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Spinal Cord Disease
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Structural spinal cord abnormality: Arnold–Chiari malformation with or without syringomyelia.Cervical or lumbar spondylosis.Tethered cord syndrome.Tumor of the spinal cord.AVM of the spinal cord.Granuloma (e.g. tuberculous) involving vertebrae and spinal cord.
The spine
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Patients may present with sensory disturbance, weakness of the hands, loss of pain and temperature sensation, asymmetrical abdominal reflexes or progressive kyphoscoliosis. It is associated with Arnold-Chiari malformation and spinal cord tumours. Where syringomyelia is associated with an Arnold- Chiari malformation and scoliosis, a posterior cranial fossa decompression should be carried out first to resolve the syringomyelia. The scoliosis may then be corrected at a later date.
Epidemiology of the neurogenic bladder
Published in Jacques Corcos, David Ginsberg, Gilles Karsenty, Textbook of the Neurogenic Bladder, 2015
Patrick B. Leu, Ananias C. Diokno
Myelodysplasia, also known as spina bifida, is the most common cause of neuropathic bladder in children. It occurs in approximately 1 in 1000 births in the United States. It can involve all levels of the spinal column, including the lumbar 26%, lumbosacral 47%, sacral 20%, thoracic 5%, and cervical spine 2%. Eighty-five percent of children have an associated Arnold–Chiari malformation.
Clinical characteristics and aetiology of acute acquired comitant esotropia
Published in Clinical and Experimental Optometry, 2022
Yanfang Meng, Xuemin Hu, Xiaoqi Huang, Yijia Zhao, Meihong Ye, Beixi Yi, Lianhong Zhou
Previous studies have found that brain tumours, such as astrocytoma of the corpus callosum, brain stem or cerebellum tumours, etc., can cause AACE.17,18 Arnold-Chiari malformation has been associated with AACE in several studies, and esotropia might be an early manifestation or even the only symptom.19,20 Liu et al.21 reported that AACE is associated with meningitis and basilar artery aneurysm. Among the comitant esotropia patients (51 patients), two had psychosis treated with antipsychotic drugs, and one had systemic lupus erythematosus treated with glucocorticoids. AACE onset may be related to long-term near work but also may be associated with mental illness, systemic lupus erythematosus, or their associated drugs. Parentin et al.22 reported that a nine-year-old girl developed acute common esotropia after receiving recombinant human growth hormone. The development of esotropia may be related to idiopathic intracranial hypertension.
Neurological and neuropsychiatric manifestations of porphyria
Published in International Journal of Neuroscience, 2019
Yiji Suh, Jason Gandhi, Omar Seyam, Wendy Jiang, Gunjan Joshi, Noel L. Smith, Sardar Ali Khan
Acute porphyria may have an insidious onset with symptoms that are nonspecific. For this reason, diagnosis of acute porphyria may be difficult, especially among patients who have comorbidities. A woman who had Arnold Chiari malformation was treated with trimethoprim/sulfamethoxazole for neurogenic bladder and recurrent urinary tract infections. However, after receiving metronidazole to treat C. difficile colitis, the patient presented with additional symptoms, including ascending paralysis, metabolic difficulties, and psychosis [28]. Due to the similarities of symptoms, porphyria is frequently misdiagnosed as Guillain-Barré syndrome [18]. Thus, it is essential to consider acute porphyria as a possible diagnosis to prevent disability and improve the prognoses of patients.
Use of cyanoacrylate to prevent cerebrospinal fluid fistulas after cranial surgery
Published in British Journal of Neurosurgery, 2018
The mean age of the cases was 43,7 and 9 cases had otorrhea and/or rhinorrhoea symptoms detected with a trauma-related epidural haematoma. 84 cases were operated due to supratentorial intra-axial pathologies, 13 cases due to Arnold Chiari malformation, 11 cases due to posterior fossa pathologies, and 11 cases due to a glial tumour or haematoma extending to the lateral ventricle. The gap between the dural leaves was large in 18 cases who received posterior fossa surgery; therefore muscle was thinned, and patches were made. Galea was also used for duraplasty in cases where supratentorial surgery was administered. Artificial dura material was not used in any case