Spinal Cord Series and Cases最新文献

Charcot spinal arthropathy: a case series. Charcot脊柱关节病：一个病例系列。

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Spinal Cord Series and Cases Pub Date : 2025-05-23 DOI: 10.1038/s41394-025-00709-x

Vanessa Jane Chow, Akter Hossain, Maurizio Belci, Shyam S Swarna

{"title":"Charcot spinal arthropathy: a case series.","authors":"Vanessa Jane Chow, Akter Hossain, Maurizio Belci, Shyam S Swarna","doi":"10.1038/s41394-025-00709-x","DOIUrl":"10.1038/s41394-025-00709-x","url":null,"abstract":"Study design: A retrospective case series analysing six cases of Charcot spinal arthropathy.Objectives: To evaluate the etiology, clinical manifestations (e.g., pain, trunk instability, autonomic dysreflexia, spasticity), latency period before symptom onset, affected spinal regions, and treatment strategies for Charcot spinal arthropathy.Setting: National Spinal Injury Centre, United Kingdom.Methods: Data were collected and analysed from six patients diagnosed with Charcot spinal arthropathy. Variables examined included the etiology, clinical presentations, spinal regions affected, latency period, and outcomes of treatment approaches. Both conservative management and surgical intervention strategies were evaluated.Results: Patients exhibited common clinical manifestations such as pain, loss of trunk control, autonomic dysreflexia, and spasticity, with varying latency periods before symptom onset. The thoracic spine was the most frequently affected region. Conservative management successfully stabilized symptoms in most cases, while surgical intervention was necessary in instances of severe trunk instability, refractory pain, or deformity impacting mobility.Conclusion: Conservative management should be the initial treatment approach for Charcot spinal arthropathy. Surgical intervention is reserved for cases with significant clinical progression, such as unresolved pain, mobility restrictions due to trunk deformity, or urgent complications arising from spinal pathology.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"15"},"PeriodicalIF":0.7,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12102155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Faecal occult blood testing in persons aged 50-74 years with established spinal cord injury: a prospective case series. 50-74岁脊髓损伤患者的粪便隐血检测：前瞻性病例系列

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Spinal Cord Series and Cases Pub Date : 2025-05-09 DOI: 10.1038/s41394-025-00710-4

Michael Yulong Wu, Carmen Tung, McCawley Clark-Dickson, Samuel Arthurs, Steffanie Nario, Ian D Norton

{"title":"Faecal occult blood testing in persons aged 50-74 years with established spinal cord injury: a prospective case series.","authors":"Michael Yulong Wu, Carmen Tung, McCawley Clark-Dickson, Samuel Arthurs, Steffanie Nario, Ian D Norton","doi":"10.1038/s41394-025-00710-4","DOIUrl":"https://doi.org/10.1038/s41394-025-00710-4","url":null,"abstract":"Study design: Prospective Case Series.Objectives: To determine the incidence of positive faecal occult blood test (FOBT) in people with spinal cord injury (SCI). We hypothesised that people with SCI have a higher false positive FOBT rate when compared to the general population due to the high prevalence of complications of chronic constipation, and colonic and anorectal trauma from instrumentation.Setting: Hospital in Sydney, New South Wales, Australia.Methods: A prospective study was conducted at a quaternary hospital with a dedicated spinal injuries unit. Enrolled individuals had two FOBT samples sent. Persons outside the age criteria, or with active per-rectal or vaginal bleeding, anorectal disease, haematuria, recent SCI or colonoscopy, or who had completed FOBT as part of the National Bowel Cancer Screening Program were excluded.Results: A total of 20 people were included in the study with 50% testing positive on FOBT. Three persons agreed to proceed with colonoscopy. All persons who declined colonoscopy were due to perceived difficulty with procedure preparation. FOBTs were positive in 90% of those who reported rectal enema, digital simulation or manual evacuation as part of their bowel care.Conclusion: People with SCI have higher rates of positive FOBT compared to the general Australian population whilst follow-up colonoscopy rates were low. Compliance may be improved by bowel preparation protocols. High rates of positive FOBT in this population may be related to complications of constipation and bowel care. Our results suggest that FOBT is not an accurate screening tool in this population.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"14"},"PeriodicalIF":0.7,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12064747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intramedullary spinal cord metastasis presenting as the initial manifestation of breast cancer: case report and review of the literature. 以乳腺癌为首发表现的脊髓髓内转移：病例报告及文献复习。

