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Asian Cardiovascular & Thoracic Annals Nov 2015
Topics: Acute Disease; Aged; Aortic Dissection; Aortic Aneurysm, Thoracic; Aortography; Blood Vessel Prosthesis Implantation; Humans; Infarction; Magnetic Resonance Imaging; Male; Paraparesis; Spinal Cord; Time Factors; Tomography, X-Ray Computed; Treatment Outcome
PubMed: 24828828
DOI: 10.1177/0218492314535223 -
Journal of Comparative Pathology Jul 2022Marek's disease (MD) is caused by virulent strains of Gallid alphaherpesvirus type 2 (MD virus serotype 1; MDV 1) and frequently causes a lymphoproliferative disorder in...
Marek's disease (MD) is caused by virulent strains of Gallid alphaherpesvirus type 2 (MD virus serotype 1; MDV 1) and frequently causes a lymphoproliferative disorder in poultry and other galliform birds worldwide. However, within the peafowl (Phasianinae) subfamily, there are only rare confirmed reports of MD. Here we report MD in an Indian peafowl (Pavo cristatus), which clinically presented with hindlimb paraparesis and intraocular swelling of the right eye. Soft, off-white to tan masses within the right eye, sciatic nerves and coelomic cavity were identified at post-mortem examination which effaced the cranial pole of the kidneys and diffusely effaced the testes. Lymphoid neoplasia was identified histologically at all of these sites and there was extensive hepatic lymphoid cell infiltration, which had not been grossly evident. The T-cell origin of the lymphoid cells was confirmed by immunohistochemistry for CD3 antigen. A virulent strain of MDV 1 was detected by real-time polymerase chain reaction in DNA samples extracted from the kidney and testes. As MD is rare in peafowl it should be considered as a differential diagnosis for intraocular and coelomic masses with associated clinical signs.
Topics: Animals; Chickens; Eye Diseases; Herpesvirus 2, Gallid; Marek Disease; Paraparesis; Poultry Diseases
PubMed: 35817540
DOI: 10.1016/j.jcpa.2022.04.003 -
JBJS Case Connector 2019A 74-year-old woman presented with severe trunk deformity. Radiographs revealed severe sagittal and coronal imbalance with spinal canal stenosis at L4 to L5. Anterior...
CASE
A 74-year-old woman presented with severe trunk deformity. Radiographs revealed severe sagittal and coronal imbalance with spinal canal stenosis at L4 to L5. Anterior cages were placed at L2 to L3, L3 to L4, and L4 to L5. Three days later, posterior correction surgery from T5 to the ilium with decompression at L4 to L5 was performed. At 30 minutes after surgery, leg muscle strength severely deteriorated. Emergency surgery revealed disc fragments protruding into the spinal canal at L2 to L3.
CONCLUSION
Because posteriorly placed extreme lateral interbody fusion (XLIF) cages can be a risk factor for disc protrusion into the spinal canal, computed tomographic evaluation or prophylactic posterior decompression should be considered before the correction procedure.
Topics: Aged; Decompression, Surgical; Female; Humans; Intervertebral Disc; Kyphosis; Lumbar Vertebrae; Paraparesis; Postoperative Complications; Radiography; Reoperation; Scoliosis; Spinal Fusion; Spinal Stenosis; Thoracic Vertebrae
PubMed: 30676346
DOI: 10.2106/JBJS.CC.18.00002 -
Chemico-biological Interactions Nov 2016
Topics: Cholinesterases; Congresses as Topic; Humans; Paraparesis
PubMed: 27912861
DOI: 10.1016/j.cbi.2016.11.017 -
Neurology Sep 2019
Topics: Adenylyl Cyclases; Diagnosis, Differential; Dystonic Disorders; Female; Humans; Mutation; Paraparesis, Spastic; Young Adult
PubMed: 31501304
DOI: 10.1212/WNL.0000000000008089 -
Neurological Sciences : Official... Aug 2023Spinal dural arteriovenous fistula (SDAVF) is also known as a type 1 spinal arteriovenous malformation, representing the most frequent vascular malformation of the...
