1/15. Ossification of the posterior longitudinal spinal ligament in association with anterior longitudinal ligament ankylosing hyperostosis: case report.A case of ossification of the posterior spinal longitudinal ligament in association with anterior ankylosing hyperostosis is presented, with a review of the relevant literature. Improvement followed laminectomy. Evaluation of this entity by computerized tomography is demonstrated.- - - - - - - - - - ranking = 1keywords = hyperostosis (Clic here for more details about this article) |
2/15. Cervical epidural pseudotumor and multifocal fibrosclerosis. Case report and review of the literature.The authors present the case of a 45-year-old man suffering from progressive quadriplegia due to an expansive C3-T2 epidural mass. Neuropathological examination demonstrated pseudotumor tissue. The patient had had an orbital pseudotumor 5 years before admission, and other systemic manifestations of an idiopathic inflammatory disease were discovered. This case is extremely rare. Nine cases of multifocal fibrosclerosis with central nervous system involvement are described in the literature. To the authors' knowledge, this is the first description of a cervical epidural pseudotumor. Modern imaging has made the diagnosis of such an entity possible, and it is important for the neurosurgeon to consider this syndrome because the combination of surgery and systemic medical therapy can ensure a long-term survival with good quality of life.- - - - - - - - - - ranking = 0.0002810439916656keywords = idiopathic (Clic here for more details about this article) |
3/15. quadriplegia complicating ossification of the posterior longitudinal ligament.We report a case of quadriplegia complicating ossification of posterior longitudinal ligament (OPLL) in a patient who was also found to have diffuse idiopathic skeletal hyperostosis (DISH). She also had osteomalacia (Vit. D deficiency) with secondary hyperparathyroidism. There could be a cause and effect relationship between the abnormal biochemistry and OPLL.- - - - - - - - - - ranking = 5.6765049929618keywords = diffuse idiopathic skeletal hyperostosis, idiopathic skeletal hyperostosis, diffuse idiopathic, skeletal hyperostosis, hyperostosis, idiopathic (Clic here for more details about this article) |
4/15. A case with acute quadriplegic myopathy following intensive care for idiopathic interstitial pneumonia.We reported a patient who developed acute quadriplegic myopathy (AQM) following treatment with a combination of high-dose steroid and nondepolarizing blocking agent for idiopathic interstitial pneumonia (IIP). Few cases of AQM with IIP have been reported in the literature. The HP progressed rapidly in our patient, but the high-dose steroid therapy was effective. The rehabilitative intervention comprised of passive range-of-motion exercise, functional training, and muscle strengthening. After the initial presentation with severe weakness, the AQM gradually improved and the patient regained full physical function in 8 months. The clinical course was almost identical to that of AQM patients with other lung diseases. Though unlikely to influence the improvement of muscle weakness in AQM patients, the lung diseases associated with AQM may require specific consideration in determining suitable rehabilitation programs and observing patients before and after full recovery from dysmobility.- - - - - - - - - - ranking = 0.001405219958328keywords = idiopathic (Clic here for more details about this article) |
5/15. Diffuse idiopathic skeletal hyperostosis with cervical spinal cord injury -a report of 3 cases and a literature review.INTRODUCTION: Diffuse idiopathic skeletal hyperostosis (DISH), though common, is often asymptomatic. However, spinal hyperostosis can predispose the affected to chronic myelopathic symptoms and acute spinal cord injury. CLINICAL PICTURE: We report on 3 patients with DISH, who sustained traumatic cervical cord injuries. Two were tetraplegic at presentation. The radiologic findings of the patients are also discussed. TREATMENT: Both the tetraplegic patients were treated non-surgically in view of high surgical risk. OUTCOME: Both the tetraplegic patients died due to mechanical respiratory failure. CONCLUSIONS: The potential catastrophic neurological sequelae of DISH from relatively minor trauma must be understood. Further studies are needed to aid in evidence-based clinical management of asymptomatic patients with DISH.- - - - - - - - - - ranking = 11.23820571438keywords = idiopathic skeletal hyperostosis, skeletal hyperostosis, hyperostosis, idiopathic (Clic here for more details about this article) |
