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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Fifteen operated cases of upper lumbar disc prolapse have been reviewed. They were categorised under 4 types of clinical presentation. There was no clear correlation between the level of the prolapse, clinical presentation, and type of disc prolapse as observed at surgery. On long term follow-up 11 of the 15 (73%) cases had an excellent result and were leading a normal life. The result is poor in patients with severe paraplegia.
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PMID:Protrusion of upper lumbar intervertebral discs (long term follow-up of operated cases). 194 Apr 14

Colostomies are sometimes used to manage those SCI patients who have large pressure sores that are frequently soiled by stool. Seventeen such patients in an Acute Spinal Cord Injury Unit were reviewed to define the problem of ostomy prolapse in paraplegic patients. It was concluded that prolapse is more likely in those patients with an injury at or above the T-10 level. The two patients who had loop colostomies developed prolapse. Those ostomies that were end-sigmoid and exteriorized into an area where there was sensation and abdominal wall muscular integrity were the most successful.
J Am Paraplegia Soc 1990 Apr
PMID:Ostomy prolapse in paraplegic patients: etiology, prevention, and treatment. 233 79

To determine the difference in the bowel care of spinal cord injury patients before and after enterostomy, we interviewed 20 patients--19 men and one woman. Their ages were 27-75, median 55 years. The paralytic lesions were spastic in ten and flaccid in ten. A total of 24 enterostomies were done for the following reasons: fecal contamination of decubitus ulcer in seven, colonic tumor in six, perforation of the colon in four, prolapse of the large intestine in four, inconvenience of bowel care in two, and perirectal abscess in one. There were 17 sigmoid and five transverse colostomies, and two ileostomies. (Two patients accounted for six procedures.) Follow-up time ranged from three months to six years, median nine months. Bowel care time was reduced from 0.7-14 hours, median 6.0 hours per week preoperatively, to 0.3-7 hours, median 1.0 hours per week postoperatively. Reversal of fecal leakage, abdominal pain, gas and anorexia were also reported. All patients were happier with their bowel care after surgery. We conclude that enterostomy in the spinal cord injury patient makes bowel care considerably more convenient, and improves the quality of life as well.
J Am Paraplegia Soc
PMID:Effect of enterostomy on quality of life in spinal cord injury patients. 374 92

The results of surgery on five patients aged between 4 and 14 years old with ventricular septal defect (VSD) and aortic incompetence (AI) are reported. Four of the five patients had massive AI, the diastolic blood pressure being 0 in 3 cases. All patients underwent catheterisation and angiography. In 1 case, an aneurysm of the sinus of Valsalva bulging into the infundibulum was detected. At operation, 3 infra-cristal, 1 supra cristal and 1 unclassified VSD were observed. Prolapse of the aortic cusps was present in three cases, and in two cases these lesions were complicated by infective endocarditis. Three patients were managed by a slightly modified version of Trusler's aortic valvuloplasty, and the two patients with endocarditis underwent aortic valve replacement. The VSD was closed by Dacron patch in 3 cases and directly in 2 cases. The immediate postoperative period was complicated in one case by haemorrage due to anticoagulant therapy causing tamponade and paraplegia. In the other four cases, there were no complications. The results of valvuloplasty were good with complete regression of the diastolic murmur. The medium-term results were good, with a maximum follow-up period of 21 months. One of the patients with an aortic valve prosthesis has minimal AI, probably due to a paravalvular leak. A number of points are discussed with respect to this small series of patients: anatomy, techniques, indications. The modified Trusler's valvuloplasty is recommended, even in cases of severe AI.
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PMID:[Surgical treatment of interventricular communication with aortic insufficiency. Apropos of 5 cases]. 677 28

Neurocysticercosis commonly presents with seizures, raised intracranial tension and dementia. The unusual location of the cysts may result in uncommon manifestations mimicking a host of neurological disorders. Ten patients with neurocysticercosis with rare clinical presentations have been described in this series. These include dorsal midbrain syndrome, isolated bilateral ptosis, papillitis, cerebral hemorrhage, painful cervical radiculopathy, progressive swelling of arm, paraplegia due to intramedullary cyst, third ventricular cyst, dystonia and nominal aphasia masquerading as transient ischaemic attacks. The clinical details and possible mechanisms for these rare presentations are discussed.
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PMID:Uncommon presentations of neurocysticercosis. 954 30

Guillain-Barre syndrome (GBS) is an acquired immune-mediated inflammatory disorder of the peripheral nervous system. GBS is also called acute idiopathic polyradiculoneuritis. Cranial nerves are affected in over 50% of all cases, with the facial nerves being affected the most. Otherwise, oculomotor nerves affection is rare and might occur in about 10% of cases. In this case report we present 61 years old female with GBS (acute motor and sensory axonal neuropathy subtype) associated with bilateral oculomotor nerve palsy. At the admittance in the neurological status were flaccid paraplegia, tendon reflexes absent at legs and reduced at arms, sensory disturbances in a distal (stocking-glove) distribution and bilateral ptosis. The disease was diagnosed on clinical features, nerve conduction velocity test (NCV), electromyogram (EMG) and cerebrospinal fluid (CSF) tests. After treatment with intravenous immunoglobulins and physical treatment the patient improved. She was able to walk by her own, mild semiptosis remained and she had no paresthesia.
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PMID:Bilateral oculomotor nerve palsy in Guillain-Barre syndrome. 1866 37

We report an unusual case of a 10-month-old girl with intramedullary spinal cord abscess who presented with fever and acute flaccid paraplegia. Nerve conduction study showed demyelinating neuropathy after which she received intravenous immunoglobulin therapy. This was followed by ascending paralysis and left-sided ptosis. Lumbar puncture revealed purulent cerebrospinal fluid and magnetic resonance imaging (MRI) with gadolinium showed intramedullary holocord abscess with a dermal sinus tract extending from skin to intramedullary canal in the lumbosacral region. This tract was excised completely along with drainage of pus. She was treated with broad-spectrum antibiotics for 6 weeks and underwent neurorehabilitation after which there was significant neurological improvement. Follow-up MRI shows good resolution of the intramedullary abscess.
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PMID:Pyomyelia presenting as acute flaccid paralysis. 2949 49

Clear cell sarcoma (CCS) is a rare tumour that manifests in tendons and aponeuroses of the distal extremities and comprises roughly 1% of all soft tissue cancers. Only two cases of a primary CCS arising in the lung have been reported in the literature, and neither were located in the lung apex. We report a case of a primary CCS located in the lung apex that originally presented as ptosis, as well as arm pain and weakness. Distant metastasis was discovered on diagnosis, which led to irreversible paraplegia and death of the patient.
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PMID:Primary clear cell sarcoma in the lung apex with spinal metastasis: a fatal outcome. 3192 6