scholarly journals Management of Neglected Post-traumatic Bilateral Facet Dislocation of Sub-axial Cervical Spine: A Case Series

2020 ◽  
Vol 58 (226) ◽  
Author(s):  
Rudra Prasad Marasini
Keyword(s):  
Cervical Spine ◽  
Case Series ◽  
Cervical Vertebra ◽  
Rare Condition ◽  
Neurological Recovery ◽  
Delayed Presentation ◽  
Facet Dislocation ◽  
Seventh Cervical Vertebra ◽  
Post Traumatic

Neglected bilateral facet dislocation of the lower cervical spine is a rare condition and found mostlyin developing countries like Nepal. Delayed presentation makes treatment more challengingconcerning decompression, reduction, neurological recovery, and overall outcome. We managedthree cases of bilateral facet dislocations of the fifth-sixth-seventh cervical vertebra level presentedafter three months of injury. All of those were treated surgically by combined anterior-posterioranterior approaches with the same principle. One patient had a complete neurological recovery, thesecond one recovered partially with few long-term complications and the third one did not improveat all.

scholarly journals Transscleral Fixation of Black Diaphragm Intraocular Lens in Complete Aniridia and Aphakia Due to Posttraumatic Eye Rupture: A Pilot Study

2019 ◽  
Vol 8 (1) ◽  
pp. 46
Author(s):  
Tomasz Chorągiewicz ◽  
Katarzyna Nowomiejska ◽  
Dariusz Haszcz ◽  
Dominika Nowakowska ◽  
Teresio Avitabile ◽  
...  
Keyword(s):  
Intraocular Lens ◽  
Anterior Segment ◽  
Case Series ◽  
Functional Restoration ◽  
Long Term Outcomes ◽  
Ahmed Valve ◽  
Post Traumatic ◽  
Valve Implantation

Introduction: To assess long-term outcomes of implantation of black diaphragm intraocular lens (BD IOL) in post-traumatic aniridia and aphakia due to eye rupture. Methods: This is a retrospective consecutive case series of 14 eyes with post-traumatic complete aniridia and aphakia treated with scleral fixation BD IOL. Measurements included ophthalmological comorbidities, best corrected visual acuity (BCVA), complications, and postoperative interventions. The average postoperative follow-up period was 36 months. Results: BCVA improved in 6 cases, was stable in 6 cases and worsened in 2 cases. The lens was well centered in 13 cases. Glaucoma was diagnosed in six cases developed, and three of them required Ahmed valve implantation. One lens developed opacity. The cornea was decompensated in 6 cases, while two of them required penetrating keratoplasty. Conclusion: Implantation of BD IOL in eyes with severely traumatized eyes enables reconstruction of the anterior segment and some functional restoration, although many complications may arise during the longitudinal follow-up.

Bilateral cervical ribs in a Dobermann Pinscher

2015 ◽  
Vol 28 (02) ◽  
pp. 145-150 ◽  
Author(s):  
A. De Simone ◽  
F. Gernone ◽  
P. Giannuzzi ◽  
M. Ricciardi
Keyword(s):  
Spinal Cord ◽  
Cervical Spine ◽  
Cervical Vertebra ◽  
High Rate ◽  
Evolutionary Significance ◽  
Neurovascular Compression ◽  
Ct Findings ◽  
Rib Anomalies ◽  
Seventh Cervical Vertebra ◽  
Cervical Ribs

SummaryAn 11-year-old intact female Doberman Pinscher was presented with the complaint of non-ambulatory tetraparesis. Clinical and neurological examination revealed a caudal cervical spinal cord disfunction (C6-T2 spinal cord segments). Magnetic resonance imaging and computed tomographic (CT) findings of the cervical spine were consistent with caudal cervical spondylomyelopathy (CSM). During the diagnostic work-up for the cervical spine, bilateral bone anomalies involving the seventh cervical vertebra and the first ribs were found on radiographs and CT examination. The rib anomalies found in this dog appear similar to cervical ribs widely described in human medicine. In people, cervical ribs are associated with a high rate of stillbirth, early childhood cancer, and can cause the thoracic outlet syndrome, characterized by neurovascular compression at level of superior aperture of the chest. In dogs, only some sporadic anatomopathological descriptions of cervical ribs exist. In this report the radiographic and CT findings of these particular vertebral and rib anomalies along with their relationships with adjacent vasculature and musculature are shown intravitam in a dog. Specific radiographic and CT findings described in this report may help in reaching a presumptive diagnosis of this anomaly. Finally, their clinical and evolutionary significance are discussed.

The Management of Birth-Related Posterior Fossa Hematomas in Neonates

Neurosurgery ◽  
2013 ◽  
Vol 72 (5) ◽  
pp. 755-762 ◽  
Author(s):  
Thomas Blauwblomme ◽  
Matthew Garnett ◽  
Estelle Vergnaud ◽  
Nathalie Boddaert ◽  
Marie Bourgeois ◽  
...  
Keyword(s):  
Developmental Delay ◽  
Posterior Fossa ◽  
Ventriculoperitoneal Shunt ◽  
Case Series ◽  
External Ventricular Drainage ◽  
Cranial Ultrasound ◽  
Delayed Presentation ◽  
Mild Developmental Delay ◽  
Brainstem Dysfunction

