scholarly journals Acute-Onset Cervical Spine Pain and Neurologic Deficit in a Previously Healthy Young Woman

2006 ◽  
Vol 19 (1) ◽  
pp. 46-48
Author(s):  
William G. Schucany
Keyword(s):  
Cervical Spine ◽  
Young Woman ◽  
Acute Onset ◽  
Neurologic Deficit ◽  
Healthy Young Woman ◽  
Spine Pain

scholarly journals Cardiogenic Shock in a Healthy Young Woman With Acute Onset Abdominal and Chest Pain

2020 ◽  
Vol 2 (1) ◽  
pp. 24-27 ◽  
Author(s):  
Daniel James Belliveau ◽  
Adrienne Christine Weeks ◽  
Roger McKelvey ◽  
Sharon L. Mulvagh
Keyword(s):  
Chest Pain ◽  
Cardiogenic Shock ◽  
Young Woman ◽  
Acute Onset ◽  
Healthy Young Woman

Disseminated Pulmonary Aspergillosis in a Previously Healthy Young Woman

1984 ◽  
Vol 16 (2) ◽  
pp. 217-222
Author(s):  
Gunnar Hillerdal ◽  
Lars Benson ◽  
Anders Lindgren ◽  
Sven Olov Hjertquist
Keyword(s):  
Young Woman ◽  
Pulmonary Aspergillosis ◽  
Healthy Young Woman

Successful stereotaxic evacuation of an acute pontomedullary hematoma

1985 ◽  
Vol 62 (1) ◽  
pp. 153-156 ◽  
Author(s):  
D. Andries Bosch ◽  
Gustaaf N. Beute
Keyword(s):  
Arteriovenous Malformation ◽  
Young Woman ◽  
Computerized Tomography ◽  
Ct Scanning ◽  
Vascular Lesion ◽  
Content Type ◽  
Healthy Young Woman ◽  
First Child ◽  
Fine Print

✓ A healthy young woman developed a rapidly progressive pontomedullary lesion 24 hours after delivery of her first child. The lesion was shown on computerized tomography (CT) to be a primary hematoma. Stereotaxic aspiration was carried out, and the patient recovered. Angiography and CT scanning demonstrated a vascular lesion compatible with an arteriovenous malformation.

scholarly journals Clinical and angioarchitectural characteristics of spinal vascular malformations of the cervical spine

2020 ◽  
Vol 32 (5) ◽  
pp. 755-762 ◽  
Author(s):  
Waleed Brinjikji ◽  
Elisa Colombo ◽  
Giuseppe Lanzino
Keyword(s):  
Cervical Spine ◽  
Lower Extremity ◽  
Clinical Presentation ◽  
Vascular Malformations ◽  
Case Series ◽  
Acute Onset ◽  
Lower Extremity Weakness ◽  
Arteriovenous Fistulas ◽  
Spinal Vascular Malformations ◽  
Interventional Neuroradiologist

OBJECTIVEVascular malformations of the cervical spine are exceedingly rare. To date there have been no large case series describing the clinical presentation and angioarchitectural characteristics of cervical spine vascular malformations. The authors report their institutional case series on cervical spine vascular malformations diagnosed and treated at their institution.METHODSThe authors retrospectively reviewed all patients with spinal vascular malformations from their institution from January 2001 to December 2018. Patients with vascular malformations of the cervical spine were included. Lesions were characterized by their angioarchitectural characteristics by an interventional neuroradiologist and endovascular neurosurgeon. Data were collected on clinical presentation, imaging findings, treatment outcomes, and long-term follow-up. Descriptive statistics are reported.RESULTSOf a total of 213 patients with spinal vascular malformations, 27 (12.7%) had vascular malformations in the cervical spine. The mean patient age was 46.1 ± 21.9 years and 16 (59.3%) were male. The most common presentations were lower-extremity weakness (13 patients, 48.1%), tetraparesis (8 patients, 29.6%), and lower-extremity sensory dysfunction (7 patients, 25.9%). Nine patients (33.3%) presented with hemorrhage. Fifteen patients (55.6%) had modified Rankin Scale scores of 0–2 at the time of diagnosis. Regarding angioarchitectural characteristics, 8 patients (29.6%) had intramedullary arteriovenous malformations (AVMs), 5 (18.5%) had epidural arteriovenous fistulas (AVFs), 4 (14.8%) had paraspinal fistulas, 4 (14.8%) had mixed epidural/intradural fistulas, 3 (11.1%) had perimedullary AVMs, 2 (7.4%) had dural fistulas, and 1 patient (3.7%) had a perimedullary AVF.CONCLUSIONSThis retrospective study of 27 patients with cervical spine vascular malformations is the largest series to date on these lesions. The authors found substantial angioarchitectural heterogeneity with the most common types being intramedullary AVMs followed by epidural AVFs, paraspinal fistulas, and mixed intradural/extradural fistulas. Angioarchitecture dictated the clinical presentation as intradural shunts were more likely to present with hemorrhage and acute onset myelopathy, while dural and extradural shunts presented as either incidental lesions or gradually progressive congestive myelopathy.