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Spinal Cord Series and Cases Pub Date : 2025-05-07 DOI: 10.1038/s41394-025-00708-y

Nadia Bouattour, Sirine Sellami, Yosra Mzid, Slim Charfi, Fatma Hamza, Salma Sakka, Khaireddine Ben Mahfoudh, Amine Bahloul, Mariem Damak

{"title":"Intramedullary spinal cord metastasis presenting as the initial manifestation of breast cancer: case report and review of the literature.","authors":"Nadia Bouattour, Sirine Sellami, Yosra Mzid, Slim Charfi, Fatma Hamza, Salma Sakka, Khaireddine Ben Mahfoudh, Amine Bahloul, Mariem Damak","doi":"10.1038/s41394-025-00708-y","DOIUrl":"https://doi.org/10.1038/s41394-025-00708-y","url":null,"abstract":"Background: Intramedullary spinal cord metastasis (ISCM) is very rare. Symptoms from ISCM metastasis being the initial presentation are extremely rare.Case presentation: We present a case of a 42-year-old woman without previous medical history who presented with complaints of progressive lower limb weakness of three weeks evolution. Neurological examination elicited a medullary syndrome, and physical examination showed a palpable mass on her right breast. A spinal MRI revealed a dorsal intramedullary tumor mass. A biopsy sample from the breast mass revealed the diagnosis of carcinoma. The diagnosis of an Intramedullary breast cancer metastasis (IMBCM) was made according to positron emission tomography. The patient received treatment with corticosteroids and radiation therapy without improvement, and she died, 3 months after the diagnosis.Conclusions: As far as we know, this is the first reported case of IMBCM revealing a breast carcinoma. Although extremely rare, ISCM should be considered as a differential diagnosis of a spinal intramedullary lesion.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"13"},"PeriodicalIF":0.7,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A pull function attachment to manual wheelchairs: a case report on usability and shoulder pain in people with spinal cord injury. 手动轮椅的牵引功能附件：脊髓损伤患者的可用性和肩部疼痛的病例报告。

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Spinal Cord Series and Cases Pub Date : 2025-04-28 DOI: 10.1038/s41394-025-00704-2

Mikkel Krogshede, Christoffer Holgaard, Joachim Alexander Valkær, Pascal Madeleine, Rasmus Kopp Hansen

{"title":"A pull function attachment to manual wheelchairs: a case report on usability and shoulder pain in people with spinal cord injury.","authors":"Mikkel Krogshede, Christoffer Holgaard, Joachim Alexander Valkær, Pascal Madeleine, Rasmus Kopp Hansen","doi":"10.1038/s41394-025-00704-2","DOIUrl":"https://doi.org/10.1038/s41394-025-00704-2","url":null,"abstract":"Introduction: Shoulder pain mostly due to high biomechanical load of the anterior-shoulder musculature is prevalent among manual wheelchair users with spinal cord injury or disorder (SCI/D). This case study showcases a novel pull-function attachment to the wheelchair that reverses the propulsion motion by pulling rather than pushing the wheelchair. Additionally, the study reports its preliminary usability and impact on shoulder pain.Case presentation: Four individuals with SCI/D (median age: 33; 1 female) used the novel pull-function attachment to the manual wheelchair for six weeks. Usability (System Usability Scale; ranging from 1 = 'strongly disagree' to 5 = 'strongly agree') and daily usage time were assessed. Shoulder pain intensity was explored before and after the six weeks using the Wheelchair User's Shoulder Pain Index. Median usability scores were ≥3.0 for 5/6 items, indicating high usability of the assistive technology. Shoulder pain intensity was reduced in all participants at the post-test (median change: -6.3), with the change in shoulder pain exceeding the minimal detectable change for 2/3 participants.Discussion: The results of this case study suggest high usability of the pull-function attachment to the wheelchair. The decreases in shoulder pain intensity reported following six weeks of use were noticeable and may have clinical relevance. This novel assistive technology that enables forward propulsion by pulling rather than pushing the wheelchair may therefore have the potential to reduce shoulder pain in manual wheelchair users with SCI/D.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"12"},"PeriodicalIF":0.7,"publicationDate":"2025-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037711/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A root cause analysis of community-acquired pressure injuries in persons with spinal cord injuries. 脊髓损伤患者社区获得性压力损伤的根本原因分析。

