Presentation
They present an intense homogeneous gadolinium-enhancement. [nature.com]
JP Medical Ltd, ٣١/٠٣/٢٠١٢ - 548 من الصفحات The ninth edition of Ocular Differential Diagnosis is a practical manual to help practitioners make a quick diagnosis based on presentation and symptoms. [books.google.com]
However, our case presented with a subacute traumatic fracture dislocation. [omicsonline.org]
Classification Congenital spinal deformity is classified according to the types of anomalies present. [emedicine.medscape.com]
Entire Body System
- Malnutrition
They arecharacterized by small muscles of the hand malnutrition with the formation of"clawed hand" or "monkey's paw". Fibrillary twitching are observed in atrophicmuscles. [myslide.es]
Cortical thrombophlebitis occurs primarily in children suffering from malnutrition and dehydration, but it also may result from some blood diseases and may occur in pregnancy. [britannica.com]
- Sepsis
[…] been used in attempt to improve the outcome in blunt injuries ( 4 ), but multiple clinical trials in adults have not only failed to demonstrate any added clinical benefit but have also documented increased risk of wound infection, pulmonary embolism, sepsis [merckmanuals.com]
Respiratoric
- Pneumonia
Imaging Chest radiography is indicated to determine the presence of aspiration or other pneumonia, which commonly occur in patients with myasthenia gravis. CT scan or MRI of the chest is highly accurate in detecting thymoma. [boneandspine.com]
November 2016 - Number 1 http://www.orpha.net/orphacom/cahiers/docs/GB/Prevalence_of_rare_diseases_by_alphabetical_list.pdf 51 ORPHA Number Disease or Group of diseases Estimated prevalence/incidence (/100,000) Number of published cases or families 90066 Pneumonia [azkurs.org]
Pneumonia is a frequent cause of death in people with a high cervical cord injury, especially in those who are ventilator dependent. [merckmanuals.com]
Cardiovascular
- Heart Failure
Chronic respiratory or heart failure also can cause confusion and raised intracranial pressure. In addition to these symptoms, respiratory failure may cause tremors. [britannica.com]
Ears
- Tinnitus
Vestibulocochlear nerve When both divisions of the vestibulocochlear nerve are affected by disease, symptoms may include ringing in the ear ( tinnitus ), a sensation of spinning ( vertigo ), and other symptoms such as deafness. [britannica.com]
[…] posterior cerebral arteries ; supplies blood to cerebral circulation and ventral pons basilar migraine form of migraine characterized by a visual aura followed by an often occipital headache and one or more of the following symptoms: dysarthria, vertigo, tinnitus [strokecenter.org]
Musculoskeletal
- Muscle Weakness
If left untreated in infants it can impair the development of vision, and in adults it may be an indicator of muscle weakness, endocrine disease, cancer or poisoning. [books.google.com]
[…] elsewhere Class II Eye muscle weakness of any severity, mild weakness of other muscles Class IIa: Predominantly limb or axial muscles Class IIb: Predominantly bulbar and/or respiratory muscles Class III Eye muscle weakness of any severity, moderate weakness [boneandspine.com]
Often weak muscles are the problem. Muscle imbalance - relative weakness. Muscle pain spasm cycle. Joint & bone degeneration, traumatic injury. [quizlet.com]
Toxic symptoms affecting the muscles include cramps, weakness, and atrophy or even acute degeneration. Drugs may also reduce levels of potassium in the blood, resulting in secondary weakness of muscles. [britannica.com]
Hemorrhage in the spinal cord resulting from trauma (hematomyelia) is usually confined to the cervical central gray matter, resulting in signs of lower motor neuron damage (muscle weakness and wasting, fasciculations, and diminished tendon reflexes in [merckmanuals.com]
Urogenital
- Kidney Failure
Myoglobin may accumulate in the tubules of the kidney and cause renal failure. [britannica.com]
Neurologic
- Vertigo
In Ménière disease an accumulation of fluid in the inner ear produces increasing deafness, tinnitus, and vertigo. Benign postural vertigo is characterized by brief severe attacks of vertigo induced by movement, especially turning in bed. [britannica.com]
[…] the posterior cerebral arteries ; supplies blood to cerebral circulation and ventral pons basilar migraine form of migraine characterized by a visual aura followed by an often occipital headache and one or more of the following symptoms: dysarthria, vertigo [strokecenter.org]
Workup
Workup An accurate radiologic evaluation is essential. Standard posteroanterior (PA) and lateral views of the entire spine are used for the initial evaluation. [emedicine.medscape.com]
Treatment
Operative treatment Surgery is the most effective treatment for severe or progressive congenital scoliosis. Many different forms of operative treatment exist for congenital scoliosis, and all have their place. [emedicine.medscape.com]
Treatments For the most part, nonoperative treatments are recommended before surgery is considered. Nonoperative treatments include pain medications, physical therapy (including gait and posture training), and certain braces. [columbiaspine.org]
Treatment of dural ectasia is not well-defined and has been variable based on the underlying manifestations. [jcvjs.com]