Spinal dural arteriovenous fistula (SDAVF) is also known as a type 1 spinal arteriovenous malformation, representing the most frequent vascular malformation of the spine. A high suspicion index is often required for the initial diagnosis of SDAVF because of subtle magnetic resonance imaging signs. We present the case of a patient with SDAVF associated with syringomyelia of the thoracic spinal cord and hypothesize that a fistula might induce intramedullary fluid accumulation due to venous hypertension, which leads to syrinx formation.
Topics: Humans; Syringomyelia; Spine; Spinal Cord; Magnetic Resonance Imaging; Central Nervous System Vascular Malformations; Paraparesis
PubMed: 37150792
DOI: 10.1007/s10072-023-06809-6 -
Revista de Neurologia
Topics: Adult; Anesthetics, Inhalation; Humans; Male; Nitrous Oxide; Paraparesis
PubMed: 17006865
DOI: No ID Found -
Neurological Sciences : Official... Jan 2014
Topics: Achondroplasia; Acute Disease; Adult; Humans; Lumbar Vertebrae; Male; Paraparesis; Spinal Stenosis
PubMed: 23842926
DOI: 10.1007/s10072-013-1501-y -
The Pan African Medical Journal 2017This case study is based on a real-life outbreak investigation undertaken in Mozambique in 1981. This case study describes and promotes one particular approach to...
This case study is based on a real-life outbreak investigation undertaken in Mozambique in 1981. This case study describes and promotes one particular approach to unknown disease outbreak investigation. Investigational procedures, however, may vary depending on location and outbreak. It is anticipated that the epidemiologist investigating an unknown disease outbreak will work within the framework of a "multidisciplinary investigation team". It is through the collaborative efforts of this team, with each member playing a critical role, that outbreak investigations are successfully completed. Some aspects of the original outbreak and investigation have, however, been altered to assist in meeting the desired teaching objectives and to allow completion of the case study in less than 3 hours.
Topics: Cooperative Behavior; Disease Outbreaks; Epidemiologic Methods; Epidemiology; Humans; Interdisciplinary Communication; Mozambique; Paraparesis, Spastic; Public Health
PubMed: 28721170
DOI: 10.11604/pamj.supp.2017.27.1.12623 -
Annals of Vascular Surgery May 2010We examined the reasons for missing a type III endoleak on conventional imaging and the pathophysiology of paraparesis after relining this stent graft.
BACKGROUND
We examined the reasons for missing a type III endoleak on conventional imaging and the pathophysiology of paraparesis after relining this stent graft.
METHODS AND RESULTS
A 46-year-old man was treated with a thoracic stent graft for thoracic rupture of a chronic type B thoracoabdominal dissection with aneurysm formation. In a second intervention, retrograde revascularization of the visceral and renal arteries was performed in combination with insertion of an abdominal stent graft. After initial shrinkage of the aneurysmal sac, the thoracic aortic diameter started increasing again. Consecutive three-phase helical computed tomographic scans did not reveal any endoleak. Because of unbearable back pain, an open surgical exploration was performed. This showed a type III endoleak. Relining of the thoracic stent graft was performed, but paraparesis developed.
CONCLUSION
In patients with unexplained increase of the aneurysmal sac contrast-enhanced magnetic resonance imaging could help to illuminate the underlying endoleak. The collateral network concept can explain spinal cord injury by even minor hemodynamic changes.
Topics: Aortic Dissection; Aortic Aneurysm, Thoracic; Aortic Rupture; Aortography; Back Pain; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation; Chronic Disease; Collateral Circulation; Humans; Male; Middle Aged; Paraparesis; Prosthesis Design; Prosthesis Failure; Reoperation; Stents; Tomography, Spiral Computed; Treatment Outcome
PubMed: 20129755
DOI: 10.1016/j.avsg.2009.08.016