Presentation
No description of findings present after expansive laminoplasty for hypertrophic spinal pachymeningitis has been reported. [ncbi.nlm.nih.gov]
Depending upon the level involved and degree of spinal canal stenosis, the patient may present with single or multi-level radiculopathy and myelopathy. Our patients also presented with radiculopathy and myelopathic symptoms. [annalsofian.org]
Entire Body System
- Anemia
The reasons leading to dural hemorrhage,- a head injury, sometimes very small, high blood pressure, atherosclerosis age and is caused by chronic infections, decompensated heart disease, blood diseases (malignant anemia, leukemia), bloody diates, chronic [medicalency.com]
Hypertrophic cranial parenchymeningitis in a patient with aplastic anemia. Ann Hematol 1998;77:279-82. [52] Wilkinson ID, Griffiths PD, Hoggard N, Cleveland TJ, Gaines PA, Venables GS. [em-consulte.com]
General physical examination revealed joint deformity in both hands and mild anemia. Neurological examination revealed bilateral optic pallor, left 6th and bilateral 8th nerve palsy. [neurologyindia.com]
- Shivering
The shiverings interest arise as to subsidiary lesions and appearances, and before admission to the infirmary marked, no doubt, the If we speak beginning of suppuration. [kundoc.com]
- Pallor
Neurological examination revealed bilateral optic pallor, left 6th and bilateral 8th nerve palsy. There was mild proximal weakness in all four limbs with attenuation of reflexes in right upper limb. [neurologyindia.com]
Gastrointestinal
- Diarrhea
There may be kidney pain, hearing loss, drowsiness, diarrhea. The drug is active against mycobacteria tuberculosis, gonococci, brucella and klebsiella. [iliveok.com]
Cardiovascular
- Tachycardia
The paralytic stage is characterized by the resumption of headaches, fever, tachycardia, darkening of consciousness. Such a stage can be equated to a precomatous state. [iliveok.com]
Liver, Gall & Pancreas
- Jaundice
Case details (continued) At a follow up 8 months after discharge, this patient's back pain was minimal and the jaundice had not worsened. [jpgmonline.com]
[…] leucocythaemia a pathognômonic sign of any one patho- were very loose and very light in colour; the urine was logical process, seems to me as unscientific as if we were scanty, with excess of uric acid, but without albumen; still to use the terms " jaundice [kundoc.com]
Perhaps a digestive disorder, an allergy, candidiasis, jaundice. It is a bactericidal agent against streptococci, Escherichia coli and pneumococci. Levomycetin Assign 50-100 mg / kg of body weight daily. [iliveok.com]
Six months later, she developed diffuse pain abdomen with vomiting, but no jaundice. ATT was stopped. After a further 6 months, she had recurrence of diplopia with right ptosis. Pain abdomen persisted. [annalsofian.org]
Skin
- Sweating
[…] following days the symptoms varied little varied diseases (some of which, as, for instance, intermittent the pain in the back and knees continued; the patient had fever, have only remote affinities with lymphatic diseases) restless nights; diarrhoea and sweating [kundoc.com]
Ma~y other symptoms may appear such as gastric irritability, sweats following drops in temp(0rature, petechial hemorrhages, and extreme prostqtion. ':J.1hese symptoms tl,re variable and often confusing. [docplayer.net]
- Flushing
The patient was thin and anaemic; his face wore an ex- of the brain the puncta cruenta were large and, numerous, pression of suffering; his cheeks were flushed; he com. blood oozing from them. [kundoc.com]
Psychiatrical
- Fear
It is lonely and at times I become fearful. Trying so hard to fight this battle holistically, although I do use medication for the pain. Essential oils have been a life saver as well. [connect.mayoclinic.org]
Anxiety fears conviction production, contributing to pathologic affect melancholy, possibility of manifestation of a serious of interest, life illness, incurable pathological nature. [iwatch.org.pk]
[…] nial complications of mastoidi tis 5 3 with their devastating results make the gener~l practitioner as well 8.S the trained specialist in otology fearful when confronting these cases. [docplayer.net]
Neurologic
- Cranial Nerve Involvement
Cranial nerve VIII is the most commonly involved cranial nerve, followed by CN V, VII, IX, X, and XII, with equal frequency [ 4 ]. [omicsonline.org]
involvement and helped us to arrive at a plausible diagnosis explaining the noncontiguous cranial nerve involvement and excluded diabetic neuropathy. [jcor.in]
Lower cranial nerves were chiefly involved in two patients whereas optic nerve was the predominantly affected nerve in one. [neurologyindia.com]
Besides, cranial nerve palsy was another common symptom in HP, particularly of the optic nerve, auditory nerve, and abductor nerve in this study, which were associated with involvement of the dura surrounding the intracranial optic nerve and the cavernous [hindawi.com]
nerve palsies with decreased sensation in the right V cranial nerve distribution. [annalsofian.org]
- Stroke
The unique neurologic presentation-based approach relates to the common clinical situations you encounter, including: Headache Stroke Movement disorders Neuromuscular disorders Encephalopathies, seizures, myelopathies, neuro-ophthalmologic and neuro-otologic [books.google.com]
It can block blood vessels in the brain and lead to stroke and brain damage. [icd10data.com]
Differential diagnosis Differential diagnosis is carried out with the ingress of blood into the subarachnoid space, with intracerebral stroke, with tumor and purulent pathologies in the brain, with cerebral arachnoiditis. [iliveok.com]
Stroke 2000;31: 2274-5. [53] Sperner J, Schmauser I, Bittner R. MR-imaging findings in children with Sturge-Weber syndrome. Neuropediatrics 1990;21:146-52. [54] Guma A, Aguilera C, Acebes J, Arruga J, Pons L. [em-consulte.com]
