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Posterior Cord Syndrome

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1. Posterior reversible encephalopathy syndrome with spinal cord involvement but without hemisphere lesions: A case report. Full Text available with Trip Pro

Posterior reversible encephalopathy syndrome with spinal cord involvement but without hemisphere lesions: A case report. Posterior reversible encephalopathy syndrome (PRES) was termed by Hinchey in 1996. Patients have a reversible vasogenic brain edema in imaging and acute neurological symptoms such as headache, seizures, encephalopathy, and visual disturbances when suffering from hypertension, pre-eclampsia/eclampsia, renal failure, immunosuppressive medications, autoimmune disorders, sepsis (...) , thrombocytopaenia, hypocalcaemia, alcohol withdrawal, and many other potential causes. de Havenon A et al have proposed a new syndrome named PRES with spinal cord involvement (PRES-SCI). The patients with PRES-SCI have similar symptoms these of PRES. Patients have neurologic signs with the spinal cord involved and lesions in magnetic resonance imaging (MRI) extending to the cervicomedullary junction, usually with extreme elevation in blood pressure and a history of hypertensive retinopathy. We administrated

2019 Medicine

2. Can vitamin B12 deficiency manifest with acute posterolateral or posterior cord syndrome? Full Text available with Trip Pro

Can vitamin B12 deficiency manifest with acute posterolateral or posterior cord syndrome? Vitamin B12 deficiency can cause varied neurological manifestations which are subacute to chronic in onset. Subacute combined degeneration of spinal cord is one such characteristic neurological manifestation of vitamin B12 deficiency. We report a case series of five patients who presented with acute onset (<15 days) neurological manifestations due to vitamin B12 deficiency. Detailed history and clinical (...) examination along with appropriate relevant investigations were done in all patients. Out of the five, two cases were of useless hand syndrome due to involvement of posterior column of the cervical spinal cord, another two patients presented with acute posterolateral cord syndrome causing gait ataxia and one acute posterior cord syndrome presented with acute sensory gait ataxia. Laboratory investigations were compatible with the diagnosis of cobalamin deficiency in all cases. All cases improved after

2016 Spinal cord series and cases

3. Posterior Cord Syndrome and Trace Elements Deficiency as an Uncommon Presentation of Common Variable Immunodeficiency Full Text available with Trip Pro

Posterior Cord Syndrome and Trace Elements Deficiency as an Uncommon Presentation of Common Variable Immunodeficiency Diarrhea is one of the most common symptoms in common variable immunodeficiency, but neurologic manifestations are rare. We presented a 50-year-old woman with recurrent diarrhea and severe weight loss that developed a posterior cord syndrome. Endoscopy found a duodenal villous blunting, intraepithelial lymphocytosis, and lack of plasma cells and magnetic resonance imaging (...) of the spine was normal. Laboratory assays confirmed common variable immunodeficiency syndrome and showed low levels of trace elements (copper and zinc). Treatment was initiated with parenteral replacement of trace elements and intravenous human immunoglobulin and the patient improved clinically. In conclusion, physicians must be aware that gastrointestinal and neurologic disorders may be related to each other and remember to request trace elements laboratory assessment.

2017 Case reports in medicine

4. Spinal cord involvement in two children with posterior reversible encephalopathy syndrome Full Text available with Trip Pro

Spinal cord involvement in two children with posterior reversible encephalopathy syndrome Spinal cord involvement (SCI) is a rare feature of posterior reversible encephalopathy syndrome (PRES), especially in children. SCI is generally symptomatic, and may have a different outcome compared with encephalic localization of PRES. We reported about two cases of SCI in pediatric patients with PRES, after multimodal anticancer therapies, including radiotherapy, chemotherapy and targeted agents.

2017 CNS oncology

5. Intracerebral hemorrhage due to cerebral venous thrombosis during posterior cervical decompression and fusion for traumatic cervical cord injury: A case report. Full Text available with Trip Pro

Intracerebral hemorrhage due to cerebral venous thrombosis during posterior cervical decompression and fusion for traumatic cervical cord injury: A case report. Cerebral venous thrombosis (CVT) is a cerebrovascular disorder that causes venous infarction and intracerebral hemorrhage (ICH) with occlusion of cerebral veins, and its incidence is estimated to be 5 per 1 million people per year, accounting for 0.5% to 1.0% of all strokes. Despite advances in the recognition of CVT, the diagnosis (...) at the caudal end plate of the C5 body. The diagnosis was traumatic cervical cord injury, so that posterior cervical decompression and fusion was performed. Immediately after surgery, the patient developed an epileptic seizure and the disturbance of consciousness persisted. MR venography and contrast CT images showed absence of flow from the superior sagittal sinus to the transverse sinus.The diagnosis in this case was ICH due to CVT.The patient was treated with anticoagulation using unfractionated

