scholarly journals Low Back Pain After Sudden Onset of Abdominal Pain in a Patient with Crohn's Disease

2016 ◽  
Vol 129 (4) ◽  
pp. e9-e10
Author(s):  
Kiyoshi Shikino ◽  
Shingo Suzuki ◽  
Yuta Hirose ◽  
Yoshiyuki Ohira ◽  
Masatomi Ikusaka
Keyword(s):  
Crohn’S Disease ◽  
Abdominal Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Crohn's Disease ◽  
Sudden Onset ◽  
Low Back

scholarly journals Acute Paraplegia as a Presentation of Aortic Saddle Embolism

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Lisandro Irizarry ◽  
Anton Wray ◽  
Kim Guishard
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Case Report ◽  
Sudden Onset ◽  
Acute Onset ◽  
Low Back ◽  
Postsurgical Complications ◽  
Vascular Origin ◽  
Acute Paraplegia

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.

scholarly journals Triggers for an episode of sudden onset low back pain: study protocol

2012 ◽  
Vol 13 (1) ◽  
Author(s):  
Daniel Steffens ◽  
Manuela L Ferreira ◽  
Christopher G Maher ◽  
Jane Latimer ◽  
Bart W Koes ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Study Protocol ◽  
Sudden Onset ◽  
Low Back

scholarly journals Clinicians’ views on factors that trigger a sudden onset of low back pain

2013 ◽  
Vol 23 (3) ◽  
pp. 512-519 ◽  
Author(s):  
Daniel Steffens ◽  
Chris G. Maher ◽  
Manuela L. Ferreira ◽  
Mark J. Hancock ◽  
Timothy Glass ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Sudden Onset ◽  
Low Back

scholarly journals Familial and Genetic Influences on the Common Pediatric Primary Pain Disorders: A Twin Family Study

Children ◽  
2021 ◽  
Vol 8 (2) ◽  
pp. 89
Author(s):  
David Champion ◽  
Minh Bui ◽  
Aneeka Bott ◽  
Theresa Donnelly ◽  
Shuxiang Goh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Low Back Pain ◽  
Back Pain ◽  
Family Members ◽  
Recurrent Abdominal Pain ◽  
Persistent Pain ◽  
Genetic Influences ◽  
Low Back ◽  
Association Analyses ◽  
Growing Pains

The primary pain disorders of childhood are highly prevalent but have infrequently been studied collectively. Genetic influences have been suggested to be causally implicated. Surveys were sent to 3909 Australian twin families, assessing the lifetime prevalence of growing pains, migraine, headache, recurrent abdominal pain, low back pain, and persistent pain (not otherwise specified) in pediatric twins and their immediate family members. Comparisons between monozygous (MZ) and dizygous (DZ) twin pair correlations, concordances and odds ratios were performed to assess the contribution of additive genetic influences. Random-effects logistic regression modelling was used to evaluate relationships between twin individuals and their co-twins, mothers, fathers and oldest siblings with the subject conditions. Twin analyses of responses from 1016 families revealed significant influence of additive genetic effects on the presence of growing pains, migraine, and recurrent abdominal pain. The analyses for headache, low back pain, and persistent pain overall did not conclusively demonstrate that genetic influences were implicated more than shared environmental factors. Regression analyses demonstrated varying levels of significance in relationships between family members and twin individuals for the tested conditions, with strongest support for genetic influences in growing pains and migraine. These data, together with previously published association analyses, suggest common causal influences including genes.

scholarly journals Aortic thrombosis presenting with low back pain and paraplegia: a medical alert

2021 ◽  
Author(s):  
Fernanda Fenner ◽  
Francisco José Luis de Sousa ◽  
Hilton Mariano da Silva Jr ◽  
Andrei Fernandes Joaquim
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Neurological Examination ◽  
Survival Rates ◽  
Clinical History ◽  
Sudden Onset ◽  
Lower Limbs ◽  
Low Back ◽  
Vascular Surgeon ◽  
Axial Tomography

Context:The importance of a thorough neurological examination of the patient should always include research into differential diagnoses such as vascular syndromes, increasingly common in our population. Case report: A 46-year-old man evaluated and screened by the Neurosurgery’s department team, after an initial complaint of sudden onset low back pain and acute weakness in both lower limbs. The patient was healthy before the event. Patient didn’t have pathological history or use of chronic medications, referring only to use sporadic medication for sexual impotence, approximately 6 months ago. Observation revealed pale cold lower limbs, with livedo reticularis. Pulses of the femoral artery were absent bilaterally. Neurological examination revealed complete flaccid paraplegia with neurological level of L1. Below this level loss of pain, light touch and temperature sensation (0/2 in all dermatomes on both extremities), muscle weakness (0/5 in all neurotomes bilaterally), absent tendon and plantar reflexes. Axial tomography of the lumbar spine didn’t reveal vertebral lesions or pressure within the spinal canal. Consultation of the vascular surgeon confirmed absence of blood flow through femoral arteries and emergency angiotomography of the abdominal aorta showed complete occlusion of the descending aorta, upper renal arteries. Patient underwent percutaneous embolectomy treatment, with successful revascularization of lower extremities; unfortunately died about 10 hours after surgery due the development of revascularization syndrome. Conclusions: Acute aortic occlusion is a catastrophic event and can present itself as flaccid paraplegia, leading to misdiagnosis and loss of valuable time for positive outcome. Vascular examination should always be performed on each patient with neurological deficit in lower limbs, especially patients with clinical history of peripheral vascular disease. Immediate start of treatment is imperative to improve survival rates.

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