scholarly journals Postpartum Seizure and Subarachnoid Haemorrhage Secondary to Moyamoya Disease

2019 ◽  
Vol 2019 ◽  
pp. 1-2
Author(s):  
L. Chitra Varanasi ◽  
James Brown ◽  
Neil Athayde
Keyword(s):  
Subarachnoid Haemorrhage ◽  
Young Woman ◽  
Moyamoya Disease ◽  
Postpartum Period ◽  
Rare Case ◽  
Neurological Deficits ◽  
Healthy Young Woman

Postpartum seizures secondary to subarachnoid haemorrhage (SAH) are rare. The incidence of pregnancy-related SAH is increasing and is highest during the delivery and postpartum periods. While there have been cases in the literature of SAH occurring postpartum, very few are associated with Moyamoya disease. We present a rare case of a young woman diagnosed with Moyamoya disease following immediate postpartum seizures secondary to a SAH. She was medically managed and discharged without any neurological deficits. This case highlights how seizures and SAH may develop in the immediate postpartum period in an otherwise healthy young woman.

scholarly journals Cervical spine intradural-extramedullary hematoma presenting as ipsilateral hemiparesis

2011 ◽  
Vol 3 (2) ◽  
pp. 8
Author(s):  
Chih Ming Lin
Keyword(s):  
Cervical Spine ◽  
Thrombolytic Therapy ◽  
Cervical Spinal Cord ◽  
The Elderly ◽  
Clinic Visit ◽  
Acute Onset ◽  
Common Symptom ◽  
History Taking ◽  
Massage Treatment ◽  
Intradural Extramedullary

A 75-year-old Taiwanese man suffered from acute onset of right-sided extremity weakness while talking to his neighbors. He was transferred to the hospital within three-hour time after symptom onset. Initial acute ischemic cerebral infarct was diagnosed based on his symptom and cerebral computed tomography. Thrombolytic therapy was held after his symptom improved promptly and could not excluded other etiology. Thorough history taking unraveled previous Chinese medicine clinic visit because of neck sore. However, he received limited improvement after several times of massage treatment. Magnetic resnance imaging (MRI) of the cervical spine demonstrated hematoma compressing right side intradural-extramedullary space at the C2/C3 level. Through his clinical course, muscle weakness was the sole neurological finding with sparing of sensory defects. Given the close anatomy relationship between sensory and motor lamina distribution in the cervical spinal cord, our patient presented a rare manifestation. Cases of cervical spine intradural-extramedullary hematoma are not often seen and only sporadic in the documented literature. We wish, through the report of this article, to inform the first- line physicians with the following information. Among the elderly, neck sore is a common symptom. Over- stretching or overt local massage is not suggested due to relatively fragile musculature. In the clinical diagnosis and localization of lesion, cerebral or cervical spine lesion could mimic with each other and manifest hemiparesis as their first symptom. Meticulous history taking, neurological/ physical examination and pertinent laboratory work-up should be done before initiation of intravenous thrombolytic therapy as it could cause catastrophic consequences if not used properly.

scholarly journals Muscle Dysfunction in Cervical Spine Pain: Implications for Assessment and Management

2009 ◽  
Vol 39 (5) ◽  
pp. 324-333 ◽  
Author(s):  
Shaun O'Leary ◽  
Deborah Falla ◽  
James M. Elliott ◽  
Gwendolen Jull
Keyword(s):  
Cervical Spine ◽  
Muscle Dysfunction ◽  
Spine Pain
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