scholarly journals Lhermitte Sign as a Presenting Symptom of Thoracic Spinal Pathology: A Case Study

2015 ◽  
Vol 2015 ◽  
pp. 1-3
Author(s):  
Adam Hills ◽  
Mazen Al-Hakim

A 54-year-old male with ankylosing spondylitis presented with complaints of progressively worsening bilateral leg weakness and difficulty ambulating of 2-week duration. He also felt a sharp, electric, shock-like sensation radiating from his lower back into his legs upon flexing the trunk. There was no history of trauma or other inciting events within the 2 weeks prior to presentation. Thoracic MRI at this visit showed a three-column fracture at T11-T12. He underwent spinal fusion surgery and within 2 days after surgery the radiating electrical sensation with spinal flexion had completely resolved.

Author(s):  
Walter Anderson ◽  
Cory Chapman ◽  
Zohreh Karbaschi ◽  
Mohammad Elahinia

An innovative shape memory alloy actuated cage has been developed for spinal fusion surgery. Spinal fusion surgery is performed on people suffering from low back pain. The viscoelastic spinal disc between the two vertebrae can degenerate in some fashion, such as herniation, and the space needs to be restored to relive the pressure on the nerves within the lower back. There are two main parts to a spinal disc, the annulus fibrosis and the nucleolus. The annulus fibrosis is a cartilaginous structure and is of interest to preserve. Therefore a minimally invasive cage utilizing superelastic elements has been developed. Furthermore, the cage safety and efficacy has been proven and will be presented here. Within this work, the efficacy and longevity of the cage will be presented. To this end, ASTM testing for spinal implants has been conducted on an electromechanical test system capable of inducing simultaneous axial and torsional forces.


2000 ◽  
Vol 92 (2) ◽  
pp. 229-232 ◽  
Author(s):  
Federico Roncaroli ◽  
Bernd W. Scheithauer ◽  
H. Gordon Deen

✓ A case of multiple hemangiomas of the cauda equina nerve roots, conus medullaris, and lower spinal cord is described. The 74-year-old male patient presented with a 9-month history of progressive bilateral leg weakness. He had a history of lymphoma at the age of 39 years and renal cell carcinoma in his early 40s. Neither disease was evident at the time of this presentation. A magnetic resonance image revealed multiple enhancing nodules in the cauda equina region as well as on the pial surface of the lower thoracic spinal cord and conus medullaris. The patient underwent an L2–3 laminectomy. Cauda equina nerve roots were found to be studded with numerous purple nodules, the largest measuring 6 to 8 mm. The nodules were adherent to nerve roots from which they could not be resected. Two lesions were histologically examined and found to be capillary hemangiomas. Twelve months into an uneventful postoperative course, the patient is neurologically unchanged. This unique case might represent a distinct form of hemangiomatosis confined to the cauda equina nerve roots and spinal cord.


2019 ◽  
Vol 5 (3) ◽  
pp. 19-25
Author(s):  
А. Демидова ◽  
A. Demidova

The article presents a clinical case of nonrenthenological ankylosing spondylitis (as). AU was diagnosed at the initial request for medical help for pain in the lower back and hip joints. Timely diagnosis was carried out taking into account the burdened hereditary anamnesis. AU was detected at an early stage of the disease, when persistent functional disorders in the spine and joints have not yet formed, which could later become irreversible.


2007 ◽  
Vol 122 (1) ◽  
pp. 105-107 ◽  
Author(s):  
J M Hilton ◽  
P Tassone ◽  
J Hanif ◽  
B Blagnys

AbstractWe present an unusual cause of rhinolalia clausa secondary to an oropharyngeal mass. A 69-year-old male presented to the otorhinolaryngology clinic with a one year history of a ‘plummy’ voice. He had a longstanding history of severe ankylosing spondylitis. Examination revealed an obvious hyponasal voice and a smooth hard mass in the midline of the posterior nasopharyngeal and oropharyngeal walls. Subsequent computed tomography scans and lateral plain neck X-ray showed a fracture dislocation of the odontoid peg, secondary to ankylosing spondylitis, which had eroded through the body of the C1 vertebra to lie anteriorly, resulting in the aforementioned impression into the pharyngeal mucosa. The radiological images, the role of the nasal airways in phonation and the causes of hyponasal speech are discussed.


