a history of back and chest pain over the past one year. A collapse of the T5 vertebrae on plain radiograph was observed...
May 1, 2017: Curēus
https://www.readbyqxmd.com/read/28578817/childhood-idiopathic-spinal-cord-infarction-description-of-7-cases-and-review-of-the-literature
#4
Claire Bar, Emmanuel Cheuret, Pierre Bessou, Jean-Michel Pedespan
OBJECTIVES: To describe the clinical course, neuroimaging findings and functional outcome of idiopathic spinal cord infarction (SCI) in adolescents. METHODS: Retrospective and descriptive analyses of seven patients with idiopathic SCI and 50 additional cases from the literature were included. Data collected concerned clinical presentation, MRI findings, initial diagnosis, treatments and functional outcome at the last medical visit. RESULTS: Mean age at presentation was 13...
May 31, 2017: Brain & Development
https://www.readbyqxmd.com/read/28526462/-sudden-motor-and-sensorial-loss-due-to-retroperitoneal-hematoma-during-postoperative-periods-a-case-report
#5
Pelin Şen, Havva Gül Gültekin, İsmail Caymaz, Ömer Özel, Ayda Türköz
A 68 year-old male patient was hospitalized for radical prostatectomy. He had no abnormal medical history including neurological deficit before the operation. Prior to general anesthesia, an epidural catheter was inserted in the L3-4 interspace for intraoperative and postoperative analgesia. After surgery for nine hours, he developed confusion and flaccid paralysis of bilateral lower extremities occurred. No pathology was detected from cranial computed tomography and diffusion magnetic resonance imaging no pathology was detected...
May 16, 2017: Revista Brasileira de Anestesiologia
https://www.readbyqxmd.com/read/28366027/detecting-destabilizing-wheelchair-conditions-for-maintaining-seated-posture
#6
Anna Crawford, Kiley Armstrong, Kenneth Loparo, Musa Audu, Ronald Triolo
PURPOSE: The purpose of this study was to detect and classify potentially destabilizing conditions encountered by manual wheelchair users with spinal cord injuries (SCI) to dynamically increase stability and prevent falls. METHODS: A volunteer with motor complete T11 paraplegia repeatedly propelled his manual wheelchair over level ground and simulated destabilizing conditions including sudden stops, bumps and rough terrain. Wireless inertial measurement units attached to the wheelchair frame and his sternum recorded associated accelerations and angular velocities...
April 1, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/28165436/management-of-acute-spontaneous-thoracic-spinal-epidural-hematoma-causing-paraplegia
#7
Fahrudin Alić, Hakija Bečulić, Aldin Jusić, Rasim Skomorac, Mirza Moranjkić, Lejla Hrvat, Lejla Tandir
Aim To emphasize the importance of early recognition, diagnostic processing and emergent surgical treatment of spontaneous spinal epidural hematoma (SSEH). Methods A 39-year-old female presented with sudden onset of severe pain between the shoulder blades followed by paraparesis and alerted sensibility in the lower extremities. An hour later she developed paraplegia with sensory deficits below ThIV level, absence of patellar reflex, ankle jerk reflex and sphincter dysfunction. Results Magnetic resonance imaging (MRI) demonstrated acute extensive epidural mass of thoracic spinal segments (ThI-ThIII)...
February 1, 2017: Medicinski Glasnik
https://www.readbyqxmd.com/read/28150050/sudden-paraplegia-after-lumbar-puncture-as-a-clue-in-the-diagnosis-of-a-patient-with-spinal-dural-arteriovenous-fistula
#8
Carmen García-Cabo, Germán Morís
PURPOSE: Spinal dural arteriovenous fistula (SDAVF) is manifested as congestive myelopathy with progressive motor, sensory and urinary symptoms. Sometimes, clinical picture and magnetic resonance imaging of the spinal cord are not specific and the diagnosis becomes troublesome. METHODS: We present a 68-year-old male with a progressive paraparesis of unknown etiology over the course of 12 months. Immediately after LP, the patient remarked a sudden worsening in muscular balance of his inferior limbs and a worsening of urinary retention...
May 2017: European Spine Journal
https://www.readbyqxmd.com/read/28103119/iatrogenic-spinal-cord-injury-in-a-trauma-patient-with-ankylosing-spondylitis
#9
Ahmad Maarouf, Colleen M McQuown, Jennifer A Frey, Rami A Ahmed, Lisa Derrick
BACKGROUND: The recommended practice for over 30 years has been to routinely immobilize patients with unstable cervical spinal injuries using cervical spinal collars. It is shown that patients with Ankylosing spondylitis (AS) are four times more likely to suffer a spinal fracture compared to the general population and have an eleven-fold greater risk of spinal cord injury. Current protocols of spinal immobilization were responsible for secondary neurologic deterioration in some of these patients...