6/15. Myelopathy by lesions of the craniocervical junction in a patient with forestier disease.STUDY DESIGN: The authors report a case of a patient with diffuse idiopathic skeletal hyperostosis (DISH) associated with basilar impression resulting in tetraparesis. OBJECTIVE: To describe neurologic compromise associated with DISH. SUMMARY OF BACKGROUND DATA: Neurologic deficits due to DISH are very rare, and only 1 case of basilar impression associated with DISH has previously been reported in the literature. methods: diagnosis was confirmed by radiograph and MRI, which demonstrated basilar impression associated with a hyperintense signal in the spinal cord on T2-weighted sequences. Transoral resection of the dens associated with posterior occipitocervical fixation was performed during the same anesthesia. RESULTS: Postoperative outcome demonstrated regression of the pyramidal signs without recovery of unassisted walking. CONCLUSION: Early MRI should be performed in the evidence of spinal cord suffering in patients with DISH. Transoral approach allowed a good decompression of the spinal cord.- - - - - - - - - - ranking = 5.6765049929618keywords = diffuse idiopathic skeletal hyperostosis, idiopathic skeletal hyperostosis, diffuse idiopathic, skeletal hyperostosis, hyperostosis, idiopathic (Clic here for more details about this article) |
7/15. Chronic relapsing idiopathic polyneuropathy with primary axonal lesions.Idiopathic polyradiculoneuropathy with primary axonal lesions is rarely encountered. Two cases are reported with a chronic relapsing course and a fatal outcome. Neuropathological examination of biopsied peripheral nerve in the two patients and in a necropsy case showed loss of myelinated fibres, but neither active demyelination nor inflammatory cells were observed. Acute and chronic relapsing axonal polyradiculoneuropathies appear to be two clinical forms of a peculiar entity different from GBS.- - - - - - - - - - ranking = 0.0011241759666624keywords = idiopathic (Clic here for more details about this article) |
8/15. Cervical myelopathy, ossification of the posterior longitudinal ligament, and diffuse idiopathic skeletal hyperostosis: problems in investigation.This report describes a patient presenting with a spastic quadriplegia who was found to have both diffuse idiopathic skeletal hyperostosis (DISH) and ossification of the posterior longitudinal ligament (OPLL) in the cervical spine. There was a dramatic worsening of his symptoms during a myelogram examination of the neck. It is suggested that computed tomographic imaging of the neck is the preferred investigative procedure if OPLL is suspected as a cause of cervical myelopathy.- - - - - - - - - - ranking = 28.382524964809keywords = diffuse idiopathic skeletal hyperostosis, idiopathic skeletal hyperostosis, diffuse idiopathic, skeletal hyperostosis, hyperostosis, idiopathic (Clic here for more details about this article) |
9/15. Sudden quadriplegia complicating ossification of the posterior longitudinal ligament and diffuse idiopathic skeletal hyperostosis.The association of ossification of the posterior longitudinal ligament (OPLL) and diffuse idiopathic skeletal hyperostosis (DISH) has been recently described. It may result in devastating compressive myelopathy. We report a case of quadriplegia complicating OPLL in a patient with DISH. In addition, we present a brief review of the literature on OPLL. This report illustrates the importance of appropriate neurologic and radiologic evaluation of persons with DISH, to help prevent severe neurologic complications.- - - - - - - - - - ranking = 28.382524964809keywords = diffuse idiopathic skeletal hyperostosis, idiopathic skeletal hyperostosis, diffuse idiopathic, skeletal hyperostosis, hyperostosis, idiopathic (Clic here for more details about this article) |
10/15. pneumatosis cystoides intestinalis in quadriplegia: a case report.pneumatosis cystoides intestinalis is an uncommon clinical entity with nonspecific symptomatology of the gastrointestinal system. Its diagnosis is made by radiologic demonstration of multiple gas-filled cysts in the submucosa or subserosa of the intestinal tract. There are two major clinical types--idiopathic and secondary. A case report of a spinal cord injured patient with this condition is presented. Since gastrointestinal disturbances are common in spinal cord injured patients, health care professionals should be aware of this condition. Identification of pneumatosis cystoides intestinalis is important since it represents a benign condition and usually requires no treatment.- - - - - - - - - - ranking = 0.0002810439916656keywords = idiopathic (Clic here for more details about this article) |
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