This case focuses on whether surgery or physical rehabilitation is the better choice for chronic lower back pain by asking the question: Is spinal fusion surgery beneficial in patients with chronic nonspecific low back pain? The benefit of surgery compared with nonsurgical therapy in patients with chronic low back pain remains uncertain. Most patients improve both with and without surgery. Although pain control may be slightly better with surgery, surgical treatment carries risks. Further research on this topic is greatly needed.


Author(s):  
Ferris M. Pfeiffer ◽  
Dennis L. Abernathie

Spinal fusion surgery is one of the most common surgical procedures used to alleviate lower back pain. It is estimated that between 200,000 and 300,000 spine fusion procedures performed each year in the United States [1]. There has been an increase of approximately 8% per year in the frequency of lumbar fusions in the United States since 1980 [2]. Spinal fusion is indicated for treatment of degenerative disk disease, degenerative joint disease, scoliosis, and isthmic and degenerative spondlylotisthesis when more conservative treatments have failed to achieve relief.


2007 ◽  
pp. 21-35 ◽  
Author(s):  
Vinod K. Podichetty ◽  
Robert S. Biscup

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Hosein Safari ◽  
Somayeh Mirzavand ◽  
Abdollah Rafiei ◽  
Molouk Beiromvand

Abstract Introduction Spinal hydatidosis, a zoonotic disease caused by infection with Echinococcus spp. larvae, is rare, but its treatment remains a significant medical challenge. Approximately 70% of patients with spinal hydatidosis have lesions in their liver, 0–15% have lung involvement, and only 0.5–2% have bone involvement. Case presentation Here we report a 38-year-old Iranian man with spinal hydatidosis, who had a history of eight times surgery in over of 26 years due to hydatid cyst in the liver, lungs, and chest wall. At the most recent admission to hospital he presented with chest pain, paraplegia, and urinary incontinence. Magnetic resonance imaging revealed thoracic spinal hydatid disease. He underwent surgery, and the hydatid cysts were completely removed. Lower extremity forces recovered dramatically and completely within 4 weeks. Conclusion Spinal hydatidosis is a rare disease, but it is associated with a high degree of morbidity, mortality, and poor prognosis. Because of the infiltrative nature of hydatid disease, surgery alone is rarely curative. The current case study demonstrates the importance of a suitable surgical approach, adequate intraoperative prophylaxis to prevent cyst rupture, and prolonged complete paraplegia.


Author(s):  
Odile Moreau

This chapter explores movement and circulation across the Mediterranean and seeks to contribute to a history of proto-nationalism in the Maghrib and the Middle East at a particular moment prior to World War I. The discussion is particularly concerned with the interface of two Mediterranean spaces: the Middle East (Egypt, Ottoman Empire) and North Africa (Morocco), where the latter is viewed as a case study where resistance movements sought external allies as a way of compensating for their internal weakness. Applying methods developed by Subaltern Studies, and linking macro-historical approaches, namely of a translocal movement in the Muslim Mediterranean, it explores how the Egypt-based society, al-Ittihad al-Maghribi, through its agent, Aref Taher, used the press as an instrument for political propaganda, promoting its Pan-Islamic programme and its goal of uniting North Africa.


2010 ◽  
Vol 1 (1) ◽  
pp. 75-93
Author(s):  
Jessica Moberg

Immediately after the Second World War Sweden was struck by a wave of sightings of strange flying objects. In some cases these mass sightings resulted in panic, particularly after authorities failed to identify them. Decades later, these phenomena were interpreted by two members of the Swedish UFO movement, Erland Sandqvist and Gösta Rehn, as alien spaceships, or UFOs. Rehn argued that ‘[t]here is nothing so dramatic in the Swedish history of UFOs as this invasion of alien fly-things’ (Rehn 1969: 50). In this article the interpretation of such sightings proposed by these authors, namely that we are visited by extraterrestrials from outer space, is approached from the perspective of myth theory. According to this mythical theme, not only are we are not alone in the universe, but also the history of humankind has been shaped by encounters with more highly-evolved alien beings. In their modern day form, these kinds of ideas about aliens and UFOs originated in the United States. The reasoning of Sandqvist and Rehn exemplifies the localization process that took place as members of the Swedish UFO movement began to produce their own narratives about aliens and UFOs. The question I will address is: in what ways do these stories change in new contexts? Texts produced by the Swedish UFO movement are analyzed as a case study of this process.


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