May 2017: Prehospital Emergency Care
https://www.readbyqxmd.com/read/27822396/acute-paraplegia-as-a-presentation-of-aortic-saddle-embolism
#10
Lisandro Irizarry, Anton Wray, Kim Guishard
Background. Acute onset paraplegia has a myriad of causes most often of a nonvascular origin. Vascular etiologies are infrequent causes and most often associated with postsurgical complications. Objective. To describe the occurrence and possible mechanism for aortic saddle embolism as a rare cause of acute paraplegia. Case Report. Described is a case of a 46-year-old female who presented with the sudden onset of nontraumatic low back pain with rapidly progressive paraplegia which was subsequently determined to be of vascular origin...
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/27478663/acute-paraplegia-due-to-thoracic-hematomyelia
#11
Aykut Akpınar, Bahattin Celik, Ihsan Canbek, Ergun Karavelioğlu
Spontaneous intraspinal intramedullary hemorrhage is a rare entity with the acute onset of neurologic symptoms. The etiology of idiopathic spontaneous hematomyelia (ISH) is unknown, and there are few published case reports. Hematomyelia is mostly associated with trauma, but the other nontraumatic etiologies are vascular malformations, tumors, bleeding disorders, syphilis, syrinx, and myelitis. MRI is a good choice for early diagnosis. Hematomyelia usually causes acute spinal cord syndrome due to the compression and destruction of the spinal cord...
2016: Case Reports in Neurological Medicine
https://www.readbyqxmd.com/read/27444286/sudden-onset-of-paraplegia-secondary-to-an-unusual-presentation-of-pediatric-synovial-sarcoma
#12
Ailing Guo, Fuyou Guo
INTRODUCTION: Spinal synovial sarcoma (SS) is an extremely rare malignant tumor in children. CASE REPORT: We report an unusual pediatric synovial sarcoma located in the thoracic spine at T9-T10 levels. A 10-year-old boy was admitted with a 1-month history of progressive back pain and low fever for 7 days as well as sudden onset of paraplegia for 1 day. The primary diagnosis was considered for spinal inflammatory abscess; subsequently, the patient underwent total resection with a good recovery and confirmed SS by SYT-SSX gene translocation...
December 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27372375/presentation-and-medical-management-of-fibrocartilaginous-embolism-in-the-emergency-department
#13
Derick D Jones, Robert E Watson, Heather A Heaton
BACKGROUND: Fibrocartilaginous embolism is an exceedingly rare condition that was formerly a clinical diagnosis based on mechanism of injury, physical examination findings, and older magnetic resonance imaging (MRI) technologies without a specific histologic diagnosis. Spinal cord MRI diffusion-weighted imaging allows for a more specific diagnosis. CASE REPORT: A 14-year-old male felt a sudden pop in his back while running sprints in his gym class. He slowly developed bilateral lower extremity weakness and urinary incontinence, prompting an emergency department evaluation...
September 2016: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/27313742/transverse-myelopathy-occurring-with-intrathecal-administration-of-methotrexate-and-cytarabine-chemotherapy-a-case-report
#14
Ying Pan, Chunhuai Wang, Huiping Wang, Qianshan Tao, Shudao Xiong, Zhimin Zhai
Paraplegia following spinal injury is a rare complication subsequent to the administration of intrathecal chemotherapy; however, it is also one of the rare clinical features of central nervous system leukemia (CNSL). Distinguishing between the two is extremely important. The present study reports the case of a 46-year-old man who was diagnosed with acute lymphoblastic leukemia and subsequently achieved remission in the blood and bone marrow following the initial course of chemotherapy. However, the patient developed a sudden onset of paraplegia and urinary retention due to spinal cord infiltration of leukemia cells following the administration of intrathecal methotrexate and cytarabine...
June 2016: Oncology Letters
https://www.readbyqxmd.com/read/27293831/experience-of-endovascular-repair-of-thoracic-aortic-dissection-after-blunt-trauma-injury-in-a-district-general-hospital
#15
Chih-Hsien Lee, Jau-Kang Huang, Ten-Fang Yang
BACKGROUND: Traumatic thoracic aortic dissection is uncommon in clinical practice; however, it is associated with high morbidity and mortality. Thoracic aortic dissection is usually caused by sudden deceleration resulting from a traffic accident or fall. Aortic injury after blunt trauma is a critical condition. This study reported the outcomes of endovascular repair of acute traumatic aortic dissection in patients at a district general hospital. METHODS: In this study, we retrospectively reviewed the clinical data of eight patients with acute traumatic aortic dissection after a blunt trauma who had undergone thoracic endovascular aortic repair (TEVAR) between January 2012 and December 2015 at a district general hospital in Taiwan...
