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congenital lumbar stenosis

Carola F van Eck, Nicholas T Spina Iii, Joon Y Lee
PURPOSE: The purpose of this study was to develop a simple and clinically useful morphological classification system for congenital lumbar spinal stenosis using sagittal MRI, allowing clinicians to recognize patterns of lumbar congenital stenosis quickly and be able to screen these patients for tandem cervical stenosis. METHODS: Forty-four subjects with an MRI of both the cervical and lumbar spine were included. On the lumbar spine MRI, the sagittal canal morphology was classified as one of three types: Type I normal, Type II partially narrow, Type III globally narrow...
June 20, 2016: European Spine Journal
Michael R Levitt, Felipe C Albuquerque, Bradley A Gross, Karam Moon, Ashutosh P Jadhav, Andrew F Ducruet, R Webster Crowley
BACKGROUND: Venous sinus stenting is an effective treatment for patients with idiopathic intracranial hypertension (IIH) and venous sinus stenosis. OBJECTIVE: To determine the usefulness of venous sinus stenting in the treatment of patients with symptomatic venous sinus stenosis without a diagnosis of IIH. METHODS: We performed a retrospective review of a prospective multicenter database of patients undergoing venous sinus stenting between January 2008 and February 2016...
May 19, 2016: Journal of Neurointerventional Surgery
Z Cetin, O Altiok-Clark, S Yakut, B Guzel-Nur, E Mihci, S Berker-Karauzum
Interstitial deletion of chromosome 11 long arm is a rare event. In most of the interstitial deletions on the long arm of chromosome 11 both the position and the size of these deletions are heterogeneous making a precise karyotype-phenotype correlation. In only a few of the reported cases has the deletion been molecularly characterized. Our patient was a 13-year-old male presented; mental motor retardation, strabismus, myopia, retinopathy, sensorineural hearing loss, a long and triangular face, a broad forehead, hypotelorism, nasal septal deviation, a beaked nose, hypoplastic ala nasie, bilateral low-set ears, a high arched palate, crowded teeth, retrognathia, thin lips, a long neck, and sloping shoulders, hyperactive behavior, pulmonary stenosis and lumbar scoliosis...
2016: Genetic Counseling
Theodoros Soldatos, Majid Chalian, Shrey Thawait, Alan J Belzberg, John Eng, John A Carrino, Avneesh Chhabra
AIM: To investigate whether congenital lumbar spinal stenosis (CLSS) is associated with a specific degenerative changes of the lumbar spine. METHODS: The lumbar spine magnetic resonance imaging studies of 52 subjects with CLSS and 48 control subjects were retrospectively evaluated. In each examination, the five lumbar levels were assessed for the presence or absence of circumferential or shallow annular bulges, annular tears, anterior or posterior disc herniations, epidural lipomatosis, Schmorl's nodes, spondylolisthesis, pars defects, and stress reactions of the posterior vertebral elements...
December 16, 2014: World Journal of Clinical Cases
Muhammad Siddique, Mudassar Saeed Pansota, Muhammad Shahzad Saleem, Attique-ur-Rehman
BACKGROUND: Hydronephrosis in children is a common congenital urologic problem with pelviureteric junction obstruction being its most common cause. This study was conducted to evaluate the outcome of pyeloplasty for congenital pelviureteric junction obstruction in children. METHODS: This study was conducted in department of Paediatric Surgery, Quaid-e-Azam Medical College/Bahawal Victoria Hospital, Bahawalpur from July 2008 to December 2010. A total of 50 patients diagnosed on ultrasonography and intravenous urogram as having PUJ obstruction were included...
January 2014: Journal of Ayub Medical College, Abbottabad: JAMC
Piero Pavone, Silvana Briuglia, Raffaele Falsaperla, Amiel Warm, Vito Pavone, Laura Bernardini, Antonio Novelli, Andrea D Praticò, Vincenzo Salpietro, Martino Ruggieri
A 2 ½-year-old girl with multiple congenital anomalies and a de novo 5.6-Mb deletion on chromosome 13q12.11-13q12.13 is reported. She showed choanal atresia, scalp aplasia cutis, mild dysmorphic features, severe malformation of the hands and feet, Sylvian aqueductal stenosis, hydrocephalus, small cerebellum with pointed cerebellar tonsils, cervical, lumbar and sacral clefting, single central incisor and mild developmental delay. The girl's anomalies were compared with: (A) one boy reported by each of Der Kaloustian et al...
