Subject(s)
Cauda Equina , Lyme Disease/complications , Nerve Compression Syndromes/etiology , Adult , Female , HumansABSTRACT
Three patients, 72, 45 and 18 years old belonging to 3 successive generations presented with respiratory insufficiency. The clinical onset was at about 40 years of age in the two older patients and at 18 years in the youngest one. Serum enzymes of muscle origin were within normal range as well as leucocyte maltase activity. The muscle biopsy in all three patients showed numerous cytoplasmic (spheroid) bodies within type I muscle fibers. Familial cytoplasmic body myopathy with familial incidence has rarely been reported and still more rarely has been revealed by respiratory insufficiency in adult life.
Subject(s)
Inclusion Bodies/pathology , Muscles/ultrastructure , Muscular Diseases/genetics , Respiratory Insufficiency/etiology , Adolescent , Adult , Aged , Cytoplasmic Granules/pathology , Female , Humans , Microscopy, Electron , Muscular Diseases/complications , Muscular Diseases/pathology , PedigreeABSTRACT
A patient developed a hematoma of the pyramidal muscle as a complication of anticoagulant treatment. The lesion provoked an entrapment neuropathy due to the compression between the muscle and the iliac spine of the great sciatic, inferior gluteal and pudendal nerves. Hyperalgic paralysis of the leg and buttock was associated with bladder sphincter disorders and impotence, a remarkable finding in view of the unilateral disturbance in nervous control. Pain, and urinary and sexual disorders were reversed dramatically by an early neurolysis. A CT scan enables the identification of the lesion.
Subject(s)
Abdominal Muscles/drug effects , Anticoagulants/adverse effects , Hematoma/chemically induced , Abdominal Muscles/diagnostic imaging , Aged , Hematoma/diagnostic imaging , Humans , Male , Muscular Diseases/chemically induced , Muscular Diseases/diagnostic imaging , Nerve Compression Syndromes/etiology , Sciatica/etiology , Tomography, X-Ray ComputedABSTRACT
It is rare to find an arteriovenous fistula of the dura mater associated with a venous sinus occlusion, but this may provide evidence of an etiology. In the case reported, the malformation was probably of congenital origin, the sinus thrombosis having occurred secondarily to the venous stasis adjacent to the fistula.
