Cases reported "Radiculopathy"

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1/8. Herpetic lumbosacral radiculoneuropathy in patients with human immunodeficiency virus infection.

    We report 4 cases of human immunodeficiency virus infection associated with lumbosacral radicular dysfunction and urinary retention. Three of these cases had the so-called Elsberg syndrome in that their symptoms were associated with genital herpes. In 1 case, different herpes simplex virus types were isolated from the cerebrospinal fluid and genital swabs. Lumbosacral radiculoneuropathy with urinary retention caused by herpes viruses can develop not only with an initial genital herpes infection, but also due to reactivation of a latent herpes virus.
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ranking = 1
keywords = urinary retention, retention, urinary
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2/8. Elsberg syndrome: radiculomyelopathy and acute urinary retention in patient with genital herpes.

    We describe a case of a sexually active woman who presented acute urinary retention associated with herpes genitalis infection and with few other neurological signs. The outcome of the disease was positive. We stress the utility of a careful CSF examination.
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ranking = 2.5
keywords = urinary retention, retention, urinary
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3/8. Far lateral thoracic disc herniation presenting with flank pain.

    BACKGROUND CONTEXT: Although thoracic disc herniations are rare, misdiagnosis is an undesirable situation, as it results not only in unnecessary diagnostic studies and surgical procedures, but also in progressive myelopathy and paralysis. Therefore, it is important to be aware of patients with thoracic disc herniations presenting with unusual or atypical symptoms mimicking other non-spinal disorders. PURPOSE: A patient with left flank pain compatible with urinary system disorder, who proved to have thoracic disc herniation, is presented. STUDY DESIGN: Case report methods: The cause of the patient's pain could not be elucidated until thoracic spine magnetic resonance imaging revealed a left thoracic 10-11 lateral disc herniation with associated nerve root compression. RESULTS: Conservative therapy including bed rest and analgesic medication was initiated. He had complete pain relief within the same day. CONCLUSION: Thoracic disc herniation should be considered in the differential diagnosis of patients with pain likely caused by nonspinal disorders, especially if basic diagnostic studies do not reveal the cause.
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ranking = 0.001136817430447
keywords = urinary
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4/8. Unusual manifestations of herpes zoster. A clinical and electrophysiological study.

    The literature on complicated herpes zoster is summarized in this paper. The case histories of 18 patients with herpes zoster are presented. Two patients had encephalitis, 2 had myelitis and the other 14 patients had various types of lower motor neurone disturbance. Both patients with encephalitis--one of who developed choreo-athetosis during the illness--recovered fully. Only 1 of the 2 patients with myelitis recovered fully; the other remains severely paraparetic and the reason for her incomplete recovery may be related to the presence of generalized arteriolar disease associated with seronegative rheumatoid disease. One patient developed a guillain-barre syndrome 3 weeks after the onset of herpes zoster. Recovery in the 15 patients with lower motor neurone involvement has been slow butcomplete--or almost complete--in all but 1, a patient with persistent facial weakness as part of the Ramsay Hunt syndrome and who also had weakness of one upper limb. Seven other patients had lower limb weakness. In 2 patients the weakness was confined to abdominal myotomes and 2 other patients had urinary retention. Electromyographic abnormalities were found in the muscles which were weak and frequently also in muscles which appeared strong. It is emphasized that neurological disturbances other than sensory abnormalities may be found in patients with herpes zoster. Motor complications of various types are not uncommon.
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ranking = 0.5
keywords = urinary retention, retention, urinary
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5/8. Acute retention of urine due to isolated sacral myeloradiculitis.

    Two cases of isolated sacral myeloradiculitis are described with retention of urine, sensory disorders in sacral segments and pleocytosis in the CSF. The patients were treated with steroids and recovered after 30 days of treatment. The differential diagnosis and literature are reviewed.
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ranking = 0.098875690462043
keywords = retention
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6/8. Retention of urine and sacral paraesthesia in anogenital herpes simplex infection.

    Two definite and 2 probable cases of anogenital herpes simplex and sacral radiculitis are described. Symptoms were typical and consisted of paraesthesia and neuralgic pain in the perineum and legs, urinary retention and constipation occurring within several days to a week after an anogenital herpetic eruption. However, at presentation only 1 case had an obvious history of anogenital herpes simplex. Neurological signs were not striking and consisted of a reduced appreciation of light touch and pin prick over the sacral dermatomes and in 2 cases reduced anal sphincter tone. CSF examination in 3 patients showed a lymphocytosis. Bladder catheterisation was required for up to 2 weeks in 2 patients. The paraesthesia persisted for weeks to months. It should be more widely recognised that anogenital herpes simplex, with sacral radiculitis, is probably the commonest cause of acute retention of urine in young sexually active people.
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ranking = 0.51977513809241
keywords = urinary retention, retention, urinary
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7/8. arthralgia associated with acute urinary retention. A syndrome of probable viral etiology.

    Four patients are described in whom paresthesia and arthralgia developed in association with acute urinary retention. Neurologic and musculoskeletal complaints persisted for varying periods, up to five year, after cessation of urinary symptoms. Significantly elevated titers to herpes simplex and herpes zoster viruses were observed in three and four subjects, respectively, although none exhibited cutaneous lesions of herpetic infection. The symptom complex, presumably the result of viral radiculitis, may present in varying patterns that can be confused with lumbar disc protrusion, obstructive uropathy or primary rheumatic disorder. Diagnostic studies requisite for documentation of a viral etiology of the syndrome are discussed.
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ranking = 2.5011368174304
keywords = urinary retention, retention, urinary
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8/8. Acute urinary retention due to sacral myeloradiculitis.

    Three cases of acute urinary retention without local urological causes are described. A diagnosis of sacral myeloradiculitis of viral origin appeared more likely than a first episode of multiple sclerosis. The literature is reviewed and a protocol for the investigation of such patients is suggested.
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ranking = 2.5
keywords = urinary retention, retention, urinary
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