Hydromyelia Complicating Apert's Syndrome: A Case Report

Neurosurgery ◽  
1985 ◽  
Vol 17 (1) ◽  
pp. 70-74 ◽  
Author(s):  
Dennis G. Vollmer ◽  
T.S. Park ◽  
Wayne S. Cail ◽  
John A. Jane
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Lower Extremity ◽  
Foramen Magnum ◽  
Conus Medullaris ◽  
Posterior Fossa Decompression ◽  
Lower Extremity Weakness ◽  
Craniofacial Anomaly ◽  
Apert's Syndrome

Abstract A 7-year-old boy with Apert's syndrome and hydrocephalus presented with scoliosis and lower extremity weakness. Neuroradiological evaluation demonstrated bony abnormalities involving the foramen magnum and a markedly hydromyelic spinal cord. Clinical improvement followed posterior fossa decompression and a myelotomy on the caudal conus medullaris. A possible role of the craniofacial anomaly in the pathogenesis of the hydromyelia is discussed.

Right Lower Extremity Weakness Following a Traumatic High Conus Medullaris Injury: A Case Report

PM&R ◽  
2013 ◽  
Vol 5 ◽  
pp. S260-S260
Author(s):  
Harnoor S. Tokhie ◽  
Neha Shah ◽  
Raymond Lee ◽  
Edward Park
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Conus Medullaris ◽  
Lower Extremity Weakness

scholarly journals Sleep Apnea and Unilateral Upper and Lower Extremity Allodynia as a Result of a Large Thoracic Disc Herniation: A Case Report

2021 ◽  
Author(s):  
Tyler D. Alexander ◽  
Anthony Stefanelli ◽  
Sara Thalheimer ◽  
Joshua E. Heller
Keyword(s):  
Spinal Cord ◽  
Sleep Apnea ◽  
Sexual Dysfunction ◽  
Lower Extremity ◽  
Disc Herniation ◽  
Cord Compression ◽  
Thoracic Disc Herniation ◽  
Lower Extremity Weakness ◽  
Disc Herniations ◽  
Thoracic Disc

Abstract BackgroundClinically significant disc herniations in the thoracic spine are rare accounting for approximately 1% of all disc herniations. In patients with significant spinal cord compression, presenting symptoms typically include ambulatory dysfunction, lower extremity weakness, lower extremity sensory changes, as well as bowl, bladder, or sexual dysfunction. Thoracic disc herniations can also present with thoracic radiculopathy including midback pain and radiating pain wrapping around the chest or abdomen. The association between thoracic disc herniation with cord compression and sleep apnea is not well described.Case PresentationThe following is a case of a young male patient with high grade spinal cord compression at T7-8, as a result of a large thoracic disc herniation. The patient presented with complaints of upper and lower extremity unilateral allodynia and sleep apnea. Diagnosis was only made once the patient manifested more common symptoms of thoracic stenosis including left lower extremity weakness and sexual dysfunction. Following decompression and fusion the patient’s allodynia and sleep apnea quickly resolved.ConclusionsThoracic disc herniations can present atypically with sleep apnea – a symptom which may resolve with surgical treatment.

scholarly journals Design and Experimental Evaluation of a Vertical Lift Walker for Sit-to-Stand Transition Assistance

2012 ◽  
Vol 6 (1) ◽  
Author(s):  
Thomas C. Bulea ◽  
Ronald J. Triolo
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Lower Extremity ◽  
Grip Force ◽  
Hand Function ◽  
Electrical Power ◽  
Lower Extremity Weakness ◽  
Sit To Stand ◽  
Cord Injury ◽  
Vertical Lift

A walker capable of providing vertical lift support can improve independence and increase mobility of individuals living with spinal cord injury (SCI). Using a novel lifting mechanism, a walker has been designed to provide sit-to-stand assistance to individuals with partially paralyzed lower extremity muscles. The design was verified through experiments with one individual with SCI. The results show the walker is capable of reducing the force demands on the upper and lower extremity muscles during sit-to-stand transition compared to standard walkers. The walker does not require electrical power and no grip force or harness is necessary during sit-to-stand operation, enabling its use by individuals with limited hand function. The design concept can be extended to aid other populations with lower extremity weakness.

scholarly journals A case report of mevalonate kinase deficiency in a 14-month-old female with fevers and lower extremity weakness

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Tiziana Coppola ◽  
Bradford Becken ◽  
Heather Van Mater ◽  
Marie Theresa McDonald ◽  
Gabriela Maradiaga Panayotti
Keyword(s):  
Case Report ◽  
Lower Extremity ◽  
Mevalonate Kinase Deficiency ◽  
Mevalonate Kinase ◽  
Lower Extremity Weakness

scholarly journals Foramen Magnum Arachnoid Cyst Induces Compression of the Spinal Cord and Syringomyelia: Case Report and Literature Review

2011 ◽  
Vol 8 (4) ◽  
pp. 345-350 ◽  
Author(s):  
Haiyan Huang ◽  
Yuanqian Li ◽  
Kan Xu ◽  
Ye Li ◽  
Limei Qu ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Literature Review ◽  
Arachnoid Cyst ◽  
Foramen Magnum

scholarly journals Sleep apnea and unilateral upper and lower extremity allodynia as a result of a large thoracic disc herniation: a case report

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Tyler D. Alexander ◽  
Anthony Stefanelli ◽  
Sara Thalheimer ◽  
Joshua E. Heller
Keyword(s):  
Spinal Cord ◽  
Sleep Apnea ◽  
Sexual Dysfunction ◽  
Lower Extremity ◽  
Disc Herniation ◽  
Cord Compression ◽  
Thoracic Disc Herniation ◽  
Lower Extremity Weakness ◽  
Disc Herniations ◽  
Thoracic Disc

Abstract Background Clinically significant disc herniations in the thoracic spine are rare accounting for approximately 1% of all disc herniations. In patients with significant spinal cord compression, presenting symptoms typically include ambulatory dysfunction, lower extremity weakness, lower extremity sensory changes, as well as bowl, bladder, or sexual dysfunction. Thoracic disc herniations can also present with thoracic radiculopathy including midback pain and radiating pain wrapping around the chest or abdomen. The association between thoracic disc herniation with cord compression and sleep apnea is not well described. Case presentation The following is a case of a young male patient with high grade spinal cord compression at T7-8, as a result of a large thoracic disc herniation. The patient presented with complaints of upper and lower extremity unilateral allodynia and sleep apnea. Diagnosis was only made once the patient manifested more common symptoms of thoracic stenosis including left lower extremity weakness and sexual dysfunction. Following decompression and fusion the patient’s allodynia and sleep apnea quickly resolved. Conclusions Thoracic disc herniations can present atypically with sleep apnea. We recommend taking into consideration that sleep symptoms may resolve when planning treatment for thoracic disc herniation.

Sign in / Sign up

Export Citation Format

Share Document