June 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/27246128/-emergency-thoracic-endovascular-aortic-repair-of-ruptured-kommerell-s-diverticulum-with-an-acute-aortic-dissection
#16
Ryuta Seguchi, Hiroshi Ohtake, Takahiro Yoshimura, Yoshiko Shintani, Yuji Nishida, Ryuta Kiuchi, Shojiro Yamaguchi, Shigeyuki Tomita, Junichiro Sanada, Osamu Matsui, Go Watanabe
This case report describes emergency thoracic endovascular aortic repair (TEVAR) of a ruptured Kommerell's diverticulum associated with a type B acute aortic dissection in a patient with a right aortic arch. A 64-year-old male was admitted with symptoms of sudden paraplegia and shock. The computed tomography imaging showed right aortic arch anomaly, with mirror image branching of the major arteries. The aorta was dissected from the origin of the right subclavian artery to the terminal aorta, with a thrombosed false lumen...
June 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27231335/cardiovascular-diseases-in-paralympic-athletes
#17
Antonio Pelliccia, Filippo M Quattrini, Maria Rosaria Squeo, Stefano Caselli, Franco Culasso, Mark S Link, Antonio Spataro, Marco Bernardi
BACKGROUND: Sport participation (SP) of individuals with impairments has recently grown exponentially. Scarce scientific data, however, exist regarding cardiovascular (CV) risk associated with competitive SP. OBJECTIVE: Assessing the prevalence of CV abnormalities and the risk for SP in Paralympic athletes (PA). METHODS: PA (n=267; 76% men), aged 35±9 years, engaged in 18 sport disciplines, with a spectrum of lesions including: spinal cord injury (paraplegia and spina bifida) (n=116); amputation, poliomyelitis, cerebral palsy and other neuromuscular and/or skeletal disorders (Les autres) or visual impairment (n=151) entered the study...
September 2016: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27114667/spontaneous-ventral-spinal-epidural-hematoma-in-a-child-a-case-report-and-review-of-literature
#18
Shailendra Ratre, Yadram Yadav, Sushma Choudhary, Vijay Parihar
Spontaneous spinal epidural hematoma is very uncommon cause of spinal cord compression. It is extremely rare in children and is mostly located in dorsal epidural space. Ventral spontaneous spinal epidural hematoma (SSEH) is even rarer, with only four previous reports in childrens. We are reporting fifth such case in a 14 year old male child. He presented with history of sudden onset weakness and sensory loss in both lower limbs with bladder bowel involvment since 15 days. There was no history of trauma or bleeding diasthesis...
April 2016: Journal of Neurosciences in Rural Practice
https://www.readbyqxmd.com/read/27106842/rupture-of-the-retrocorporeal-artery-a-rare-cause-of-spontaneous-spinal-epidural-haematoma
#19
Alexis Guédon, Frédéric Clarençon, Bruno Law-Ye, Nader Sourour, Joseph Gabrieli, Patricia Rojas, Jacques Chiras, Matthieu Peyre, Federico Di Maria
A 22-year-old man presented with a sudden backache and paraplegia (ASIA = B). Magnetic resonance imaging showed an anterior pan-spinal epidural haematoma. Digital subtraction angiography was performed and ruled out an underlying vascular malformation but showed an active contrast media leakage into the T-4 ventral epidural space with a pattern of pseudo-aneurysm. A rupture of a T-4 retrocorporeal artery was considered as the aetiology, possibly caused by a haemorrhagic sub-adventitial dissection. Treatment consisted in the embolisation of both the pseudo-aneurysm and the parent artery with liquid acrylic glue, followed by neurosurgical decompression in emergency...
June 2016: Acta Neurochirurgica
https://www.readbyqxmd.com/read/26968371/hybrid-treatment-of-acute-abdominal-aortic-thrombosis-presenting-with-paraplegia
#20
Matteo Azzarone, Alessandro De Troia, Luigi Iazzolino, Bilal Nabulsi, Tiziano Tecchio
Acute thrombotic or embolic occlusion of the abdominal aorta is a rare vascular emergency associated with high morbidity and mortality rates. Classically, the clinical presentation is a severe peripheral ischemia with bilateral leg pain as the predominant feature. Aortic occlusion presenting as an isolated acute onset of paraplegia due to spinal cord ischemia is very rare and requires improved awareness to prevent adverse outcomes associated with delayed diagnosis. We report the case of a 54-year-old man who presented with sudden paraplegia due to the thrombotic occlusion of the infrarenal aorta involving the first segment of the common iliac arteries on both sides; emergent transperitoneal aorto iliac thrombectomy combined with the endovascular iliac kissing-stent technique were performed achieving perioperative complete regression of the symptoms...
May 2016: Annals of Vascular Surgery
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