By Ibrahim M. Eltorai
This e-book presents a entire and up to date assessment of infrequent illnesses and syndromes of the spinal twine, gathered during the last 40 years from the entire world's literature. each one bankruptcy during this quantity is equipped within the related easy-to-follow structure, comprising definitions, prevalence, etiology, medical presentation, analysis, administration, diagnosis, and references.
This e-book is geared toward scientific scholars, citizens, fellows, and junior attendings in spinal wire drugs, actual drugs, neurosurgery, orthopedics, oncology, emergency medication, infectious ailment, neurology, genetics, vascular surgical procedure, and endocrinology, in addition to the varied allied fields of actual remedy, nursing, occupational remedy, and biomedical researchers.
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Extra info for Rare Diseases and Syndromes of the Spinal Cord
Started by pain in the back or neck, depending on the level of cyst: • • • • • • • • • • • Numbness of the lower extremities Muscle weakness Inability to walk normal, wide based gait Loss of sensation of variable degree Spasticity of the lower limbs Incontinence of urine and/or bowel Neurological exam show reduced motor power of lower limbs of variable degree. 6 23 Diagnosis Diagnosis based on: 1. Clinical picture 2. MRI shows the cyst as a an oval or spherical homogeneous swelling in contact with the spinal canal.
4. 5. 6. Clinical history from patients Neurological assessment The presence of mass especially paravertebral X-ray: shows extremity fractures CT scan: showed paravertebral tumor invading the spinal canal MRI: showed involvement of the spinal canal and rarely intraperichymatous involvement of the spinal cord. 7. Brain studies: show epidural mass References 49 8. Histopathology: CT guided needle biopsy will show the pathology as mentioned aboved. It should be differentiated from disseminated neuroblastoma, soft tissue sarcoma, histiocytosis X, lymphangiomatosis and neurofibromatosis.
For more details see Garg et al. 5 Clinical Picture Os odontoideum may be clinically silent, may be discovered incidentally by radiography. In cases of instability from os odontoideum, neurological manifestations will be noticed usually in the form of transitory episode of diffused paresis following trauma. Other cases of progressive myelopathy is noted, namely weakness, ataxia, and sensory changes due to the instability. Vascular symptoms may complicate the picture due to vertebral artery compression.