Spinal Cord Series and Cases最新文献_第3页

Bedside electromyography for clinical assessment of sacral motor and reflex activity adapted for patients hospitalized with acute neurological conditions: a pilot study. 床旁肌电图用于临床评估骶骨运动和反射活动，适用于急性神经系统疾病住院患者：一项试点研究。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-13 DOI: 10.1038/s41394-024-00657-y

Maude Duguay, Jean-Marc Mac-Thiong, Andréane Richard-Denis

{"title":"Bedside electromyography for clinical assessment of sacral motor and reflex activity adapted for patients hospitalized with acute neurological conditions: a pilot study.","authors":"Maude Duguay, Jean-Marc Mac-Thiong, Andréane Richard-Denis","doi":"10.1038/s41394-024-00657-y","DOIUrl":"10.1038/s41394-024-00657-y","url":null,"abstract":"Study design: Pilot cohort study.Objective: To develop and implement a sacral electromyographic (sEMG) technique at bedside to ascertain sparing of sacral motor activity and reflexes in patients hospitalized for acute neurological conditions.Setting: Hôpital du Sacré-Coeur de Montréal a Canadian Level-1 university trauma center specialized in SCI care.Methods: Nine patients underwent digital rectal examination (DRE) and sEMG, assessing voluntary anal contraction and sacral spinal reflexes (bulbocavernosus reflex and the anal wink). Our sEMG technique utilized surface recording electrodes and tactile elicitation of reflexes. EMG signal was acquired at bedside through the Noraxon MR3 system.Results: It was quick, well accepted and did no harm. We found that contrary to the DRE, sEMG detected subclinical sacral motor activity and reflexes in 20% of cases for voluntary anal contraction and 40% of cases for the anal wink.Conclusion: We believe our sEMG technique is a powerful tool able to enhance management of patients suffering from acute neurological impairments and requiring sacral function assessment.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604191","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

Complications in spinal cord injury persons with "traditional" colostomy: a case series. 使用 "传统 "结肠造口术的脊髓损伤患者的并发症：病例系列。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-12 DOI: 10.1038/s41394-024-00660-3

Luca Negosanti, Mimosa Balloni, Siriana Landi, Elisa Mercante, Davide Villa, Rossella Sgarzani

{"title":"Complications in spinal cord injury persons with \"traditional\" colostomy: a case series.","authors":"Luca Negosanti, Mimosa Balloni, Siriana Landi, Elisa Mercante, Davide Villa, Rossella Sgarzani","doi":"10.1038/s41394-024-00660-3","DOIUrl":"10.1038/s41394-024-00660-3","url":null,"abstract":"Introduction: Neurogenic bowel dysfunction is a frequent consequence of spinal cord injury/disease (SCI/D). A colostomy is considered when conservative treatments fail [1, 2]. In the last year we observed several SCI/D persons with colostomy, admitted to our institution with multiple complications.Case presentation: We present four cases of SCI/D persons treated with Hartmann's procedure and admitted to our institution for pressure ulcer (PU) treatment. All patients underwent PU surgery with good results. All patients reported a subjective good evacuation setting. No one assumed laxative therapies at home. At admission, all patients underwent abdominal radiography that showed an important constipation, with cases of sub-occlusion or complete occlusion with gastroparesis. One person presented a parastomal, strangulated hernia and underwent hernia reduction and patch positioning around the stoma. During hospital stay, bowel management required an important administration of laxatives and frequent, almost daily, stoma washes.Discussion: Some considerations must be made regarding the use of traditional techniques in SCI/D people, such as Hartmann's, leaving a large part of the colon and the anatomical position of the stoma itself represent limitations to fecal progression and may cause constipation. A specific approach, tailored on the SCI/D patients' characteristics, such as the one described by our group, should be considered. Even if colostomy has been performed, appropriate therapies and health education on how to manage the stoma are fundamental to prevent complications.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11245491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141601832","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

The Babinski Sign in 'Perseus with the head of Medusa': revisiting art through a neurological lens. 拿着美杜莎头颅的珀尔修斯》中的巴宾斯基手势：从神经学角度重新审视艺术。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-11 DOI: 10.1038/s41394-024-00661-2

Rahul Sachdeva, Lauren Rietchel, Megan Lee, Dmitri Krassioukov-Enns, John Ditunno, Andrei V Krassioukov