Further, deconditioning and polytrauma may lead to delays in surgical treatment. [omicsonline.org]
Both of these treatments have relatively short-lived benefits Thymectomy Thymectomy, the surgical removal of the thymus, is essential in cases of thymoma in view of the potential neoplastic effects of the tumor. [boneandspine.com]
Prognosis
In addition, in cases where the natural history indicates a poor prognosis, orthotic treatment is contraindicated. [emedicine.medscape.com]
Treatment and prognosis Laparoscopic nephropexy, usually reserved for cases with vascular and/or obstructive renal impairment, has been shown to be successful in relieving symptoms caused by renal compromise 3 ,6,7,12. [radiopaedia.org]
Prognosis With treatment, the outlook for most patients with myasthenia gravis is bright with a normal life expectancy, except for those with a malignant thymoma. Quality of life can vary depending on the severity and the cause. [boneandspine.com]
Conclusions Thoracic epidural paragangliomas are rare but have to be considered in the differential diagnosis of thoracic/mediastinal lesions since they present a better postsurgical prognosis with respect to malign lesions, more frequently encountered [nature.com]
[…] neurotransmitter epilepsy chronic brain disorder of various etiologies characterized by recurrent unprovoked seizures epilepsy syndrome disorder defined by seizure type, clinical and EEG findings, age of onset, family history, response to therapy, and prognosis [strokecenter.org]
Etiology
They may or may not be symptomatic, and their etiological significance for back pain is controversial. Schmorl's is a significant deformation, and can be found in patients with lifelong history of back problems. [quizlet.com]
Confusion arising from the wide variability of vertebral fusion within affected families has prompted researchers to develop other classification systems, based not only on the location of vertebral fusion but also on the etiology and genetic origin of [rrnursingschool.biz]
According etiologic and pathogenetic mechanisms: Idiopathic (true); secondary.2. Syringomyelitic process localization: spinal (cervical-thoracic, cervical, thoracic, lumbar, sacral, total); stem; spinal stem.3. [myslide.es]
Motor and sensory loss may be permanent or temporary, depending on the etiology; function may be lost briefly due to concussion or more lastingly due to a contusion or laceration. [merckmanuals.com]
[…] true rosettes, sharp demarcation, and enhancement on CT/MRI ephaptic electrical conduction of a nerve impulse across a non-synaptic contact site between nerves and without the mediation of a neurotransmitter epilepsy chronic brain disorder of various etiologies [strokecenter.org]
Epidemiology
Thoracic (Lower) & Lumbar: 90% Sacral: 4% Cervical 3% Left > Right: 2:1 Feeding vessels Location: Often lumbar Number: Usually 1; Occasionally 2 or 3 Fistula in dorsolateral root sleeve High venous pressure in spinal cord Reduced spinal cord perfusion Epidemiology [neuromuscular.wustl.edu]
Abnormal hair implantation 58 (45) Minor Features Cutaneous syndactyly, toes II/III 46 (45) Webbed/short neck 42 (38) Cryptorchidism 28 (29) Hearing loss 23 (43) Palatal defects (including uvula) 18 (38) Strabismus 18 (45) Congenital heart defects 9 (45) Epidemiology [ojrd.biomedcentral.com]
The ICD is the international standard diagnostic classification for all general epidemiological, many health management purposes and clinical use. [embryology.med.unsw.edu.au]
Pathophysiology
Myasthenia Gravis is associated with various autoimmune diseases, including: Thyroid diseases, including Hashimoto’s thyroiditis and Graves’ disease Diabetes mellitus type Rheumatoid arthritis Lupus Demyelinating central nervous system diseases Pathophysiology [boneandspine.com]
If significant arachnoid cysts are present, the compression of lumbosacral nerve roots may lead to neurological deficits, including CES. [26], [27] However, CES may also occur without arachnoid cysts; the pathophysiology of this presentation remains unclear [jcvjs.com]
[…] waves and some physiological functions normal pressure hydrocephalus (NPH) clinical symptom complex characterized by abnormal gait, urinary incontinence, and dementia in the setting of hydrocephalus with normal cerebrospinal fluid pressure; proposed pathophysiology [strokecenter.org]
Prevention
It is easier to prevent a severe spinal deformity than to correct one. [emedicine.medscape.com]
[…] from compression of the median nerve within the carpal tunnel(wrist canal through which flexor tendons and the median nerve pass) claudication lameness,limping contracture fibrosis of connective tissue in the skin,facia,muscle, or joint capsule that prevents [studystack.com]
An important goal is to prevent secondary injury to the spine or spinal cord. In unstable injuries, flexion or extension of the spine can contuse or transect the cord. [merckmanuals.com]
The initial surgery attempted to reduce the size of the expansile dura while buttressing the reconstruction with a titanium plate to prevent recurrence of thecal sac dilatation. [jcvjs.com]
If deformities in the sagittal plane prevent the individual from achieving an upright posture with the head aligned over the hips, the result is sagittal imbalance. Scoliosis: a side-to-side curve in the spine. [columbiaspine.org]