Degenerative symptomatic spinal synovial cysts: Clinical presentation and functional outcome

2019 ◽  
Vol 62 ◽  
pp. 112-116 ◽  
Author(s):  
Christoph Hohenberger ◽  
Alexander Brawanski ◽  
Odo Winfried Ullrich ◽  
Julius Höhne ◽  
Florian Zeman ◽  
...  
2015 ◽  
Vol 5 (3) ◽  
pp. 173-177
Author(s):  
Vishwas Madaan ◽  
Vineet Vaman Kini ◽  
Seema Roodmal Yadav ◽  
Ashvini M Padhye

ABSTRACT Excessive gingival display while smiling is one of the significant esthetic concern for many patients. One of the etiology for this is altered passive eruption (APE). A clinician must have a thorough knowledge of the clinical presentation of this condition and methods to eliminate it in order to provide the desired esthetical and functional outcome. Periodontic plastic procedures provide the best solution to this condition not only by eliminating the excess of gingiva but also by enhancing the gingival esthetics and biological harmony. This case report highlights the clinical presentation of alter passive eruption in two patients along with sequential approach for management of such condition. How to cite this article Yadav SR, Madaan V, Kini VV, Padhye AM. Altered Passive Eruption: Report on Management of Two Cases. J Contemp Dent 2015;5(3):173-177.


2015 ◽  
Vol 05 (04) ◽  
pp. 062-065
Author(s):  
Sanath Kumar Shetty ◽  
Arjun Ballal ◽  
Lawrence John Mathias ◽  
H. Ravindranath Rai

Abstract Background: Back pain is considered as one of the most unrewarding problems in clinical medicine. There have existed several etiologies for the same and most of them do not have an ideal clinical presentation. Only those syndromes associated with neurologic compression of the cauda equina or nerve roots, have reasonably well understood clinical presentation. Aims: The aim of the study was to analyse and compare the functional outcome of laminectomy and discectomy in lumbar intervertebral disc prolapse in short and long term follow up. Materials and methods: Our study included a total of 50 diagnosed cases of lumbar intervertebral disc prolapse between age group of 40-70 years. The patients were subdivided into two groups. The first group was a retrospective group and included patients who had undergone laminectomy and discectomy between January 1993 and December 2003 with an average follow up of 3.68 years. Group two (prospective group) consisted of patients between January 2004 and December 2004 who underwent laminectomy and discectomy, with a follow up of 6 months.The subjective assessment was done using the Oswestry disability index (O.D.I). the results obtained with assessment of group I and group II were tabulated compared. Statistical analysis was done using the chi square test. Results: The results were noted to be 76% excellent, 8% good and 16% with poor scores in group I. 96% with excellent, no patients with good scores and 4% with poor scores in group II as per the O.D.I. Conclusion: We conclude saying that laminectomy and discectomy had excellent outcome in terms of pain relief in terms of long term and short term follow up.


2018 ◽  
Vol 21 (2) ◽  
pp. 126-129
Author(s):  
Emerson Magno F. De Andrade ◽  
Raphael Vicente Alves ◽  
Mariano Ebran Fiore ◽  
Airton Batista De Araújo Jr ◽  
Antônio Carlos Montanaro ◽  
...  

Synovial cysts of the spine are usually asymptomatic, rarely causing nerve root or spinal cord compression. The authors report on two cases of spinal synovial cysts. One patient harbored a cervical cyst causing myelophaty, and a secondpatient had a lumbar cyst with gradual development of radiculopathy. In both cases the patients had improvement of the symptoms and good outcome after surgical removal of the cysts. Synovial cysts should be considered in the differential diagnosis of any spinal extradural masses. The literature is reviewed and the etiological, clinical presentation, diagnosis and treatment are discussed.


Neurosurgery ◽  
2015 ◽  
Vol 76 (6) ◽  
pp. 663-671 ◽  
Author(s):  
Tineke Sikkema ◽  
Maarten Uyttenboogaart ◽  
J. Marc C. van Dijk ◽  
Rob J.M. Groen ◽  
Jan D.M. Metzemaekers ◽  
...  

Abstract BACKGROUND: Intracranial artery dissections (IADs) are an important cause of stroke or subarachnoid hemorrhage (SAH). Outcome of IAD in the anterior circulation or presentation without SAH is rarely investigated and might be different. OBJECTIVE: To evaluate the clinical features and prognosis of patients with IAD, with special emphasis on the location (anterior vs posterior circulation) and clinical presentation (SAH or cerebral ischemia). METHODS: Between January 1998 and May 2012, 60 patients with IAD were included in this single-center cohort study. Clinical features, functional outcome, mortality, and prognostic factors were evaluated. Unfavorable functional outcome was defined as a modified Rankin scale score of 3 to 6. RESULTS: In 18 patients (30%), IAD was located in the anterior circulation. At a median follow-up of 6.4 months, 35.3% of patients with IAD in the anterior circulation had an unfavorable functional outcome vs 39.0% in patients with IAD in the posterior circulation (P = .79). Forty-two patients (70%) presented with SAH. Clinical presentation with SAH was not significantly associated with poor functional outcome (41.5% vs 29.4%, P = .39). Low Glasgow Coma Scale score on admission (odds ratio, 0.72, P = .003) and older age (odds ratio, 1.04, P = .04) were independent predictors of unfavorable functional outcome. Mortality rate was 13% and did not significantly differ with location or clinical presentation. CONCLUSION: Low Glasgow Coma Scale score on admission and older age were independent predictors of unfavorable functional outcome. IAD presenting with SAH was not significantly associated with poor functional outcome.


2020 ◽  
Vol 129 (7) ◽  
pp. 760-767
Author(s):  
Henry R. Cowan ◽  
Vijay A. Mittal ◽  
Daniel N. Allen ◽  
James M. Gold ◽  
Gregory P. Strauss

2013 ◽  
Vol 47 (6) ◽  
pp. 783-790 ◽  
Author(s):  
Gregory P. Strauss ◽  
William P. Horan ◽  
Brian Kirkpatrick ◽  
Bernard A. Fischer ◽  
William R. Keller ◽  
...  

Author(s):  
Line Buhl ◽  
David Muirhead

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.


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