引用次数: 0

Spinal cord lesion MRI and behavioral outcomes in a miniature pig model of spinal cord injury: exploring preclinical potential through an ad hoc comparison with human SCI. 微型猪脊髓损伤模型的脊髓损伤核磁共振成像和行为结果：通过与人类脊髓损伤的特别比较探索临床前潜力。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-07-08 DOI: 10.1038/s41394-024-00658-x

Andrew C Smith, Rakib Uddin Ahmed, Kenneth A Weber, MohammadJavad Negahdar, Destiny Gibson, Maxwell Boakye, Enrico Rejc

{"title":"Spinal cord lesion MRI and behavioral outcomes in a miniature pig model of spinal cord injury: exploring preclinical potential through an ad hoc comparison with human SCI.","authors":"Andrew C Smith, Rakib Uddin Ahmed, Kenneth A Weber, MohammadJavad Negahdar, Destiny Gibson, Maxwell Boakye, Enrico Rejc","doi":"10.1038/s41394-024-00658-x","DOIUrl":"10.1038/s41394-024-00658-x","url":null,"abstract":"Study design: prospective case series of Yucatan miniature pig spinal cord contusion injury model with comparison to human cases of spinal cord injury (SCI).Objectives: to describe magnetic resonance imaging (MRI) measures of spinal cord lesion severity along with estimates of lateral corticospinal tracts spared neural tissue in both a less severe and more severe contusion SCI model, as well as to describe their corresponding behavioral outcome changes.Setting: University laboratory setting.Methods: Following a more severe and less severe SCI, each pig underwent spinal cord MRI to measure lesion characteristics, along with locomotor and urodynamics outcomes testing.Results: In the pig with more severe SCI, locomotor and urodynamic outcomes were poor, and both the spinal cord lesion volume and damage estimates to the lateral corticospinal tracts were large. Conversely, in the pig with less severe SCI, locomotor and urodynamic outcomes were favorable, with the spinal cord lesion volume and damage estimates to the lateral corticospinal tracts being less pronounced. For two human cases matched on estimates of damage to the lateral corticospinal tract regions, the clinical presentations were similar to the pig outcomes, with more limited mobility and more limited bladder functional independence in the more severe case.Conclusions: Our initial findings contribute valuable insights to the emergent field of MRI-based evaluation of spinal cord lesions in pig models, offering a promising avenue for understanding and potentially improving outcomes in spinal cord injuries.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11231227/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559777","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

Holocord pilocytic astrocytoma in a young woman with intracranial extension: case report and review of the MRI characteristics. 一名年轻女性罹患伴颅内扩展的 Holocord 型朝粒细胞星形细胞瘤：病例报告和磁共振成像特征回顾。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-06-22 DOI: 10.1038/s41394-024-00656-z

Sima Kiani Salmi, Amirreza Dehghanian, Ali Taherifard, Alireza Dehghan

{"title":"Holocord pilocytic astrocytoma in a young woman with intracranial extension: case report and review of the MRI characteristics.","authors":"Sima Kiani Salmi, Amirreza Dehghanian, Ali Taherifard, Alireza Dehghan","doi":"10.1038/s41394-024-00656-z","DOIUrl":"10.1038/s41394-024-00656-z","url":null,"abstract":"Introduction: Pilocytic astrocytoma is a low-grade glioma more frequently seen in patients <20. It is pretty uncommon in the spinal cord. Rarely, astrocytoma may involve the most or total length of the spinal cord; in that case, they are called \"holo-cord astrocytoma.\" In this case report, we are reporting the third holo-cord pilocytic astrocytoma in an adult patient and the first with an extension to the Magendie foramen.Case presentation: We presented a 24-year-old woman with complaints of progressively worsening neck and back pain since one year ago. The patient's MRI showed a very large intradural and intramedullary cystic lesion with a solid component within the spinal cord extending from the medulla to the conus medullaris. Partial resection of the solid part of the cervical portion of the tumor was performed. Histopathological evaluation of the resected tumor segments was compatible with grade I pilocytic astrocytoma. After one year of follow-up, neck and back pain has reduced, and neurological functions have improved.Conclusion: Spinal cord pilocytic astrocytoma may present as a holo-cord tumor and can rarely extend to the intracranial fossa. Although this tumor does not arise from the central canal, in this case, it was extended through the Magendie foramen. Symptoms could be subtle despite extensive cord involvement. On MRI, this tumor presents as an intramedullary holo-cord cystic lesion intermixed with a solid component with a variable enhancement of the solid component.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11193805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141440903","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

