scholarly journals Sudden Paraplegia in a Patient With Chronic Myelopathy

2020 ◽  
Vol 99 (4) ◽  
pp. e56-e57
Author(s):  
Joo Hye Sung ◽  
Seol-Hee Baek ◽  
Byung-Jo Kim
Keyword(s):  
Chronic Myelopathy

Human T Lymphotropic Virus Type I (Htlv-I)-Specific T Helper Cell Responses from Htlv-I Seronegative Patients with Chronic Myelopathy and Ms in Japan

1996 ◽  
Vol 1 (4) ◽  
pp. 200-203
Author(s):  
M Nishimura ◽  
S Jacobson ◽  
T Uchiyama ◽  
M Ohta ◽  
T Saida
Keyword(s):  
Virus Type ◽  
Neurological Diseases ◽  
Interleukin 2 ◽  
Spastic Paraparesis ◽  
Peripheral Blood Lymphocytes ◽  
Type I ◽  
T Lymphotropic Virus ◽  
Adult T Cell Leukemia ◽  
Progressive Myelopathy ◽  
Chronic Myelopathy

Human T lymphotropic virus type I (HTLV-I) is a human retrovirus etiologically linked to Adult T cell leukemia (ATL) and HTLV-I associated myelopathyltropical spastic paraparesis (HAM/TSP). Although most HAM/TSP patients have high anti-HTLV-I antibody titers in their sera, HTLV-I infected but seronegative patients with neurological diseases have been reported. To clarify whether seronegative, HTLV-I related neurological disease may exist, we have developed a method that measures the production of interleukin-2 (IL-2) from HTLV-I synthetic peptide-stimulated peripheral blood lymphocytes (PBL) of HTLV-I infected persons. This method is sensitive enough to detect exposure to HTLV-I before seroconversion or even before detection by PCR. We examined 12 patients with chronic progressive myelopathy and eight patients with multiple sclerosis (MS) in central Japan, where the prevalence rate of HTLV-I is between one and four percent among asymptomatic blood donors, using the IL-2 production assay. None of them were positive by the assay, suggesting seronegative HTLV-I myelopathy is very rare among patients with chronic progressive myelopathy and MS in Japan.

scholarly journals Mielopatija po raktikaulio osteosintezės Kiršnerio viela

2003 ◽  
Vol 1 (1) ◽  
pp. 0-0
Author(s):  
Gintaras Migauskas ◽  
Ugnius Kšanas ◽  
Egidijus Jaržemskas
Keyword(s):  
Spinal Cord ◽  
Rare Complication ◽  
Kirschner Wire ◽  
Bowel Dysfunction ◽  
Artery Occlusion ◽  
Low Back ◽  
Neurosurgical Department ◽  
Plain Films ◽  
Chronic Myelopathy ◽  
Subsequent Rehabilitation

Gintaras Migauskas, Ugnius Kšanas, Egidijus JaržemskasVilniaus Greitosios Pagalbos Universitetinė ligoninė, Neurochirurgijos skyrius Įvadas / tikslas Kiršnerio vielos migracija po raktikaulio osteosintezės – gana dažna komplikacija, tačiau nugaros smegenų kanalo pažeidimas pasitaiko ypač retai. Pateikiamas klinikinis nugaros smegenų pažeidimo Th2-Th3 lygyje atvejis, kuris pasitaikė po raktikaulio osteosintezės Kiršnerio viela. Klinikinis atvejis Dėl juosmens skausmų, laipsniškai progresuojančios paraparezės, dubens organų funkcijos sutrikimo 60 metų ligonis tirtas traumatologų ir neurologų. Iš anamnezės duomenų paaiškėjo sąmonės praradimo epizodas. Buvo diagnozuota ir stuburo osteochondrozė, dešinės slankstelinės arterijos okliuzija. Tiriant rentgenu ir kaklo KT nustatyta Kiršnerio vielos migracija į stuburo kanalą. Ligonis buvo operuotas Neurochirurgijos skyriuje, atlikta Th2 laminektomija, pašalinta viela, pervėrusi stuburo kanalą ir nugaros smegenų maišą. Po operacijos neurologiniai simptomai išnyko. Išvados Vielos migracija į stuburo kanalą po raktikaulio osteosintezės – labai reta, bet įmanoma komplikacija. Klinikinė eiga gali būti netipiška, dėl to gali kilti diagnostikos sunkumų. Prasminiai žodžiai: osteosintezė, Kiršnerio viela, migracija, mielopatija. Myelopathy after clavicular osteosynthesis with Kirschner wire Gintaras Migauskas, Ugnius Kšanas, Egidijus Jaržemskas Background / objective The aim of our report was to describe a spinal cord lesion and chronic myelopathy after clavicular osteosynthesis due to Kirschner wire migration. Case report A 60-year-old male was suffering from low back pain, gradually progressing paraparesis, bladder and bowel dysfunction. An episode of short lost of consciousness was documented during the patient’s examination. Vertebral osteochondrosis and right vertebral artery occlusion were diagnosed. Plain films and CT scan demonstrated Kirschner wire migration to the spinal canal. The surgery was performed in the neurosurgical department: Th2 laminectomy was performed and the wire extracted from the transfixed spinal cord. After the surgery and subsequent rehabilitation the former neurological deficit resolved. Conclusions Wire migration after clavicular osteosynthesis is a very rare complication. Early diagnosis may be aggravated by an atypical clinical course and multiple masking symptoms. Keywords: clavicular osteosynthesis, Kirschner wire migration, myelopathy