2019 Medicine

6. Spinal Cord Float Back is not an Independent Predictor of Post-operative C5 Palsy in Patients Undergoing Posterior Cervical Decompression. (Abstract)

Spinal Cord Float Back is not an Independent Predictor of Post-operative C5 Palsy in Patients Undergoing Posterior Cervical Decompression. Of the more than 30,000 posterior cervical spine fusions performed annually, 7-12% will be complicated by post-operative C5 palsy, a condition characterized by new-onset deltoid weakness with or without C5 dermatomal findings and biceps weakness. Posterior translation of the cervical spinal cord has been proposed as a risk factor for this complication.To (...) evaluate if C5 palsy can be predicted by spinal cord float back STUDY DESIGN/SETTING: Retrospective cohort PATIENT SAMPLE: Patients ≥ 18 years of age undergoing posterior cervical decompression between 2002 and 2017 for degenerative cervical spine pathologies.Occurrence of C5 palsy as evaluated by manual motor testing (MMT).We recorded baseline neurological status, operative notes, details of post-operative course, and both pre- and post-operative MRI images. Float back was defined by the change

2019 The Spine Journal

7. Posterior Cord Syndrome

Posterior Cord Syndrome Posterior Cord Syndrome Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Posterior Cord Syndrome Posterior Cord (...) the source website in a new browser window. Related Studies (from Trip Database) Ontology: Posterior cord syndrome (C0560650) Concepts Injury or Poisoning ( T037 ) ICD10 SnomedCT 282786009 English posterior cord syndrome , posterior cord syndrome (diagnosis) , Posterior cord syndrome , Posterior cord syndrome (disorder) Spanish síndrome de cordón espinal posterior (trastorno) , síndrome de cordón espinal posterior Derived from the NIH UMLS ( ) Related Topics in Cervical Spine Disorders About

2018 FP Notebook

8. Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases Full Text available with Trip Pro

), comorbidities (diabetes, gastroesophageal reflux disease (GERD)), multiple thyroid surgeries, and tracheotomy below the cricoid cartilage were found to decrease the likelihood of successful decannulation. Posterior cordectomy is a simple method allowing for airway improvement and decannulation in patients with bilateral vocal cord paralysis. It is less effective in tracheotomized subjects with diabetes or GERD, older than 66 years old, after two or more thyroidectomies. (...) Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases The purpose of the study was to assess the role of laser-assisted posterior cordectomy in the management of patients with bilateral vocal cord paralysis. We aimed an analysis of 132 consecutive patients treated by CO2 laser posterior cordectomy, aged 38-91, 31% tracheotomized on admission. Cordectomy was performed under microlaryngoscopy using CO2 laser (Lumenis AcuPulse 40 CO2 laser, wavelength

2018 Lasers in medical science

9. Extragonadal germ cell tumor of the posterior mediastinum in a child complicated with spinal cord compression: a case report. Full Text available with Trip Pro

Extragonadal germ cell tumor of the posterior mediastinum in a child complicated with spinal cord compression: a case report. Germ cell tumors (GCTs) in children are rare neoplasms with diverse pathological findings according to the site and age of presentation. The most common symptoms in children with mediastinal GCTs, which are nonspecific, are dyspnea, chest pain, cough, hemoptysis, vena cava occlusion syndrome, and fatigue/weakness. Because of these nonspecific symptoms, it is difficult (...) to suspect a mediastinal mass. A posterior mediastinal tumor causing spinal cord compression is an important example of an oncologic emergency arising from a neurogenic tumor.Children with posterior mediastinum GCTs can be easily mistaken as having a neurogenic tumor because of site of tumor origin. We treated our 7-year-old patient with emergency decompression surgery and high-dose steroid pulse therapy to prevent secondary injury to the spinal cord. Primary injury was a result of spinal cord

2018 BMC Pediatrics

10. MEV to Block the Posterior and Lateral Cords of the Infraclavicular Brachial Plexus

therefore hypothesize a significantly lower MEV95% by applying a selective lateral and posterior cord block Condition or disease Intervention/treatment Phase Shoulder Disease Anesthesia Drug: Ropivacaine Phase 4 Detailed Description: The MEV for a successful block in 50% of the participants will be determined by using the staircase up-and-down method introduced by Dixon and Massey. Logistic regression and probit transformation will be applied to estimate the MEV for a successful block in 95 (...) MEV to Block the Posterior and Lateral Cords of the Infraclavicular Brachial Plexus MEV to Block the Posterior and Lateral Cords of the Infraclavicular Brachial Plexus - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before