Safety of ultrasound-guided percutaneous suprapubic catheter insertion in spinal cord injury patients. 脊髓损伤患者在超声引导下经皮插入耻骨上导管的安全性。

IF 1.2

Spinal Cord Series and Cases Pub Date : 2024-06-12 DOI: 10.1038/s41394-024-00653-2

Christian Tiburtius, Kai Fiebag, Birgitt Kowald, Oliver Balzer, Sven Hirschfeld-Araujo, Roland Thietje, Ralf Böthig

{"title":"Safety of ultrasound-guided percutaneous suprapubic catheter insertion in spinal cord injury patients.","authors":"Christian Tiburtius, Kai Fiebag, Birgitt Kowald, Oliver Balzer, Sven Hirschfeld-Araujo, Roland Thietje, Ralf Böthig","doi":"10.1038/s41394-024-00653-2","DOIUrl":"10.1038/s41394-024-00653-2","url":null,"abstract":"Study design: Retrospective chart audit.Objectives: To evaluate the safety of ultrasound-guided percutaneous suprapubic catheter (SPC) insertion in patients with spinal cord injury/disease (SCI/D) and to attempt to identify risk factors for complications.Setting: Specialized German centre for spinal cord injuries.Methods: This retrospective chart analysis evaluated demographic, neurologic, and neuro-urologic data and the incidence and type of complications within the first 30 days after suprapubic bladder catheter insertion in SCI/D patients in the period between January 1st, 2013, and December 31st, 2022.Results: The data of 721 SCI/D patients (244 women and 477 men, 386 tetraplegics and 355 paraplegics) were analysed. There were 44 complications (6.5%), of which 11 (1.5%) were major complications according to Clavien-Dindo ≥ 3. Among these were one small bowel injury and one peritoneal injury each, but no fatal complications. Regarding major complications (according to Clavien-Dindo ≥3), only patient age was identified as a risk factor (p = 0.0145). Gender, SCI/D level, neurological completeness, and severity of SCI/D or type of neurogenic lower urinary tract dysfunction (Odds ratio [95% CI] 1.6423 [0.4961;5.4361], 1.0421 [0.3152;3.4459], 0.3453 [0.0741;1.6101], 2.8379 [0.8567;9.4004] and 2.8095 [0.8097;9.7481] respectively) did not show any association with the frequency of major complications.Conclusions: Mild complications, especially temporary hematuria or infectious complications, are not uncommon after SPC insertion in SCI/D patients. Major complications occur only rarely, and no risk factor other than age could be detected. On this basis, pre-intervention education on informed consent for SCI/D patients can be provided on an evidence-based approach.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11169511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141311757","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

Delayed spinal arachnoiditis with syringomyelia following aneurysmal subarachnoid haemorrhage: a case report with patient experience. 动脉瘤性蛛网膜下腔出血后迟发性脊髓蛛网膜炎伴鞘膜积液：病例报告与患者经验。

IF 0.7

Spinal Cord Series and Cases Pub Date : 2024-06-10 DOI: 10.1038/s41394-024-00654-1

Nityanand Jain, Liga Jaunozolina, Inga Putraima, Kaspars Auslands, Andrejs Millers