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Spinal Cord Series and Cases Pub Date : 2025-04-22 DOI: 10.1038/s41394-025-00707-z

Chad M Osteen, Autumn Smith, Brian Bartle, Reside L Jacob, Frances Weaver, Sherri L LaVela, Elizabeth Burkhart

{"title":"A root cause analysis of community-acquired pressure injuries in persons with spinal cord injuries.","authors":"Chad M Osteen, Autumn Smith, Brian Bartle, Reside L Jacob, Frances Weaver, Sherri L LaVela, Elizabeth Burkhart","doi":"10.1038/s41394-025-00707-z","DOIUrl":"https://doi.org/10.1038/s41394-025-00707-z","url":null,"abstract":"Study design: Multi-phase root cause analysis (RCA) OBJECTIVES: Determine the root cause of why veterans developed a novel CAPrI following the completion of the CAPP-FIT intervention from the providers and veterans' perspectives.Setting: A Midwest Veteran Health Administration (VHA) facility SCI clinic.Methods: RCA using Five Why's method and chronology mapping for veterans with spinal cord injury who developed a novel community-acquired pressure injury (CAPrI) following use of a decision support tool to prevent CAPrIs, called the Community Acquired Pressure Injury Prevention-Field Implementation Tool (CAPP-FIT). Data sources include the electronic health record and veteran responses to the CAPP-FIT.Results: Key themes emerged describing differing provider/veteran perspectives and barriers that led to the development of a novel CAPrI. Themes included (1) disagreement in level of care needed due to complexity of needs or differing priorities; (2) focus on education and treatment over prevention; (3) barriers in accessing VHA care; and (4) veteran and informal resource engagement.Conclusion: CAPrI's develop quickly, and some can be prevented. Improving the speed that veterans gain access to critical services (e.g., caregiver and specialists), as well as improving communication at the system level (i.e., across VHA facilities and to private facilities) can decrease the risk of CAPrI's.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"11"},"PeriodicalIF":0.7,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12015524/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic delays in infective discitis - an unresolved problem. 传染性椎间盘炎的诊断延误——一个尚未解决的问题。

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Spinal Cord Series and Cases Pub Date : 2025-04-18 DOI: 10.1038/s41394-025-00706-0

Lisa Grandidge, Tokunbo Ogunleye, Michael Thackray, Pradeep Thumbikat

{"title":"Diagnostic delays in infective discitis - an unresolved problem.","authors":"Lisa Grandidge, Tokunbo Ogunleye, Michael Thackray, Pradeep Thumbikat","doi":"10.1038/s41394-025-00706-0","DOIUrl":"https://doi.org/10.1038/s41394-025-00706-0","url":null,"abstract":"Study design: A retrospective study.Objectives: Neurological deficits occur in 1/3 of spinal infection cases. Non-specific symptoms can lead to delays in diagnosis. This study reviews outcomes and the timeliness of diagnosis in patients with spinal infection who sustained subsequent spinal cord impairment.Setting: All 40 patients admitted to The Princess Royal Spinal Injuries Centre, Sheffield, UK, between 2016-2018 for rehabilitation for spinal cord impairment secondary to spinal infection.Results: The average age was 58.6 years (31-85; SD 13.1) with 24 (60%) being male. 36 (90%) had native infections and 3 (7.5%) were acquired post-operatively (1 (2.5%) unknown). 7 patients had been intravenous drug users (17.5%). 50% (20) had previously sought medical attention for the same symptoms. There were long intervals to suspected diagnosis and to MRI (range 0-30 days). 15 (37.5%) patients deteriorated neurologically following admission to hospital; 8 were taking antibiotics at the time of deterioration. None of the patients had normal C-reactive protein levels at presentation. 7 (17.5%) sustained complete spinal cord impairment. 27 (67.5%) were discharged as wheelchair users.Conclusions: Whilst the majority of patients responded to rehabilitation interventions, they were left with residual life changing disabilities. Among those requiring rehabilitation, delays in diagnosis appear to frequently occur pre-hospital. This could be attributed to a low index of suspicion in the community. Some deteriorated neurologically despite antibiotics. Close neurological monitoring of those suspected or confirmed to have a diagnosis of spinal infection is appropriate. There should be a low threshold for the use of inflammatory markers when investigating back pain.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"10"},"PeriodicalIF":0.7,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12008380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cross-cultural validation and psychometric testing of the SCI falls concern scale (SCI-FCS) among manual wheelchair users in Delhi, India. 在印度德里的手动轮椅使用者中，SCI跌落关注量表（SCI- fcs）的跨文化验证和心理测量测试。