2017 Clinical Trials

11. Radiological manifestations and surgical outcome of combined upper cervical cord compression and cervical ossification of the posterior longitudinal ligament with a minimum 2-year follow-up. Full Text available with Trip Pro

Radiological manifestations and surgical outcome of combined upper cervical cord compression and cervical ossification of the posterior longitudinal ligament with a minimum 2-year follow-up. Combined upper cervical cord compression associated with cervical ossification of the posterior longitudinal ligament (OPLL) is a rare and under-recognized disorder. The aim of this study was to investigate the radiological manifestations and surgical outcome of this combined disease.Between May 2011 (...) and July 2015, patients who underwent surgery for combined upper cervical cord compression and cervical OPLL in our institution were included in this study. After a minimum 2-year follow-up, radiological and clinical data were collected. The etiology of upper cervical cord compression and radiological features of cervical OPLL was determined. Surgical outcome was evaluated with Visual Analogue Scale (VAS), Japanese Orthopedic Association score (JOA), space available for the spinal cord (SAC

2017 Medicine

12. Spinal cord infarction at the level of ossification of the posterior longitudinal ligament Full Text available with Trip Pro

Spinal cord infarction at the level of ossification of the posterior longitudinal ligament We report a case of acute tetraplegia, without any trauma or symptoms prior to onset, who presented with ossification of the posterior longitudinal ligament (OPLL) in the cervical spine with concomitant spinal cord infarction.A 64-year-old man with a number of risk factors for vascular disease was admitted to our hospital with progressive motor weakness in the bilateral upper and lower extremities. He had (...) initially felt numbness in his left upper extremity and had no previous neurological symptoms or trauma. The night after the initial symptoms, he developed spastic tetraplegia requiring respiratory support. Computed tomography images of the cervical spine demonstrated the segmental type of OPLL. Spinal cord compression and signal intensity changes were identified at the level of C3/4 on magnetic resonance imaging (MRI). He underwent emergency surgery consisting of posterior decompression

2016 Spinal cord series and cases

13. Posterior arthrodesis of C1-C3 for the stabilization of multiple unstable upper cervical fractures with spinal cord compromise: A case report and literature review. Full Text available with Trip Pro

Posterior arthrodesis of C1-C3 for the stabilization of multiple unstable upper cervical fractures with spinal cord compromise: A case report and literature review. Multiple fractures of the atlas and axis are rare. The management of multiple fragment axis fractures and unstable atlas fractures is still challenging for the spinal surgeon. There are no published reports of similar fractures with 3-part fracture of axis associated with an unstable atlas fracture.We present a patient (...) . The patient was diagnosed as multiple unstable upper cervical fractures with spinal cord compromise. We performed posterior arthrodesis of C1-C3. Postoperatively, the patient showed neurological improvement, and C1-C3 had fused at the 3-month follow-up.Posterior arthrodesis of C1-C3 could provide a stable fixation for the 3 parts of axis (an odontoid type IIA fracture and traumatic spondylolisthesis of C2-C3) combined an unstable atlas fracture. Both the patient and the doctor were satisfied

2017 Medicine

14. Spinal cord compression

-Sequard's syndrome anterior cord syndrome posterior cord syndrome age between 16 and 30 years and male sex trauma tumour osteoporosis high-risk occupation high-risk recreational activities intravenous drug use immunosuppression Diagnostic investigations MRI spine gadolinium-enhanced MRI spine plain spine x-ray CT spine CT myelography full blood count with differential erythrocyte sedimentation rate and C-reactive protein blood or cerebrospinal fluid cultures tumour biopsy and histopathology urodynamic (...) of symptoms back pain numbness or paraesthesias weakness or paralysis bladder or bowel dysfunction hyper-reflexia sensory loss muscle weakness or wasting loss of tone below level of suspected injury (spinal shock) hypotension and bradycardia (neurogenic shock) complete cord transection syndrome cauda equina syndrome central cord syndrome history of malignancy immunosuppression intravenous drug use loss of rectal sphincter reflex loss of appendicular reflexes local deformity of spine on palpation Brown

2018 BMJ Best Practice

15. Malignant Spinal Cord Compression

of sphincter control is a late sign with a poor prognosis. Cauda equina syndrome Compression of lumbosacral nerve roots below the level of the cord itself results in a different clinical picture. New, severe root pain affecting low back, buttocks, perineum, thighs, legs. Loss of sensation often with tingling or numbness in the saddle area. Leg weakness, often asymmetrical. Bladder, bowel and sexual dysfunction; occur earlier than in cord compression. Loss of anal reflex. Management Emergency referral (...) Malignant Spinal Cord Compression Scottish Palliative Care Guidelines - Malignant spinal cord compression Scottish Palliative Care Guidelines search / / / Malignant spinal cord compression Malignant spinal cord compression Introduction Malignant spinal cord compression (MSCC) occurs when the dural sac and its contents are compressed at the level of the cord or cauda equina. This may be as a result of direct pressure, vertebral collapse or instability caused by metastatic spread or by direct