{"title":"Delayed spinal arachnoiditis with syringomyelia following aneurysmal subarachnoid haemorrhage: a case report with patient experience.","authors":"Nityanand Jain, Liga Jaunozolina, Inga Putraima, Kaspars Auslands, Andrejs Millers","doi":"10.1038/s41394-024-00654-1","DOIUrl":"10.1038/s41394-024-00654-1","url":null,"abstract":"Background and importance: Syringomyelia, or the formation of fluid-filled cysts within the spinal cord, associated with delayed spinal arachnoiditis is an uncommon complication of aneurysmal subarachnoid haemorrhage. To date, about 18 cases have been reported in medical literature, with just two reported in patients under the age of 35 years.Clinical presentation: A 27-year-old female patient complained of sudden, severe headaches in the occipital region, nuchal rigidity, and drowsiness when she presented at our institution. A head computed tomography scan revealed intraventricular bleeding in the lateral and fourth ventricles with more extensive haemorrhaging in the frontal horns. A left posterior inferior cerebellar artery (PICA) aneurysm was confirmed via digital subtraction angiogram, and endovascular embolization was done. Two years later, the patient reported intense pain in the lower back along with symptoms suggestive of spinal cord compression. Spinal magnetic resonance imaging (MRI) showed spinal adhesions from C1 to L4, syringomyelia with some vasogenic oedema extending from T3 to T9 level, and a cyst in the lumbar region. Consequently, a right hemilaminectomy was performed along with microsurgical release of arachnoid adhesions and placement of a subdural drain. Radiological and symptomatic improvements were observed. Since then, the patient's clinical condition has remained stable during the past three years of follow-up visits.Conclusions: Literature on optimal treatment modalities and patient prognosis is scarce and debated. The time for symptom improvement depends on the level and extent of spinal cord involvement. Rehabilitation may be required for most patients, as complete symptomatic recovery may not be attainable.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":0.7,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11165000/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301606","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 physiatrist's role in managing unique challenges in pregnancy and delivery in a patient with incomplete lumbar SCI: a case report. 理疗师在处理不完全腰椎 SCI 患者怀孕和分娩过程中的独特挑战中的作用：病例报告。

IF 1.2

Spinal Cord Series and Cases Pub Date : 2024-06-04 DOI: 10.1038/s41394-024-00652-3

Lauren Hall, Connie Hsu, Chloe Slocum, John Lowry

{"title":"A physiatrist's role in managing unique challenges in pregnancy and delivery in a patient with incomplete lumbar SCI: a case report.","authors":"Lauren Hall, Connie Hsu, Chloe Slocum, John Lowry","doi":"10.1038/s41394-024-00652-3","DOIUrl":"10.1038/s41394-024-00652-3","url":null,"abstract":"Introduction: Women of childbearing age make up around 5-10% of individuals with spinal cord injury (SCI) and may face unique medical and functional complications during pregnancy, including prolonged hospitalization and increased risk of early rehospitalization due to falls.Case presentation: Here, we discuss a case of a young ambulatory woman with a lumbar motor incomplete spinal cord injury who underwent successful delivery via cesarean section and the role of the physiatrist in the management of the patient's antepartum, intrapartum, and postpartum complications. The patient faced significant antepartum challenges secondary to her neurogenic bladder and pelvic floor weakness, resulting in increased use of her manual wheelchair. The physiatry team assisted with the co-development of a multidisciplinary bladder plan for increased urinary frequency and urinary tract infection prevention with the patient's obstetrics physician (OB). In addition, the physiatry team assisted with the procurement of a new wheelchair suited for the patient's pregnancy and childcare needs in anticipation of decreased mobility during this time. Regarding intrapartum challenges, the physiatry team worked with the patient and her OB to develop a safe birth plan considering the method of delivery, epidural usage, and the need for pelvic floor therapy before and after childbirth.Discussion: The patient had a successful cesarean section delivery, with return to independent mobility soon after childbirth. In summary, this case demonstrates that there is a need for a multidisciplinary approach to patients with SCI during pregnancy and that the role of physiatry is critical to optimizing medical and functional outcomes.","PeriodicalId":22079,"journal":{"name":"Spinal Cord Series and Cases","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11150403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248588","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

Intermittent catheterisation: individuals' rights, accessibility, and environmental concerns. 间歇性导尿：个人权利、可及性和环境问题。

IF 1.2

Spinal Cord Series and Cases Pub Date : 2024-05-31 DOI: 10.1038/s41394-024-00651-4

Andrei Krassioukov, Michel Wyndaele, Matthias Walter, Veronique Keppenne, Blayne Welk, Desiree Vrijens, Francois Theron

引用次数: 0

Use of transcranial motor evoked potentials (TcMEPs) in spine deformity surgery in a case of Charcot-Marie-tooth disease—what we should know? A case report 经颅运动诱发电位（TcMEPs）在一例 Charcot-Marie-tooth 病脊柱畸形手术中的应用--我们应该知道些什么？病例报告

IF 1.2

Spinal Cord Series and Cases Pub Date : 2024-05-25 DOI: 10.1038/s41394-024-00648-z

Abhishek Srivastava, Vikas Hanasoge, Anuj Gupta, A. Jayaswal

引用次数: 0