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Posterior Fusion of Lumbosacral Vertebrae-Blepharoptosis Syndrome

Faulk-Epstein-Jones Syndrome


Presentation

  • 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]
  • They present an intense homogeneous gadolinium-enhancement.[nature.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]
Physician
  • Michael Aminoff was born and educated in England, graduating from University College London in 1962 and as a physician from University College Hospital Medical School in 1965.[books.google.de]
  • The physician must recognize the role of the orthosis and must carefully monitor the curves clinically and radiographically. If the patient's curve progresses despite the orthosis, fusion must be performed without further delay.[emedicine.medscape.com]
  • The rehabilitation team is best directed by a physician with training and expertise in rehabilitation (physiatrist); it usually includes nurses, social workers, nutritionists, psychologists, physical and occupational therapists, recreational therapists[merckmanuals.com]
  • […] feet together and bends forward to a 90 degree angle with arms folded across chest Examiner looks for one side of the rib cage or low back being higher than the other and other symmetry of the back If asymmetry is detected, further evaluation from a physician[quizlet.com]
Turkish
  • His awards include the 2001 Professor Rıdvan Ege Scientific Research Award from the Turkish Society of Orthopaedics and Traumatology and 2005 The Scientific and Technological Research Council of Turkey Junior Science Award. Dr.[books.google.de]
  • Turkish Neurosurgery 16:145-149, 2006 Francis T, Steinmetz M, Moore T (2013) Traumatic spondyloptosis of the lumbar spine: closed reduction and internal fixation. Spine (Phila Pa 1976) 38: E1636-1640.[omicsonline.org]
Epicanthal Folds
  • Additional dysmorphic features are telecanthus, epicanthal folds, ptosis and facial asymmetry. The neck is short in nearly half of the patients. The facial appearance may change with age being more triangular in adolescents and adults.[ojrd.biomedcentral.com]
Stupor
  • […] caudate and putamen separated by fibers of the anterior limb of the internal capsule stroke sudden loss of neurological function caused by a blockage or rupture of a blood vessel to the brain or spinal cord; includes infarction and hemorrhage subtypes stupor[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]
  • Treatment: Chest orthotics (chest compressor, body casting) Remove excess costal cartilage Associated w/ COPD. Affects respiration.[quizlet.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]
  • PROGNOSIS If the lesion is due to stretching, contusion, or partial tearing, the prognosis is good and complete recovery may usually be anticipated. The prognosis is usually poor in avulsion from the cord.[chiro.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]
  • Subluxation may also be an asymptomatic complicating factor to those etiologic factors mentioned above.[chiro.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]
Sex distribution
Age distribution

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]
  • Inasmuch as the distribution of the brachial plexus is so extensive, a multitude of abnormal reflections may be seen in its areas of distribution which must be appreciated by knowledge of the pathophysiology involved.[chiro.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]

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