Abstract BACKGROUND: Symptomatic posterior fossa hematoma in the term newborn is rare. OBJECTIVE: To report on the management and outcome of posterior fossa subdural hematoma (PFSDH) in neonates. METHODS: A retrospective analysis of the department database and clinical notes of neonates admitted since 1985 with a PFSDH was performed together with a literature review of similar case series. RESULTS: Sixteen patients were included. The median gestational age was 40 weeks with a high proportion of primiparous mothers (n = 9) and forceps delivery (n = 9). Nine neonates had symptoms of brainstem dysfunction within the first 24 hours of life, whereas the other 7 had a delayed presentation (median 4 days) with signs of raised intracranial pressure due to hydrocephalus. Each patient had a cranial ultrasound followed by computed tomography scan that showed the PFSDH. Eleven neonates required surgical evacuation of the PFSDH, whereas hydrocephalus was managed by transient external ventricular drainage in 2 further patients. Eventually, 2 neonates required a permanent ventriculoperitoneal shunt. Five neonates had no operative intervention. With a mean follow-up of 7.8 years, 2 patients had mild developmental delay and 1 had severe developmental delay. The 13 other patients had a normal development. CONCLUSION: In neonates with a PFSDH, surgery can be safely performed in those who have clinical and radiological signs of brainstem compression or hydrocephalus. A small number of neonates require a ventriculoperitoneal shunt in the long term. Initial aggressive resuscitation should be performed even in cases of initial severe brainstem dysfunction because of the good long-term neurological outcome.

A Fatigue Displacement Model of Atlantoaxial Subluxation, Model Validation and the Proposed Treatments

2013 ◽  
Vol 749 ◽  
pp. 289-292
Author(s):  
Lei Zhang ◽  
Jian Ru Wang ◽  
Hua Wu Liu
Keyword(s):  
Cervical Spine ◽  
Muscle Strength ◽  
Fatigue Damage ◽  
Cervical Vertebra ◽  
Biomechanical Model ◽  
Atlantoaxial Subluxation ◽  
Original Position ◽  
Male Patients ◽  
Displacement Model

Traditionally, instant heavy impact has been believed to be the cause of atlantoaxial subluxation. However, none of our randomly selected 240 atlantoaxial subluxation patients were resulted from instant heavy impact. In fact, none of the patients was a laborer; 60% of the patients were at the age of 40-60; and the female patients were twice as much as the male patients. Therefore, a biomechanical model, called guyed pole, is proposed, which suggests that the major causes of atlantoaxial subluxation are accumulated trivial spine displacement and the loss of muscle strength due to long-term fatigue damage and inflammation. Atlantoaxial subluxation failure occurs after the accumulated stresses, due to spine displacement and incorrect cervical vertebra positioning, exceed the threshold of the injured muscle. During the treatment, the deformed cervical vertebra must be firstly restored to its original position, which may stop the uneven muscle stress distribution and further fatigue damage; then recover the muscle to its original elasticity and flexibility, which may increase the ability of muscle to resist cervical spine displacement; finally, correct postures during work and sleep are proposed to eliminate the damage of long-term fatigue stress.

scholarly journals Cervical spine injury after virtual reality gaming: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
D. Baur ◽  
C. Pfeifle ◽  
C. E. Heyde
Keyword(s):  
Virtual Reality ◽  
Case Report ◽  
Cervical Spine ◽  
Video Game ◽  
Cervical Vertebra ◽  
Head Movements ◽  
Spinal Trauma ◽  
Spine Injury ◽  
Traumatic Fracture ◽  
Seventh Cervical Vertebra

Abstract Background We report a patient who fractured the seventh cervical vertebra while playing a virtual reality (VR) game, without any other trauma. This case report aims to describe the spinal trauma incurred during the use of a VR headset in a video game. Case presentation The Caucasian patient presented with pain and swelling in the lower cervical spine at our clinic after playing a video game involving a combination of shoulder, arm and head movements while wearing a VR headset. Preexisting comorbidities were not present in the 31-year-old male. No history of regular medication use or drug abuse was recorded. After performing a clinical examination and radiological diagnostics, we found a dislocated traumatic fracture of the spinous process of the seventh cervical vertebra. After a soft tissue defect was excluded through magnetic resonance imaging (MRI) diagnostics, a conservative therapy regimen with pain therapy and immobilization was started. After hospitalization, outpatient controls were conducted at 4, 6 and 12 weeks. At 6 weeks after hospitalization, the patient had recovered from the injury without complications. Conclusions Rapid movements during VR gaming can lead to injuries of the cervical spine. In addition to rapid movements, the additional weight of the VR headset as well as the decoupling of audiovisual stimuli from the perceived proprioceptive information should be considered. Determining whether this is an isolated incident induced by unknown preexisting factors or whether the trauma mechanism alone can lead to severe spinal trauma needs to be studied further with additional cases.

Intestinal Spirochaetosis-A case series from the developing world

2021 ◽  
pp. 004947552110490
Author(s):  
Zain Majid ◽  
Ghazi Abrar ◽  
Hina Ismail ◽  
Muhammad Danish ◽  
Muhammad Mubarak ◽  
...  
Keyword(s):  
Weight Loss ◽  
Abdominal Pain ◽  
Case Series ◽  
Rare Condition ◽  
Gram Negative ◽  
Short Course ◽  
Heterogenous Group ◽  
Intestinal Spirochetosis ◽  
Economic Background

Spirochaetes comprise a heterogenous group of gram negative, motile, spiral shaped bacteria. Some of these pathogens are known to cause numerous human diseases such as Lyme disease, relapsing fever, syphilis and leptospirosis. However, intestinal spirochetosis is a rare condition. Patients frequently present with long-term complaints of loose stools, abdominal pain and weight loss and rectal bleeding. Hence to establish a diagnosis an endoscopy with biopsy is required. In this article, we describe four such cases, having different ages and socio- economic background, successfully treated with a short course of metronidazole.

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