RESUMO
OBJECTIVE: To present a neurobrucellosis case with spinal root involvement by means of magnetic resonance imaging (MRI). METHODS: A case of neurobrucellosis resembling Guillain-Barré syndrome is being reported. This case is unique in a way that spinal root involvement because of brucellosis was for the first time confirmed by MRI. SETTING: Spinal cord unit of a rehabilitation and care center in Ankara, Turkey. RESULTS: The correct diagnosis was made with cerebrospinal fluid culture. The patient showed a significant improvement with antimicrobial therapy and rehabilitation. CONCLUSION: Polyradiculopathy because of neurobrucellosis may mimic neurological syndromes. Rehabilitation should also be a part of its treatment.
Assuntos
Brucelose/diagnóstico por imagem , Brucelose/patologia , Brucelose/reabilitação , Raízes Nervosas Espinhais/diagnóstico por imagem , Raízes Nervosas Espinhais/patologia , Adulto , Brucella melitensis/isolamento & purificação , Brucelose/líquido cefalorraquidiano , Brucelose/fisiopatologia , Diagnóstico Diferencial , Síndrome de Guillain-Barré/patologia , Humanos , Imageamento por Ressonância Magnética , Masculino , Radiografia , Raízes Nervosas Espinhais/microbiologiaRESUMO
STUDY DESIGN: Single-subject case. OBJECTIVES: To describe the atypical presentation of a rare tumor and difficulties in diagnosis. SETTING: Spinal cord unit of a rehabilitation and care center in Ankara, Turkey. METHODS: A 22-year-old male patient with paraplegia was admitted to our center for rehabilitation. He underwent various diagnostic procedures to explain his clinical situation. RESULTS: Abdominal ultrasound and computed tomography revealed a mass and vertebral destruction. The pathology report confirmed the diagnosis of Ewing's sarcoma. CONCLUSION: Spinal cord compression is an important complication of primary or metastatic malignant tumors. Although it is a late complication in most cases, some tumors including Ewing's sarcoma may present with paraplegia. Trauma may be found in the patient's history. An atypical clinical course in a musculoskeletal or neurological condition should alert us to a possible underlying malignant disease.
Assuntos
Paraplegia/etiologia , Sarcoma de Ewing/complicações , Sarcoma de Ewing/diagnóstico , Adulto , Terapia Combinada , Humanos , Imageamento por Ressonância Magnética , Masculino , Sarcoma de Ewing/terapia , Tomografia Computadorizada por Raios X , UltrassonografiaRESUMO
In this study to determine the incidence of deep vein thrombosis (DVT) in spinal cord injury (SCI) patients, we evaluated 30 instances of bilateral ascending venography obtained in 31 patients. Every patient was on prophylactic low dose heparin anticoagulant therapy. The incidence of DVT was found to be 53.3%. Adverse effects due to venography were seen in 10% of patients. No major complications including postvenographic phlebitis and allergic reactions were observed.
Assuntos
Traumatismos da Medula Espinal/complicações , Tromboflebite/etiologia , Adulto , Feminino , Heparina/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Espasticidade Muscular/complicações , Flebografia/efeitos adversos , Embolia Pulmonar/complicações , Tromboflebite/diagnóstico , Tromboflebite/tratamento farmacológicoRESUMO
In this study an attempt was made to treat spinal cord injured patients with severe spasticity by peripheral nerve blocks. Thirty-six patients (5 female, 31 male) ranging in age from 20 to 71 years (mean: 29 +/- 8.2) were treated by phenol injections. A specially designed electrostimulation needle was used for the injections. The results showed that peripheral nerve blocks with phenol solution could be a remedy on a temporary basis, but are not as effective as has been described previously.