Chronic Myelopathy Associated to Intramedullary Cysticercosis

Spine ◽  
2010 ◽  
Vol 35 (5) ◽  
pp. E159-E162 ◽  
Author(s):  
Fabrício Guimarães Gonçalves ◽  
Priscilla Ornellas Neves ◽  
Cassio Lemos Jovem ◽  
Candice Caetano ◽  
Livia Bravo Maia
Keyword(s):  
Chronic Myelopathy

scholarly journals Case Report: Relevance of an Accurate Diagnosis and Monitoring of Infective Dermatitis Associated With Human T-Lymphotropic Virus Type 1 in Childhood

2021 ◽  
Vol 8 ◽  
Author(s):  
Paula Benencio ◽  
Nicolás Ducasa ◽  
Lourdes Arruvito ◽  
Inés Irurzun ◽  
Laura Praino ◽  
...  
Keyword(s):  
Virus Type ◽  
Buenos Aires ◽  
Spastic Paraparesis ◽  
Treatment Withdrawal ◽  
Full Blood Count ◽  
T Lymphotropic Virus ◽  
Adult T Cell Leukemia ◽  
Clinical Evaluations ◽  
Chronic Myelopathy

Human T-lymphotropic virus type 1 (HTLV-1) is a neglected retrovirus distributed worldwide and the ethiological agent of several pathologies, such as adult T-cell leukemia/lymphoma (ATLL), a chronic myelopathy known as HTLV-1 associated myelopathy/tropical spastic paraparesis (HAM/TSP) and infective dermatitis associated with HTLV-1 (IDH). HTLV-1 presents tropism for CD4+ T cells and induces deregulation of the cytokine profile. IDH is a severe, chronic superinfected eczema generally associated with Staphylococcus aureus and/or Streptococcus beta haemolyticus infection that responds partially to antibiotic therapy but prompt recurrence develops upon treatment withdrawal. IDH could be a risk factor for progression toward both HAM/TSP and ATLL and, similarly to other diseases associated with HTLV-1, it is sub-diagnosed particularly in non-endemic areas. Here, we present a case of IDH in a young boy living in Buenos Aires with symptoms since 2010, at the age of 5. HTLV-1 infection was suspected and confirmed in 2016. The patient exhibited chronic dermatosis with exudative eruption involving mainly the scalp, retroauricular regions, neck and abdomen. Clinical evaluations, routine laboratory tests, full blood count, and HTLV-1 diagnosis for this case are included.

Detection of human T-cell leukemia/lymphoma virus type I in a transfusion recipient with chronic myelopathy

Neurology ◽  
1989 ◽  
Vol 39 (6) ◽  
pp. 841-841 ◽  
Author(s):  
E. H. Saxton ◽  
H. Lee ◽  
P. Swanson ◽  
I.S.Y. Chen ◽  
C. Ruland ◽  
...  
Keyword(s):  
T Cell ◽  
Virus Type ◽  
Type I ◽  
T Cell Leukemia ◽  
Cell Leukemia ◽  
Human T Cell ◽  
Chronic Myelopathy

Absence of antibody to HTLV I and III in Sera of Canadian patients with multiple sclerosis and chronic myelopathy

1986 ◽  
Vol 20 (4) ◽  
pp. 533-534 ◽  
Author(s):  
G. P. A. Rice ◽  
H. A. Armstrong ◽  
D. E. Bulman ◽  
D. W. Paty ◽  
G. C. Ebers
Keyword(s):  
Multiple Sclerosis ◽  
Chronic Myelopathy

scholarly journals HTLV-1-Associated Myelopathy/Tropical Spastic Paraparesis Overlapping Ossification of the Ligamentum Flavum

2020 ◽  
Vol 9 (03) ◽  
pp. 213-214
Author(s):  
Guilherme Gago ◽  
Luidia Varrone Giacomini ◽  
Frederico de Lima Gibbon ◽  
Euripedes Gomes de Carvalho Neto ◽  
Fernando Kowacs ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Ligamentum Flavum ◽  
Spastic Paraparesis ◽  
Tropical Spastic Paraparesis ◽  
The Other ◽  
Other Hand ◽  
Chronic Myelopathy

AbstractHTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) is an important cause of nontraumatic and noncompressive chronic myelopathy which generally has no improvement regardless of treatment. On the other hand, ossification of the ligamentum flavum (OLF) is also a cause of myelopathy; however, it can improve in some cases when surgical treatment is well applied. In this case report, we presented a case of a patient with HAM/TSP overlapping OLF which showed some improvement with surgical treatment.

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