Unusual clinical and topographical midbrain stroke revealed by pure sensory disturbance

We describe a strapping device for elevation of the shoulder in patients with thoracic outlet syndrome (TOS). The device was used by 86 patients with TOS whose symptoms had been alleviated by passively raising the shoulder. Symptoms of TOS were classified as proximal, including pain in the shoulder girdle, and distal, in which there were neurological deficits related to the brachial plexus. The device was more effective in patients with distal symptoms: pain disappeared or improved in 67% of patients; numbness in 85%; sensory disturbance in 84%; and motor disturbance in 80%. However, proximal symptoms were relieved in only 65% of the patients. The ability to perform activities of daily living was rated as excellent in 33% of patients, good in 44%, fair in 12%, and poor in 9%. The shoulder orthosis described in this report can counterbalance downward traction on the brachial plexus and reduce the tension on it, thereby relieving symptoms of TOS.

Download Full-text

P3-07-14: Sensory Disturbance of the Ipsilateral Upper Arm after Breast Cancer Surgery with Sentinel Node Biopsy Alone Compared with Axillary Dissection – A Prospective Study.

10.1158/0008-5472.sabcs11-p3-07-14 ◽

2011 ◽

Author(s):

S Ohsumi ◽

S Kiyoto ◽

M Takahashi ◽

F Hara ◽

D Takabatake ◽

...

Keyword(s):

Breast Cancer ◽

Prospective Study ◽

Sentinel Node ◽

Sentinel Node Biopsy ◽

Axillary Dissection ◽

Breast Cancer Surgery ◽

Sensory Disturbance ◽

Upper Arm ◽

Node Biopsy ◽

A Prospective Study

Download Full-text

Cervical myelopathy caused by invagination of anomalous lamina of the axis

Journal of Neurosurgery Spine ◽

10.3171/2013.8.spine13325 ◽

2013 ◽

Vol 19 (6) ◽

pp. 694-696 ◽

Cited By ~ 6

Author(s):

Hironobu Sakaura ◽

Yukihiko Yasui ◽

Toshitada Miwa ◽

Tomoya Yamashita ◽

Kenji Ohzono ◽

...

Keyword(s):

Cervical Myelopathy ◽

Spinous Process ◽

Ossification Center ◽

Surgical Removal ◽

Sensory Disturbance ◽

Satisfactory Outcome ◽

History Of ◽

One Year ◽

The Right ◽

Underlying Pathogenesis

The authors report a case of cervical myelopathy caused by invagination of the bilaterally separated lamina of the axis. They also present a literature review. The patient was a previously healthy 68-year-old man with a 1-year history of slowly progressive gait disturbance, right-hand clumsiness, and right dominant sensory disturbance in his trunk and extremities. Both MRI and CT showed that the spinal cord was markedly compressed at the C2–3 level, on the right side, by a deeply invaginated anomalous lamina of the axis. A bilaterally separated lamina was also visible. The patient underwent removal of the anomalous invaginated fragment of the separated lamina and the spinous process of the axis. One year after surgery, his myelopathic symptoms had almost completely resolved. Here, the authors present the case of a patient with an extremely rare anomaly of the lamina of the axis. The underlying pathogenesis of this anomaly could be the failure of the 2 chondrification centers on either side to fuse into a single ossification center. Surgical removal of the anomalous invaginated lamina produced a satisfactory outcome.

Download Full-text