Результаты поиска

Неполный синдром Браун-Секвар, вторичный по сравнению с гематомилией, вызванной аценокоумаролом: отчет о деле.

Внутреннее кровоизлияние в спинной мозг, известное также как гематомия, является необычным, но клинически значимым заболеванием. На него приходится около 0,82% всех спинных гематом, что делает его одной из наименее часто встречающихся этиологических причин острой миэлопатии. Гематомиелия может быть результатом различных причин, включая сосудистые дефекты (такие, как пещерные или артериогенные свищи), кровотечения диатеза, опухоли спинного мозга, травмы или осложнения, связанные с антикоагуляционной терапией. КИСЛОТА: Здесь мы описываем пациента на аценокоумароле, у которого появился неполный с

A Unique Mode of Failure in the Noncontact Bridging Periprosthetic Plating System.

Although lateral locking plates are often a preferred and successful fixation construct for the treatment of periprosthetic proximal and distal femur fractures, specific complications and modes of failure have been associated and well-described with their use. We present two cases of implant failure in the Non-Contact Bridge Periprosthetic Plating System (Zimmer Biomet) in which a nonlocked screw fretted through the annular seating of the plate. One case demonstrates failure in the setting of a proximal femur periprosthetic fracture, whereas the other demonstrates failure in the setting of a d

Risk Factors for Poor Outcome after Palliative Surgery for Metastatic Spinal Tumors.

Palliative surgery is performed to improve the quality of life of patients with spinal metastases. However, it is sometimes difficult to achieve the expected results because the patient's condition, and risk factors related to poor outcomes have not been well elucidated. This study aimed to evaluate the functional outcomes and investigate the risk factors for poor outcomes after palliative surgery for spinal metastasis. We retrospectively reviewed the records of 117 consecutive patients who underwent palliative surgery for spinal metastases. Neurological and ambulatory statuses were evaluated

Bilateral Amyloid Arthropathy of the Hip Joint Presented with Pathologic Fracture in a Hemodialysis Patient: A Case Report.

Pathological hip fractures are associated with substantial morbidity and functional decline. We report a rare case of localized dialysis-related amyloidosis involving both hip joints. A 48-year-old man undergoing long-term hemodialysis presented with atraumatic right hip pain. Radiographs and magnetic resonance imaging revealed a pathological subcapital fracture of the right femoral neck and extensive bilateral femoral neck osteolysis, with amyloid deposition showing low signal intensity on T1-weighted images and high signal intensity on T2-weighted images. Given the severe bone erosion and im

Outcomes and Complications of Surgery for Symptomatic Spinal Metastases; a Comparison Between Patients Aged ≥ 70 and <70.

Study designRetrospective cohort study.ObjectivePhysicians may be deterred from operating on elderly patients due to fears of poorer outcomes and complications. We aimed to compare the outcomes of surgical treatment of spinal metastases patients aged ≥70-yrs and Materials and methodsThis is a retrospective study of patients surgically treated for metastatic epidural spinal cord compression and spinal instability between January-2005 to December-2021. Follow-up was till death or minimum 1-year post-surgery. Outcomes included post-operative neurological status, ambulatory status, medical and sur

Lenalidomide-Associated Rhabdomyolysis Progressing to Bilateral Compartment Syndrome and Permanent Foot Drop.

Lenalidomide is widely used for the treatment and maintenance of multiple myeloma and is generally considered to have a favorable safety profile. However, severe skeletal muscle toxicity associated with lenalidomide has been rarely reported. We describe a 52-year-old man with multiple myeloma who developed acute bilateral lower-extremity pain, cramping, weakness, and paresthesia while receiving lenalidomide therapy. Laboratory evaluation revealed marked rhabdomyolysis, and imaging and clinical findings were consistent with bilateral lower-leg compartment syndrome. Despite emergent bilateral fa

Practice Patterns of Hip Flexion Assist Orthosis Use in Multiple Sclerosis: A Retrospective Community-Based Analysis.

