Subject(s)
Arachnoiditis/complications , Arachnoiditis/diagnosis , /rehabilitation , Female , HumansABSTRACT
Abstract. A 17-year-old man who presented with progressive quadriparesis is reported. About 8 months prior to admission, he had miliary tuberculosis, and that improved with anti-tuberculous therapy. He had also developed tuberculous meningitis and tuberculous myelitis, respectively. He regularly took anti-tuberculous drugs until this illness. Neurological findings were compatible with cervical cord lesion. CSF analysis indicated a predominate lymphocytic pleocytosis with a high protein level and low sugar profile. MRI findings revealed a multi-loculated arachnoid cyst at C1-C3 level with pressure affecting the adjacent spinal cord and evidence of myelitis at C3-T1 level. Hemi-larminectomy and removal of the arachnoid cyst were performed, but without improvement. A CSF culture yielded M. tuberculosis, that was susceptible to anti-tuberculous drugs.
Subject(s)
Adolescent , Antitubercular Agents/therapeutic use , Arachnoid Cysts/complications , Arachnoiditis/complications , Disease Progression , Drug Resistance, Microbial , Humans , Laminectomy , Male , Mycobacterium tuberculosis/drug effects , Quadriplegia/etiology , Treatment Outcome , Tuberculosis, Meningeal/complicationsABSTRACT
Relatamos caso de aracnoidite constritiva torácica, verificada 10 anos após o uso de pantopaque, que foi utilizado em mielografia no diagnóstico de cisto aracnóideo
Subject(s)
Humans , Male , Middle Aged , Arachnoiditis/chemically induced , Contrast Media/adverse effects , Iophendylate/adverse effects , Paraparesis/etiology , Syringomyelia/etiology , Acetates/therapeutic use , Analgesics/therapeutic use , Arachnoid Cysts , Arachnoiditis/complications , Arachnoiditis/surgery , Constriction, Pathologic/chemically induced , Constriction, Pathologic/complications , Constriction, Pathologic/surgery , Myelography/adverse effects , Paraparesis/surgery , Syringomyelia/drug therapy , Syringomyelia/surgery , Time FactorsABSTRACT
El problema mayor del tratamiento de la hidrocefalia, es el alto indice de complicaciones asociadas a la colocación de sistemas derivativos del LCR, por disfunción de los mismos; el objetivo de este trabajo fue evaluar la eficacia de la válvula tipo diafragma, comparándola con otros dos sistemas utilizados en este Instituto, para determinar si se disminye el número de revisiones valvulares por disfunción, mejorando de esta forma la calidad de vida de los pacientes
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Cerebrospinal Fluid Shunts/methods , Hydrocephalus, Normal Pressure/therapy , Arachnoiditis/complications , Arachnoiditis/therapy , Cysticercosis/complications , Cysticercosis/therapy , Pseudotumor Cerebri/therapyABSTRACT
Os autores descrevem o caso de uma mulher branca de 40 anos de idade, com paraplegia espástica, hiperreflexia, sinal de Babinski bilateral, hipoestesi superficial e profunda em T4, além de incontinência fecal e urinária, desde os 32 anos decorrente de aracnoidite crônica adesiva (CAA). Aos 38 anos passou apresentar sudorese excessiva com limite superior em T4, diária, com intensificaçao noturna. Um bloqueio simpático lombar foi efetuado com 4mL de bupivacaina 0.5 por cento. Quinze minutos depois a paciente apresentou monoparesia braquial direita e síndrome de Horner ipsolateral. Devido provavelmente a um espaço peridural estreito e errático, secundário à CAA, pode-se justificar o quadro clínico como secundário à ascensao cranial do anestésico, mesmo utilizado em reduzida quantidade (4mL).
Subject(s)
Humans , Female , Adult , Autonomic Nerve Block/adverse effects , Paresis/etiology , Horner Syndrome/etiology , Anesthesia, Spinal/adverse effects , Arachnoiditis/complications , Arachnoiditis/therapy , Brachial Plexus/pathology , Bupivacaine , Chronic Disease , SweatingABSTRACT
Se presentan dos casos de pacientes con una siringomielia provocada por una aracnoiditis, en los que se les realizó una endomielografía intraoperatoria ayudando a confirmar la continuidad de la cavitación intramedular. En estos casos se discutía la comunicación de la siringomielia por los hallazgos de la resonancia magnética en que aparecían tabiques. Aparece como un procedimiento de bajo riesgo y utilizable en la mayor parte de los pabellones que tengan equipos de radioscopía
Subject(s)
Humans , Arachnoiditis/complications , Myelography , Magnetic Resonance Spectroscopy/methods , Syringomyelia , Catheterization , Laminectomy , Syringomyelia/etiology , Syringomyelia/surgery , Syringomyelia/therapyABSTRACT
Two patients who had severe spinal spasticity with painful flexor spasms were treated with oral baclofen with relief of symptoms. The various drugs to treat severe spastic weakness and flexor spasms and their mode of action are briefly discussed.