July 2014: American Journal of Medical Genetics. Part A
Kimio Saito, Naohisa Miyakoshi, Michio Hongo, Yuji Kasukawa, Yoshinori Ishikawa, Yoichi Shimada
INTRODUCTION: Achondroplasia is a genetic disorder of bone growth. Congenital spinal stenosis is a well-known complication of this disease, but, to the best of our knowledge, no cases involving combined stenosis with congenital lumbar spinal stenosis and ossification of the ligamentum flavum in achondroplasia have been reported previously. In this report, we describe a case of a patient with congenital spinal stenosis with achondroplasia combined with ossification of the ligamentum flavum at the lumbar spine, which we treated with decompressive surgery...
2014: Journal of Medical Case Reports
João Levy Melancia, António Fernandes Francisco, João Lobo Antunes
Narrowing of the spinal canal or foramina is a common finding in spine imaging of the elderly. Only when symptoms of neurogenic claudication and/or cervical myelopathy are present is a spinal stenosis diagnosis made, either of the lumbar spine, cervical spine or both (only very rarely is the thoracic spine involved). Epidemiological data suggest an incidence of 1 case per 100 000 for cervical spine stenosis and 5 cases per 100 000 for lumbar spine stenosis. Cervical myelopathy in patients over 50 years of age is most commonly due to cervical spine stenosis...
2014: Handbook of Clinical Neurology
Jiu-Haw Yin, Yi-Jung Chuang, Han-Hwa Hu
A 61-year-old man with critical aortic stenosis underwent aortic valve replacement. Mechanical ventilation was applied because of postoperative acute pulmonary edema accompanied by poor ventilation and poor oxygenation, and the patient was also recannulized to an extracorporeal membranous oxygenator. Bilateral pneumothorax was found 2 days later, and the right upper and left lower chest quadrants were drained with pigtail catheters. The patient did not regain consciousness 5 days after cessation of propofol...
June 2013: Acta Neurologica Taiwanica
Dae-Woong Kwon, Kyung-Hyun Kim, Jeong-Yoon Park, Dong-Kyu Chin, Keun-Su Kim, Young-Eun Cho, Sung-Uk Kuh
PURPOSE: The posterior lumbar interbody fusion (PLIF) and transforaminal lumbar interbody fusion (TLIF) techniques are commonly used surgical methods for wide indications such as degeneration or trauma. Although they are rarely required for lumbar disk disease in younger patients, there are a few children and adolescents who are indicated for PLIF or TLIF for other reasons, such as congenital severe stenosis with or without lumbar instability that requires wide decompression or severe bony spur that need to be removed...
August 2013: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Regula Schiess, Martin Haeusler
The Nariokotome boy skeleton KNM-WT 15000 is the most complete Homo erectus fossil and therefore is key for understanding human evolution. Nevertheless, since Latimer and Ohman (2001) reported on severe congenital pathology in KNM-WT 15000, it is questionable whether this skeleton can still be used as reference for Homo erectus skeletal biology. The asserted pathologies include platyspondylic and diminutive vertebrae implying a disproportionately short stature; spina bifida; condylus tertius; spinal stenosis; and scoliosis...
March 2013: American Journal of Physical Anthropology
Yad Ram Yadav, Vijay Parihar, Sonjjay Pande, Hemant Namdev, Moneet Agarwal
Endoscopic third ventriculostomy (ETV) is considered as a treatment of choice for obstructive hydrocephalus. It is indicated in hydrocephalus secondary to congenital aqueductal stenosis, posterior third ventricle tumor, cerebellar infarct, Dandy-Walker malformation, vein of Galen aneurism, syringomyelia with or without Chiari malformation type I, intraventricular hematoma, post infective, normal pressure hydrocephalus, myelomeningocele, multiloculated hydrocephalus, encephalocele, posterior fossa tumor and craniosynostosis...
May 2012: Journal of Neurosciences in Rural Practice
Navkirat S Bajwa, Jason O Toy, Nicholas U Ahn
SUMMARY OF BACKGROUND DATA: Tandem stenosis of the cervical and lumbar spine is known to occur in 5% of individuals with symptomatic neural compression in one region. However, the prevalence of concurrent cervical and thoracic stenosis is not known. Whether this relationship is due to an increased risk of degenerative disease in these individuals, or whether this finding is due to the tandem presence of a congenitally small cervical and thoracic canal is unknown. OBJECTIVES: To determine the prevalence of concurrent thoracic and cervical stenosis and whether the presence of stenosis in the cervical spine is associated with stenosis in the thoracic spine...