OBJECTIVE: To identify patterns of hip flexion assist orthosis (HFAO) use among ambulatory patients with multiple sclerosis (MS) and to assess factors influencing device adoption and discontinuation. DESIGN: Retrospective chart review. SETTING: Outpatient community physiatry clinic in New Westminster, British Columbia. PARTICIPANTS: Fifty-four ambulatory patients with MS who were previously assessed for HFAO use between November 2017 and October 2023. Patients were 35-92 years old, able to participate in gait evaluation, and had documented physical examinations. Patients with nonambulatory

Abstracts of the 19th International Congress on Neuromuscular Diseases 7th – 11th July 2026

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Durotomy During Outpatient Lumbar Discectomy Should Not Preclude Same-Day Discharge: A Case Series.

Background and objectivesWith advances in surgical techniques over the past 40 years, single-level lumbar hemilaminectomy and microdiscectomy (HLMD) has become a standard outpatient surgery. Incidental durotomy is a common complication of lumbar decompression surgeries and often precludes same-day discharge based on preexisting paradigms, involving bedrest that have no empirical support, but often lead to increased complications in available evidence-based studies. Limited data exist regarding the safety of same-day discharge after lumbar decompression involving an incidental durotomy. The obj

Ход работы 34th Симпозиум ESVN-ECVN 23rd-24th сентябрь 2022.

Аннотация не предоставлена источником. Откройте карточку для перехода к публикации.

Surgical intervention for vertebral metastases may benefit lung cancer patients no less than other patients: a retrospective study.

BACKGROUND: Spinal metastasis is considered to have a worse prognosis in lung cancer than in other cancers, but recent clinical studies report improved overall survival of lung cancer. We compared the postoperative prognoses of vertebral metastatic tumors from lung with other types of cancer. METHODS: From 2011 to 2015, 31 Japanese patients (mean age 73 years, range 55-88 years; 19 males, 12 females) underwent surgery for spinal metastasis at our center. We observed patients retrospectively in March 2016, dividing them into groups by cancer type: lung (LK group, n = 10); prostate, breast, or

Воздействие телереабилитационного вмешательства пилатеса через Интернет на людей с множественным склерозом: протокол для случайного контролируемого испытания.

Физическая активность (ПА) была рекомендована при множественном склерозе (MS) для поддержания хорошей физической пригодности и психического здоровья, снижения степени серьезности симптомов и риска рецидива, а также улучшения качества жизни. Пилатесы были предложены в качестве идеального ПА для регулирования физических, когнитивных и психологических симптомов MS и в качестве полезного метода поддержания и улучшения баланса и походки. ЦЕЛЬ: В настоящем документе представлен протокол исследования, целью которого является оценка эффективности в физической области (особенно сбалансированности и пох

Percutaneous Screw Fixation of Proximal Fifth Metatarsal Fractures.

UNLABELLED: Metatarsal fractures are one of the most common injuries of the foot, accounting for approximately 5% to 6% of all fractures confronted in the outpatient setting1. Approximately 45% to 70% of these fractures involve the fifth metatarsal, which have been described using a 3 zonal approach in 1993 by Lawrence and Botte2. Zone 2 fractures are difficult to manage given their retrograde vascular supply, leading to higher rates of nonunion1,3. Jones fractures (zone 2) are primarily treated surgically, with the 2 main methods being intramedullary screw fixation and plate fixation3. Surgic

Mobilization and Exercise Intervention for Patients With Multiple Myeloma: Clinical Practice Guidelines Endorsed by the Canadian Physiotherapy Association.

ObjectiveIndividuals with multiple myeloma (MM) often have reduced functional performance due to the cancer itself or as a direct side effect of cancer treatments. Physical therapy is a part of cancer rehabilitation; however, no guidelines are available to provide information and direction for physical therapists managing patients with MM. The goal of this guideline is to provide recommendations based on a systematic review and consensus process that physical therapists can use to manage patients with MM.MethodsA systematic review of the literature published until August 2018 was performed in

Patient with AL amyloidosis with recurrent syncope as the first symptom: case report and literature review.