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Spinal Cord Series and Cases Pub Date : 2025-04-09 DOI: 10.1038/s41394-025-00705-1

Ruby Aikat, Priyanka Vijay, Swati Misra, Maneesh Bhardwaj, Neha Khanna, Chitra Kataria, Nishu Tyagi

{"title":"Cross-cultural validation and psychometric testing of the SCI falls concern scale (SCI-FCS) among manual wheelchair users in Delhi, India.","authors":"Ruby Aikat, Priyanka Vijay, Swati Misra, Maneesh Bhardwaj, Neha Khanna, Chitra Kataria, Nishu Tyagi","doi":"10.1038/s41394-025-00705-1","DOIUrl":"https://doi.org/10.1038/s41394-025-00705-1","url":null,"abstract":"Study design: Methodological Research Design.Objectives: To establish the content validity, internal consistency reliability & test-retest reliability of the SCI-FCS for individuals with SCI in Delhi, India.Setting: Indian Spinal Injuries Centre, India.Methods: A panel of 13 experts validated the content of the 16-item scale using both qualitative and quantitative methods. The scale was then piloted with 43 manual wheelchair users with SCI. Internal consistency was assessed through item analysis, and 20 participants were retested after one week to evaluate test-retest reliability.Results: All items met the minimum Content Validity Ratio (CVR) of 0.54 required for 13 experts, ensuring their retention. The scale demonstrated a strong internal consistency (Cronbach's alpha = 0.865) and good test-retest reliability (ICC = 0.785).Conclusion: The SCI-FCS is a valid and reliable tool to assess the fall concerns in manual wheelchair users with SCI in Delhi, India. It can help rehabilitation professionals evaluate the effectiveness of fall prevention interventions.Sponsorship: None.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"9"},"PeriodicalIF":0.7,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11982273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multifaceted challenges of deep venous thrombosis in the setting tetraplegia and ulcerative colitis: case report. 深静脉血栓形成的多方面挑战在设置四肢瘫痪和溃疡性结肠炎：病例报告。

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Spinal Cord Series and Cases Pub Date : 2025-04-01 DOI: 10.1038/s41394-025-00703-3

Priscilla Mapelli, Mitchel Wright, Henry Hrdlicka, David Rosenblum

{"title":"Multifaceted challenges of deep venous thrombosis in the setting tetraplegia and ulcerative colitis: case report.","authors":"Priscilla Mapelli, Mitchel Wright, Henry Hrdlicka, David Rosenblum","doi":"10.1038/s41394-025-00703-3","DOIUrl":"10.1038/s41394-025-00703-3","url":null,"abstract":"Introduction: Traumatic spinal cord injury (SCI) tetraplegics are at an increased risk of deep venous thrombosis (DVT) due to immobility and altered hemostasis. Inflammatory bowel diseases such as ulcerative colitis (UC) face an elevated risk of thrombotic events due to chronic inflammation, in addition to the risk of diarrhea and bleeding. The case report underscores the potentially additive prothrombotic effects of ulcerative colitis and tetraplegia.Case presentation: A 53-year-old male with UC and traumatic R C3 L C4 sensory, R C3 L C5 motor ASIA impairment C tetraplegia, developed a below the knee DVT during inpatient rehabilitation, despite DVT prophylaxis. Due to potential risk of progression, interventions ultimately included serial ultrasound examinations, IVC filter, and anticoagulation. However, due to bleeding complications, anticoagulation was discontinued, followed by worsening of DVT to the bilateral lower extremities which advanced above the knees. Subsequently, the patient developed clostridium difficile infection, further exacerbating his ulcerative colitis. Bowel program was impacted, and treatment was provided for both clostridium difficile and ulcerative colitis.Discussion: Both UC and traumatic SCI increase have risk of thrombosis. UC exacerbations and bleeding pose challenges in the treatment of DVT. The need to discontinue anticoagulation due to bleeding risk led to a significant progression of the DVT. SCI bowel program required careful adjustments in the setting of an UC exacerbation, likely triggered by clostridium difficile infection.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"8"},"PeriodicalIF":0.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11961597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development of the nurse care assessment for in-hospital spinal cord injury rehabilitation. 院内脊髓损伤康复护理评估的发展。

