scholarly journals Conservative treatment of paraplegia following acute trauma in a patient with tuberculous kyphosis: case report and review of the literature

Spinal Cord ◽  
1985 ◽  
Vol 23 (3) ◽  
pp. 187-191
Author(s):  
K M Chan ◽  
P C Leung
2011 ◽  
Vol 7 (4) ◽  
pp. 399-403 ◽  
Author(s):  
R. Le Nué ◽  
L. Marcellin ◽  
M. Ripepi ◽  
C. Henry ◽  
J.M. Kretz ◽  
...  

Author(s):  
Moritz C. Deml ◽  
Raphael Sedlmayer ◽  
Irakli Tinikashvili ◽  
Sebastian F. Bigdon ◽  
Helena Milavec ◽  
...  

Compartment syndrome of the upper and the lower extremities is a well-known entity in emergency medicine and traumatology. However, compartment syndrome of the paraspinal musculature is a very rare cause of acute back pain and may be missed at presentation despite its clinical importance. Therefore, we present a case of paraspinal compartment syndrome embedded in an overview of the actual literature. A 21- year-old woman presented with acute back pain refractory to analgesia with opiates after a tug of war match. A CT-scan of the abdomen demonstrated paraspinal swelling and an MRI ruled out intra-spinal pathologies. A compartment measurement yielded a pressure of 135mmHg. Even though conservative treatment attempts are often described, an emergency fasciotomy was carried out. Further rehabilitation was uneventful. Nevertheless, the timing of fasciotomy in the paraspinal region is under discussion, especially due to very rare experiences. Even if surgery is delayed by more than 24 hours following symptom onset, favourable postoperative outcomes have been observed.


2016 ◽  
Vol 3 (1) ◽  
pp. 14-18
Author(s):  
Romina Marina Sima ◽  
Denisa Oana Balalau ◽  
Liana Pleș

Myomas or fibroids represent the most frequent type of genital benign tumor in women. Abdominalmyomectomy was developed in the early 1900s as a conservative treatment for women with uterinemyomas. A 29-year-old woman was admitted in our clinic for menomethrorragia and lowerabdominal pain. She had no obstetrical past regarding abortions or deliveries but she desired toobtain a pregnancy in the future. The clinical and ultrasound examination revealed an enlargeduterus of about 10/9 cm with a 8/7 cm fibroid involving the entire anterior wall. We decided toperform myomectomy. Laparotomy was the choice instead of laparoscopy, considering the size andlocalization of the myoma. We succeeded to remove the fibroid, control the bleeding and let theuterus in place. Postoperative the patient presented anemia with hemoglobin levels between 6-8g/dl due to heavy intraoperative blood loss. She received blood products to correct the anemia. Shewas discharged 5 days after the surgery and made a check visit one month later. She had nocomplaints and there was no pathology according to her physical examination. We report the caseof a young woman with uterine large intramyometrial fibroid. The challenge of this case was topreserve uterus and fertility after myomectomy in consideration of the heavy operative hemorrhage.


2014 ◽  
Vol 42 (3) ◽  
pp. 427-432 ◽  
Author(s):  
Yuko Tanaka ◽  
Atsushi Uchida ◽  
Takeshi Umemoto ◽  
Isamu Morishima ◽  
Kazunori Kikuchi ◽  
...  

2014 ◽  
Vol 12 (2) ◽  
pp. 230-231 ◽  
Author(s):  
José Alexandre Lopes da Silva Alvarenga ◽  
Fernando Tadashi Salvioni Ueta ◽  
David Del Curto ◽  
Renato Hiroshi Salvioni Ueta ◽  
Delio Eulalio Martins ◽  
...  

Apophyseal ring fractures are rare injuries that may be associated with lumbar disc herniation in young patients. We report a unique case in the literature of a 15-year-old male patient who played football and was admitted at our service complaining of sciatica radiating into the left leg. An apophysial ring injury of L5 vertebral body was observed. This injury caused two extruded disc herniation in adjacent levels. Surgical procedure was indicated after failure of conservative treatment.


Neurosurgery ◽  
1991 ◽  
Vol 29 (6) ◽  
pp. 916-919 ◽  
Author(s):  
Volker M. Tronnier ◽  
Anton Steinmetz ◽  
Friedrich K. Albert ◽  
Johannes Scharf ◽  
Stefan Kunze

Abstract A rare case of a true hernia of the spinal cord through a dural defect without evidence of acute trauma is presented. The cause and the differentiation from other congenital and traumatic spinal cord lesions, especially arachnoid cysts, are discussed.


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