BACKGROUND: Immunoglobulin light-chain (AL) amyloidosis is a rare systemic disease caused by the extracellular deposition of misfolded light chains. Nonspecific manifestations, especially those dominated by severe autonomic neuropathy, frequently delay diagnosis. METHODS AND RESULTS: A 68-year-old woman was admitted after five months of recurrent syncope. The clinical picture was dominated by refractory orthostatic hypotension, nausea and vomiting alternating with diarrhea and constipation, stocking-glove paresthesias, and proteinuria. Bone marrow examination showed the presence of clonal pla

Spinal Cord Compression as a Consequence of Spinal Plasmacytoma in a Patient with Multiple Myeloma: A Case Report.

Multiple myeloma (MM) is a B cell malignancy resulting in osteolytic lesions. Pathological fracture of the vertebral body resulting in spinal cord compression is a common complication and accounts for approximately 5% of patients with MM. To date, there are no definitive guidelines for the treatment of spinal cord compression as a consequence of MM. Radiotherapy has frequently been the preferred form of treatment. Some surgeons, however, feel that spinal lesions in multiple myeloma should be treated in the same manner as spinal metastases from solid organs. I report the management of a 46-year

Adult-Onset Cerebral Adrenoleukodystrophy Without Adrenal Gland Involvement.

X-linked adrenoleukodystrophy (X-ALD) is a metabolic disorder characterized by endocrine and neurological degeneration. A rare and variegated entity in adults, diagnosis is often a significant challenge and can lead to extensive testing, including invasive procedures if clinical suspicion is not high. We present the case of a 46-year-old-male with neurological dysfunction that is uncommon in X-ALD with preserved adrenocortical function. Initially misdiagnosed with multiple sclerosis, the patient faced a significant neurological and cognitive decline in a short follow-up time frame, ultimately

Улучшают ли упражнения на ногах функции рук и рук для лиц с нееврологическими расстройствами? Обзор.

Цель проведения аналитического обзора, содержащего резюме существующей литературы об использовании упражнений на ногах для улучшения функции руки для лиц, страдающих неврологическими условиями. 5 базы данных (PubMed, Empase, Cumulative Index to Medrsing and Alimate Health Licture, Scopus, Cochrane Central), вторичные ссылки и 9 Серые литературные базы данных с января 1, 1947, по октябрь 28, 2025Студенты по отбору исследователей включали взрослых, живущих в неврологических условиях и осуществляющих программы тренировки с ориентацией на ногу, которые включали в себя конкретные результаты по рука

Multidisciplinary and Coordinated Management of Osteoporotic Vertebral Compression Fractures: Current State of the Art.

Osteoporotic vertebral compression fractures (OVCFs) present a significant health concern, affecting a substantial portion of the older adult population worldwide. This narrative review explores the prevalence, diagnostic challenges and management strategies for OVCFs. Despite the increasing incidence and impact on morbidity and mortality, existing clinical guidelines lack consistency and clear diagnostic and therapeutic recommendations. The review addresses key questions faced by physicians dealing with older adult patients experiencing acute back pain, offering insights into triage, radiolog

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… It is now accepted that vertebral augmentation is a safe surgical procedure of a short duration, offering long-term pain relief, early ambulation, shorter hospital length of stay, lower analgesic use, improved quality of life and greater patient satisfaction [ 71 ]. … A comparative study on the treatment of osteoporotic vertebral compression fractures with early ambulation and at leat 1 week of absolute bed rest. Korean J. Neurotrauma. 2022;18:56–63. doi: 10.13004/kjnt.2022.18.e13. 53. …

Favorable neurological recovery for MESCC-induced paralysis with median 9-day duration before surgery.

PurposeThis study aimed to evaluate the neurological outcomes of Metastatic epidural spinal cord compression (MESCC) patients who underwent decompressive surgery after experiencing over 48 h of paralysis.MethodsThis retrospective study hypothesizes that, unlike in cases of trauma and degenerative disorders where delayed decompression surgery often leads to poor outcomes, delayed decompression surgery for MESCC-induced paralysis yields relatively favorable results. This study included MESCC patients who had been paralyzed for more than 48 h and underwent decompressive surgery between January 20