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Spinal Cord Series and Cases Pub Date : 2025-03-28 DOI: 10.1038/s41394-025-00702-4

Frederik Skovbjerg, Stephanie Hilsløv Bøhm, Erhard Trillingsgaard Næss-Schmidt, Randi Kjær Steensgaard, Simon Svanborg Kjeldsen

{"title":"Development of the nurse care assessment for in-hospital spinal cord injury rehabilitation.","authors":"Frederik Skovbjerg, Stephanie Hilsløv Bøhm, Erhard Trillingsgaard Næss-Schmidt, Randi Kjær Steensgaard, Simon Svanborg Kjeldsen","doi":"10.1038/s41394-025-00702-4","DOIUrl":"10.1038/s41394-025-00702-4","url":null,"abstract":"Study design: A development and reliability study.Objectives: To develop an assessment tool designed to categorize the care needs of inpatients with Spinal Cord Injuries.Setting: Spinal Cord Injury Centre of Western Denmark.Methods: Inspired by previous tools, NCA-SCI was refined through an iterative process with experienced clinicians. Content validity was established via consensus meetings and focus group interviews, resulting in 17 items across five categories: no/minor assistance, moderate assistance, severe nursing assistance, and unstable situations needing extensive nursing care. Face validity was ensured through iterative clinical feedback, and reliability was tested with four nurses scoring 36 patients.Results: Content validity and feedback led to a comprehensive, practical tool. Inter-rater reliability showed 81.4% agreement (Kappa = 0.69), while intra-rater reliability had 78.9% agreement (Kappa = 0.65), indicating moderate reliability.Conclusion: The NCA-SCI assesses nursing care needs in SCI rehabilitation, offering a practical tool with moderate reliability. The development of the NCA-SCI led to an easily usable tool for planning and coordinating daily care at a highly specialized unit.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"7"},"PeriodicalIF":0.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11953231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143743961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tuberculous myelitis: a systematic review of published case reports and case series. 结核性脊髓炎：对已发表病例报告和病例系列的系统回顾。

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Spinal Cord Series and Cases Pub Date : 2025-03-18 DOI: 10.1038/s41394-025-00701-5

Ravindra Kumar Garg, Neeraj Kumar, Ravi Uniyal, Praveen Kumar Sharma, Hardeep Singh Malhotra, Imran Rizvi

{"title":"Tuberculous myelitis: a systematic review of published case reports and case series.","authors":"Ravindra Kumar Garg, Neeraj Kumar, Ravi Uniyal, Praveen Kumar Sharma, Hardeep Singh Malhotra, Imran Rizvi","doi":"10.1038/s41394-025-00701-5","DOIUrl":"10.1038/s41394-025-00701-5","url":null,"abstract":"Study design: A systematic review.Objectives: Tuberculous myelitis, an uncommon disorder, often manifests as transverse myelopathy. The majority of the literature comprises isolated case reports, necessitating a systematic review for better understanding and management.Setting: Uttar Pradesh India.Methods: Our review followed PRISMA guidelines, searching PubMed, Scopus, Embase, and Google Scholar with no language constraints. Quality assessment of reports was based on selection, ascertainment, causality, and reporting. Data synthesis was qualitative with categorical and continuous data representation.Results: We analyzed 34 reports describing 39 individuals. The majority (85%) had a duration of illness of one month or less. Upper motor neuron paraparesis was the most common neurological manifestation (69.2%), followed by areflexic paraparesis (15.3%). Paradoxical reactions occurred in 20.5% of cases. Microbiological confirmation was achievable in approximately 77% of cases. Neuroimaging abnormalities were present in 41% of cases, and chest imaging abnormalities in 53.9%. Longitudinally-extensive hyperintensities in cervical and thoracic regions were common spinal imaging abnormalities. Central nervous system tuberculosis was confirmed in 47.7% of cases, while pulmonary and disseminated tuberculosis were each found in 25.6%. Improvement was noted in 87.2% of cases, while 10.3% did not improve or died.Conclusion: Tuberculous myelitis, is a distinct spinal cord disease. Most cases had microbiological confirmation, and the majority showed improvement with treatment.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":"11 1","pages":"6"},"PeriodicalIF":0.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11920074/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0