National Institute of Neurological Disorders and Stroke (NINDS). 11 December 2007. Archived from the original on 4 January 2014. Retrieved 27 April 2009. ^ Gottfredsson M, Perfect JR (2000). "Fungal meningitis". [en.wikipedia.org]
- Papilledema
Clinical features include headache, cranial nerve impairment, paraparesis or tetraparesis, ataxia, hydrocephalus, papilledema, hemorrhage or secondary vascular occlusions (5). [path.upmc.edu]
Her left optic disk was atrophic and there was papilledema on the right eye. Another MRI was performed and showed the same pattern of meningeal enhancement seen on the first one. [scielo.br]
Other neurologic symptoms of IHP include cranial nerve palsies (cranial nerves IV–VIII), cerebellar ataxia, seizures, and neuroophthalmic symptoms such as visual field loss, complete blindness, optic neuropathy, and increased intracranial pressure with papilledema [pubs.rsna.org]
Workup
Diagnosing the primary cause is crucial for optimal management, which usually requires extensive clinical and laboratory workup. [annalsofian.org]
Case details (continued) The further workup revealed a HIV virus load of 198,322 and CD4 count of 281 cells/μL (normal range: 490-1740 cells/μL). Tuberculin skin test reading was positive 8 mm. [jpgmonline.com]
[…] fibrosis. [14] Chronic periaortitis had been recognized as a common manifestation of IgG4RD, and it commonly affects abdominal aorta; it often coexists with autoimmune pancreatitis, another prototype manifestation of this disease. [15] In the diagnostic workup [indianjrheumatol.com]
Urine
- Albuminuria
[…] leucocythaemia a pathognômonic sign of any one patho- were very loose and very light in colour; the urine was logical process, seems to me as unscientific as if we were scanty, with excess of uric acid, but without albumen; still to use the terms " jaundice" or "albuminuria [kundoc.com]
Treatment
Spinal canal decompression and autogenous bone grafting are accepted treatments in the young patient. Careful observation of the patient to watch for local progression is necessary. [ncbi.nlm.nih.gov]
Early identification and treatment of underlying diseases like vasculitis, IgG4, Behcets and malignancies might improve treatment outcomes and prevent systemic complications. [annalsofian.org]
Recent decades have also witnessed fundamental progress in understanding of the pathophysiology of spinal cord diseases, treatment options, neurosurgical procedures, and endovascular treatments. [books.google.de]
Prognosis
The prognosis of idiopathic HSP with positive inflammatory signs may be worse; the authors stress the significance of early surgical treatment. [ncbi.nlm.nih.gov]
According to a review of the English and Japanese literature on idiopathic HSP, the prognosis of patients with positive inflammatory signs is worse than that of those with no inflammatory signs. [scienceopen.com]
Etiology
On the basis of the etiology, pachymeningitis can be idiopathic or secondary, associated with various other etiologies like infection, inflammation, granulomatous or neoplastic disorders. [annalsofian.org]
An unusual etiology of spinal cord compression by thickened dura mater was found with a contrast ring- or crescent-shaped enhancement on gadopentetate magnetic resonance imaging. [ncbi.nlm.nih.gov]
Although many associated diseases have been suggested, the etiology of IHSP is not well understood. The ideal treatment is controversial. [londonspine.com]
Syphilis and tuberculosis have been considered the chief etiological agents in this disease, the former being by far... Bibliography HASSIN GB: Circumscribed suppurative (non-tuberculous) peripachymeningitis. Histopathologic study of a case, Arch. [acpjournals.org]
Epidemiology
In epidemiology, it may be used to analyze a closely grouped series of events or cases of disease or other health-related phenomenon with well-defined distribution patterns in relation to time or place or both. [bioportfolio.com]
The epidemiology and pathogenesis of IgG4-RHP are poorly un-derstood. [docslide.com.br]
Epidemiology Pachymeningitis is most often found in infants and in middle-aged men. [iliveok.com]
However, until now, no large-scale epidemiological data have been made available worldwide. IgG4-related diseases usually affect elderly patients (>50 years), with a significant male predominance (11, 15). [frontiersin.org]
Epidemiology of sarcoidosis in the Isle of Man: evidence for space time clustering. Thorax 1987;42:427-430. [ Links ] 27. Kern DG, Neil MA, Wrenn DS, Varone JC. Investigation of an unique time-space cluster of sarcoidosis in firefighters. [scielo.br]
Pathophysiology
Springer Science & Business Media, 06.12.2012 - 246 Seiten Because of the topographic and pathophysiologic information obtained with contemporary neuroimaging techniques, CT and MR scanning now constitute the most important investigation in clinical neurology [books.google.de]
Recent decades have also witnessed fundamental progress in understanding of the pathophysiology of spinal cord diseases, treatment options, neurosurgical procedures, and endovascular treatments. [books.google.com]
Abstract In pathophysiology and clinical practice, the intracranial pressure (ICP) profiles in the supratentorial and infratentorial compartments are unclear. [ncbi.nlm.nih.gov]
Prevention
Idiopathic HSP is a clinical emergency and early surgical intervention is essential to prevent irreversible damage to the nervous system. [Indexed for MEDLINE] Free full text [ncbi.nlm.nih.gov]
Idiopathic HSP is a clinical emergency and early surgical intervention is essential to prevent irreversible damage to the nervous system. [jstage.jst.go.jp]
Early identification and treatment of underlying diseases like vasculitis, IgG4, Behcets and malignancies might improve treatment outcomes and prevent systemic complications. [annalsofian.org]