February 2013: Journal of Spinal Disorders & Techniques
Imtiaz Ghani, Markus Kroeber
STUDY DESIGN: Case report. CLINICAL QUESTION: To report successful surgical therapy for spinal canal stenosis in an adult patient with congenital thoraco-lumbar kyphoscoliosis with spina bifida aperta and myelomeningocele. METHODS: A 65-year-old woman with a history of congenital thoraco-lumbar kyphoscoliosis with spina bifida aperta and myelomeningocele presented with severe radicular pain and weakness in her left lower limb. RESULTS: The patient underwent microsurgical decompression at the level of L3/S1 on the left side...
August 2012: Archives of Orthopaedic and Trauma Surgery
Navkirat S Bajwa, Jason O Toy, Ernest Y Young, Nicholas U Ahn
OBJECT: Congenital cervical and lumbar stenosis occurs when the bony anatomy of the spinal canal is smaller than expected, predisposing an individual to symptomatic neural compression. While tandem stenosis is known to occur in 5%-25% of individuals, it is not known whether this relationship is due to an increased risk of degenerative disease in these individuals or whether this finding is due to the tandem presence of a congenitally small cervical and lumbar canal. The purpose of the present study was to determine if the presence of congenital cervical stenosis is associated with congenital lumbar stenosis...
July 2012: Journal of Neurosurgery. Spine
Marcelo Molina, Pablo Wagner, Mauricio Campos
Spinal lumbar stenosis is a disease that occurs mainly between the 5th and 7th decade of life and can be congenital or acquired. The latter has many etiologies, but a degenerative cause is the most common. Stenosis is a narrowing of the spinal canal diameter caused by many factors such as bulging discs, hypertrophy of flavum ligament, facet capsule thickening and osteophyte formation. The classical symptom of the disease is sciatic pain, that improves with lumbar flexion and worsens with ambulation. Neurological examination is often normal and the most useful imaging test is magnetic resonance imaging (MRI)...
November 2011: Revista Médica de Chile
Kerstin H Amort, Nele Ondreka, Heike Rudorf, Kathrin F Stock, Ottmar Distl, Bernd Tellhelm, Martin Kramer, Antje Wigger
German shepherd dogs are overrepresented in the group of dogs with cauda equina compression syndrome due to degenerative lumbosacral stenosis. A congenital predisposition for early degeneration of the lumbosacral intervertebral disc has been suspected. Our aims were to assess the morphologic appearance of the lumbosacral intervertebral disc and the lumbosacral junction in healthy German shepherd dogs compared to other breeds and to evaluate for an early onset of degenerative changes. The lumbosacral spine of 110 clinically sound German shepherd dogs and 47 healthy dogs of other large breeds was examined using magnetic resonance (MR) imaging...
May 2012: Veterinary Radiology & Ultrasound
Maricela Guerrero-González, Marina Fernández del Campo-Chenqe, Juan Manuel Ortiz-Trejo
BACKGROUND: Jarcho Levin syndrome is an eponymous syndrome consisting with a set of multiple vertebral and rib anomalies, characterized by a short neck, short trunk and short height, which trigger respiratory failure and early neonatal death. The frequency and spectrum of morphological defects in the environment is unknown. This article reports a case. CASE REPORT: a female newborn, product of the third pregnancy in a woman of 29 years, with a history of three previous miscarriages; she had a twin pregnancy and hypothyroidism later...
September 2011: Revista Médica del Instituto Mexicano del Seguro Social
Alexios Apazidis, Pedro A Ricart, Christopher M Diefenbach, Jeffrey M Spivak
BACKGROUND CONTEXT: Lumbosacral transitional vertebrae (LSTVs) are a congenital vertebral anomaly of the L5-S1 junction in the spine. This alteration may contribute to incorrect identification of a vertebral segment, leading to wrong-level spine surgery and poor correlation with clinical symptoms. Although several studies describe the occurrence of this anomaly in back pain populations, investigation of the prevalence in the American general population is lacking. PURPOSE: To establish the prevalence rates for LSTVs in the general population...
September 2011: Spine Journal: Official Journal of the North American Spine Society
Seung-Jae Hyun, Borae G Park, Seung-Chul Rhim, Chae Wan Bae, Jong-Keuk Lee, Sung-Woo Roh, Sang-Ryong Jeon
STUDY DESIGN: We conducted a cross-sectional, genotyping study in patients with lumbar spinal stenosis (LSS) and controls. OBJECTIVE: To determine the contribution of COL9A2 polymorphisms to LSS development in the Korean population. SUMMARY OF BACKGROUND DATA: Because congenital spinal stenosis is typically associated with chondrodysplasias, which are genetic disorders, genetic factors may also play a role in degenerative LSS. A recent Finnish study reported a splice site mutation in COL9A2, leading to premature translation termination...
July 15, 2011: Spine
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