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Turk Kardiyoloji Dernegi Arsivi : Turk... Oct 2019Paraplegia after percutaneous iliac angioplasty is very rare, and is typically associated with spinal cord ischemia (SCI). Presently described is a case of SCI and...
Paraplegia after percutaneous iliac angioplasty is very rare, and is typically associated with spinal cord ischemia (SCI). Presently described is a case of SCI and paraplegia developing after bilateral iliac stenting. This complication may be caused by a change in spinal blood flow in patients with diffuse atherosclerosis, and should be kept in mind.
Topics: Aged; Angioplasty; Arterial Occlusive Diseases; Diagnosis, Differential; Electromyography; Humans; Iliac Artery; Magnetic Resonance Imaging; Male; Paraplegia; Spinal Cord Ischemia; Stents
PubMed: 31582671
DOI: 10.5543/tkda.2019.10452 -
Paraplegia Apr 1980Thirteen paraplegias after decompression have been treated in the 5 centres of Lyons, Geneva, Mulhouse, Basel and Strasbourg. All these cases are somehow comparable: 12... (Review)
Review
Thirteen paraplegias after decompression have been treated in the 5 centres of Lyons, Geneva, Mulhouse, Basel and Strasbourg. All these cases are somehow comparable: 12 males, 1 female, skilled and well-trained divers are involved from 27 to 50 years. Submersion between 30 and 42 metres, during 15 to 30 minutes. Ascension with or without decompression stops. Beginning with sudden posterior thoracic, 4 feeling sick, 2 becoming briedly unconscious, paralysis after a while (until 1 hour). All have received hyperbaric oxygenation (from 1 to 5 hours later), with an improvement for 10. Neurological findings. 5 tetraplegics, 7 para-(5 with Brown-Sequard), and one LI. Quickly, the tetraplegics improved to a thoracic level. In two cases, paraplegia remained complete at thoracic level. The others had a better evolution; the paralysis improved slowly, with marked spasticity, impaired sensation did not improve to such an extent, often localised at a lower level, with sexual impotence. Micturitions became normal but with often urine leakages. This rather favourable evolution allowed 11 to go back to work.
Topics: Adult; Decompression; Diving; Female; France; Humans; Hyperbaric Oxygenation; Male; Middle Aged; Paraplegia; Quadriplegia; Switzerland
PubMed: 6990350
DOI: 10.1038/sc.1980.20 -
The Medical Journal of Australia Mar 1976
Topics: Humans; Laminectomy; Myelography; Neoplasm Metastasis; Palliative Care; Paraplegia; Spinal Neoplasms
PubMed: 58368
DOI: 10.5694/j.1326-5377.1976.tb140665.x -
Lancet (London, England) Jul 1969
Topics: Child; Defecation; Education, Special; Humans; Paraplegia; Scoliosis; Spinal Cord Injuries; Spinal Dysraphism; Urination
PubMed: 4182806
DOI: 10.1016/s0140-6736(69)92612-9 -
JAMA Neurology Jun 2022
Topics: Humans; Paraplegia; Sleep
PubMed: 35404382
DOI: 10.1001/jamaneurol.2022.0619 -
BMJ Case Reports Oct 2021Following a minor meniscal injury to his right knee, a previously fit and well 58-year-old man developed profound somatisation leading to paraplegia. The patient...
Following a minor meniscal injury to his right knee, a previously fit and well 58-year-old man developed profound somatisation leading to paraplegia. The patient developed a deep-seated belief that any exercise or walking would cause irreparable damage to his knee. Over the course of 2 years his, mobility reduced from active mountaineering to walking a short distance, and finally to paraplegia. Medical investigations were normal and organic causes were ruled out. Conventional therapy was exhausted, a number of medications were trialled over 5 years, including selective serotonin reuptake inhibitors (SSRIs) and antipsychotics without success. Eventually, with a combination of cognitive behavioural therapy, physiotherapy and a novel experimental therapy where the patient rolled dice and acted according to the roll results, the patient was able to literally and metaphorically get back on his feet.
Topics: Antipsychotic Agents; Cognitive Behavioral Therapy; Humans; Male; Middle Aged; Paraplegia; Selective Serotonin Reuptake Inhibitors; Walking
PubMed: 34645622
DOI: 10.1136/bcr-2018-227285 -
Journal of Pediatric Orthopedics 1988Hereditary spastic paraplegia is a genetically transmitted disease that is usually autosomal dominant. Characterized by a slow progression of spastic paraparesis, it is...
Hereditary spastic paraplegia is a genetically transmitted disease that is usually autosomal dominant. Characterized by a slow progression of spastic paraparesis, it is frequently misdiagnosed as cerebral palsy. Our experience consists of six families with a total of 26 affected members. All initial referrals were children with a slowly progressive paraplegia. Each child was noted to have slightly delayed motor milestones, normal intellect, and no history of perinatal cerebral event. Each child was treated when necessary with appropriate tendon lengthenings. Recognition is the key to management. A careful patient and family history will reveal the hereditary nature of the disease and help develop treatment plans.
Topics: Adolescent; Adult; Age Factors; Cerebral Palsy; Child; Child, Preschool; Diagnosis, Differential; Female; Gait; Genes, Dominant; Humans; Male; Paraplegia; Prognosis; Spasm; Tendon Transfer
PubMed: 3392192
DOI: 10.1097/01241398-198807000-00006 -
Rinsho Shinkeigaku = Clinical Neurology 2014Hereditary spastic paraplegia (HSP) is a neurodegenerative disorder which is characterized by spasticity of the leg. HSP is a clinically and genetically heterogeneous... (Review)
Review
Hereditary spastic paraplegia (HSP) is a neurodegenerative disorder which is characterized by spasticity of the leg. HSP is a clinically and genetically heterogeneous disorder. Mutations were detected in about 60% of autosomal dominant HSP patients. SPG4 is the most common form of autosomal dominant HSP worldwide. In autosomal recessive HSP patients, we detected mutations in about 40% using exome sequencing. Causes of autosomal recessive HSP are more heterogeneous than those of autosomal dominant HSP. We have to consider leukodystrophies/leukoencephalopathies, motor neuron diseases, spinocerebellar degenerations, or various metabolic diseases as differential diagnosis of complicated HSP. X-linked HSP or HSP with mitochondorial inheritance are rare. Further work on familial patients would lead to identify novel causative genes, which helps to understand pathophysiology of HSP and the nature of corticospinal tract and establish disease modifying therapy. Mutation detection rate for sporadic HSP is low at the moment, and molecular delineation of sporadic HSP is expected in the future.
Topics: Exome; Genome, Human; Humans; Paraplegia; Pathology, Molecular; Sequence Analysis
PubMed: 25672695
DOI: 10.5692/clinicalneurol.54.1016 -
BMJ (Clinical Research Ed.) Nov 1990
Topics: Female; Humans; Male; Paraplegia; Penile Erection; Sexual Dysfunction, Physiological
PubMed: 2249045
DOI: 10.1136/bmj.301.6759.1007 -
Zhurnal Nevrologii I Psikhiatrii Imeni... 2002
Review
Topics: Adenosine Triphosphatases; Diagnosis, Differential; Humans; Nerve Degeneration; Paraplegia; Spastin; Spinal Cord
PubMed: 12233259
DOI: No ID Found