2018 Scottish Palliative Care Guidelines

16. Concomitant Fahr's syndrome and thoracic ossification of the posterior longitudinal ligament caused by idiopathic hypoparathyroidism - case report. Full Text available with Trip Pro

Concomitant Fahr's syndrome and thoracic ossification of the posterior longitudinal ligament caused by idiopathic hypoparathyroidism - case report. Fahr's syndrome presenting multiple and symmetric calcification of basal ganglia and cerebral cortex is rare, and idiopathic hypoparatyroidism is known as one of the causes. The relationship between ossification of posterior longitudinal ligament (OPLL) and idiopathic hypoparatyroidism is also reported in a few cases. Here, we report a patient (...) presenting concomitant Fahr's syndrome and thoracic OPLL developed by idiopathic hypoparatyroidism.53-year-old female patient presented myelopathic sign including gait disturbance and both leg weakness (Grade 3) for 4 months after slip down, and has the history of anti-epileptic medication for several years. Magnetic resonance imaging revealed cord compression by the mixed-type OPLL from T5 to T9, and decompressive surgery was planned. Sudden onset generalized tonic-clonic seizure attack developed before

2019 BMC Musculoskeletal Disorders

17. Spinal cord involvement and contrast enhancement in posterior reversible encephalopathy syndrome Full Text available with Trip Pro

Spinal cord involvement and contrast enhancement in posterior reversible encephalopathy syndrome Although posterior reversible encephalopathy syndrome (PRES) is a widely encountered clinicoradiological entity, spinal cord involvement on MRI is very rarely reported. We found only eight cases that have been reported so far. Reports of post-contrast meningeal or parenchymal enhancement in PRES are even rarer. Herein we report a case of PRES with extensive spinal cord signal abnormality

2016 BJR | case reports

18. Early neurophysiological biomarkers and spinal cord pathology in inherited prion disease. Full Text available with Trip Pro

Early neurophysiological biomarkers and spinal cord pathology in inherited prion disease. A common presentation of inherited prion disease is Gerstmann-Sträussler-Scheinker syndrome, typically presenting with gait ataxia and painful dysaesthesiae in the legs evolving over 2-5 years. The most frequent molecular genetic diagnosis is a P102L mutation of the prion protein gene (PRNP). There is no explanation for why this clinical syndrome is so distinct from Creutzfeldt-Jakob disease (...) of these six patients developed objective abnormalities of either warm or cold sensation prior to the onset of significant symptoms or clinical diagnosis. Autopsy examination in five patients (including two not followed clinically) showed prion protein in the substantia gelatinosa, spinothalamic tracts, posterior columns and nuclei and in the neuropil surrounding anterior horn cells. In conclusion, sensory symptoms and loss of reflexes in Gerstmann-Sträussler-Scheinker syndrome can be explained

2019 Brain

19. Posterior Reversible Encephalopathy Syndrome With Isolated Involving Infratentorial Structures Full Text available with Trip Pro

Posterior Reversible Encephalopathy Syndrome With Isolated Involving Infratentorial Structures Typical neuroimaging findings of posterior reversible encephalopathy syndrome include symmetrical white matter edema in subcortical white matter of bilateral occipital and parietal lobes, although variations do occur and more and more attention is being focused upon disease of infratentorial-isolated involved posterior reversible encephalopathy syndrome. In this article, we described 1 case (...) syndrome. A relatively high rate of hydrocephalus and spinal cord involvement can be a distinctive feature of this kind of variant. Symptoms and outcomes are basically similar to typical posterior reversible encephalopathy syndrome.

2018 Frontiers in neurology

20. White cord syndrome: A devastating complication of spinal decompression surgery Full Text available with Trip Pro

with lower limb paraparesis. She underwent an uneventful tumor excision accompanied by posterior cervical decompression and fusion. Postoperatively, she was quadriplegic and required ventilator support. The emergent postoperative MR scan revealed focal hyperintensity on the T2-weighted image consistent with spinal cord edema extending into the lower brain stem.Very few cases of reperfusion injury of the cervical spinal cord or "white cord syndrome" are described in the literature. Here we present (...) White cord syndrome: A devastating complication of spinal decompression surgery Reperfusion injury of the spinal cord or "white cord syndrome" refers to the sudden onset of neurological deterioration after spinal decompressive surgery. Associated magnetic resonance (MR) findings only include focal hyperintensity on T2-weighted images without any other pathological changes.A patient with cervical stenosis secondary to metastatic tumor in the intradural and extradural compartments presented

2018 Surgical neurology international

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