Abstract:
STUDY DESIGN:Case report. OBJECTIVE:To report the first case of posterior spinal artery (PSA) infarct due to patent foramen ovale (PFO). SUMMARY OF BACKGROUND DATA:Infarct in the territories of PSA are very rare: till now 38 cases are reported in the literature. Moreover only 1 case of spinal cord infarction was attributed to paradoxical embolism through PFO, but in the anterior spinal artery territory. METHODS:A 60-year-old woman was hospitalized for sudden numbness of the right leg. Neurologic examination revealed right leg mild paresis and loss of proprioception and dysesthesia at T11. Spine-MRI showed T5-T7 posterolateral cord ischemia. Transesophageal echocardiography disclosed a PFO with severe right-left shunt confirmed by transcranial Doppler. RESULTS:During the hospitalization she was treated with oral-500 mg ticlopidine, because of a mild allergic reaction to acetylsalicylic acid. No steroids were administrated. Physiotherapy was performed daily. Motor and urinary symptoms disappeared in 20 days. At 1-month clinical follow-up only suspended dysesthesia on the right side was present. At 3 months follow-up spine-MRI showed no signal abnormalities within the spinal cord but the patient still complained of dysesthesia. The therapy was changed to oral 75 mg clopidogrel, cause of leucopoenia. At 1-year follow-up dysesthesia was still present, but less complaining and no recurrence and adverse effect due to clopidogrel therapy were reported. CONCLUSION:This report describe a case of acute nontraumatic myelopathy. At 4 days after onset, PSA infarct was diagnosed on the basis of neurologic findings and MR images. After extensive diagnostic work-up, we were able to identify only PFO, so it was the first case of PSA due to probable paradoxical embolism. The patient was treated with antiplatelet therapy with good recovery and no recurrence at 1-year follow-up.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Petruzzellis M,Fraddosio A,Giorelli M,Prontera M,Tinelli A,Lucivero V,Federico Fdoi
10.1097/BRS.0b013e3181cf29easubject
Has Abstractpub_date
2010-03-01 00:00:00pages
E155-8issue
5eissn
0362-2436issn
1528-1159journal_volume
35pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Retrospective morphometric population study. OBJECTIVE:To characterize pedicle and spinal canal morphology of the achondroplastic lower thoracic and lumbar vertebrae and to suggest dimensions for improving pedicle screw selection and placement. SUMMARY OF BACKGROUND DATA:Although morphometric population ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181574286
更新日期:2007-10-15 00:00:00
abstract:STUDY DESIGN:A retrospective database analysis. OBJECTIVE:The aim of this study is to compare rates of postoperative dysphagia, length of stay, infection, and wound complications following short and long anterior cervical discectomy and fusion (ACDF) in patients who received local intraoperative steroids and those who...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000001407
更新日期:2016-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective case-control study. OBJECTIVE:To determine the association of Hounsfield unit (HU) measurements with adjacent segment fractures after spinal fusion. SUMMARY OF BACKGROUND DATA:Adjacent segment fracture is a potentially devastating complication after spinal fusion surgery in osteoporotic pat...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31826ff084
更新日期:2013-03-01 00:00:00
abstract:STUDY DESIGN:Experimental measurement of bovine caudal annulus fibrosus (AF) biaxial stress-strain states for unloaded motion segments and those loaded in flexion combined with axial compression. OBJECTIVE:To measure AF biaxial stress-strain states for motion segments free of external loads and those loaded in flexion...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318259aa60
更新日期:2012-08-15 00:00:00
abstract::A multicentered prospective trial to investigate the usefulness of the AO spinal internal fixator for the treatment of thoracolumbar fractures and fracture-dislocations was undertaken. This pedicle screw-rod system was effective in stabilizing a variety of unstable fracture patterns. It was effective in decompressing ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199103001-00021
更新日期:1991-03-01 00:00:00
abstract:STUDY DESIGN:Normal, sham, and groups of chickens subjected to pinealectomy from which serum melatonin levels were measured and correlated with scoliosis development in a period of 5 weeks. OBJECTIVES:To measure serum melatonin levels in chickens subjected to pinealectomy and control chickens and correlate findings wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199811150-00002
更新日期:1998-11-15 00:00:00
abstract:STUDY DESIGN:Multicenter, prospective, consecutive clinical series. OBJECTIVE.: To report on the use and outcomes of preoperative magnetic resonance imaging (MRI) in a prospective cohort study of 2206 children undergoing posterior spinal fusion and instrumentation for adolescent idiopathic scoliosis. SUMMARY OF BACKGR...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e3181da218c
更新日期:2011-04-15 00:00:00
abstract::A nerve root impingement within a stenotic neuroforamen is a common sequela of cervical degenerative arthritis and herniated nucleus pulposus. Understanding of the effects of cervical position on foraminal size is important in the assessment of pathology and injury, for selection of a provocative maneuver to elicit sy...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199210000-00001
更新日期:1992-10-01 00:00:00
abstract::This report describes the intraoperative use of a somatosensory cortical evoked potential system to monitor spinal cord function during 300 orthopedic surgical procedures. This system requires sophisticated equipment and the establishment of normative data but has performed well with no false negatives noted. The most...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::The authors attempted to investigate the effect of vibration on the physiologic behavior of the intervertebral disc from rheologic and biological responses. Using fresh disc-cartilaginous end plate complexes of porcine coccygeal vertebrae, the frequency characteristics of dynamic compressive elastic modulus and dissip...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199203001-00002
更新日期:1992-03-01 00:00:00
abstract:STUDY DESIGN:Multicenter review of prospectively collected data. OBJECTIVE:The purpose of this study was to evaluate the incidence of distal adding-on and associated risk factors in each of the 2 Lenke 1A curve patterns. SUMMARY OF BACKGROUND DATA:Previous work has demonstrated 2 distinct Lenke 1A curve patterns on t...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e31824bac7a
更新日期:2012-07-15 00:00:00
abstract:STUDY DESIGN:Multi-institution retrospective review. OBJECTIVE:To determine the surgical revision rates of hook, hybrid, anteroposterior, and total pedicle screw constructs for adolescent idiopathic scoliosis (AIS). SUMMARY OF BACKGROUND DATA:Much debate continues on the safety, efficacy, and cost of thoracic pedicle...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e31814b1ba6
更新日期:2007-09-15 00:00:00
abstract:STUDY DESIGN:In vivo validation during functional loading. OBJECTIVE:To determine the accuracy and repeatability of a model-based tracking technique that combines subject-specific computed tomographic (CT) models and high-speed biplane x-ray images to measure three-dimensional (3D) in vivo cervical spine motion. SUMM...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31820b7e2f
更新日期:2011-03-15 00:00:00
abstract:STUDY DESIGN:Retrospective review-multicenter database. OBJECTIVE:The purpose of this study was to compare the upper thoracic (UT) and lower thoracic (LT) upper instrumented vertebrae (UIV) in long fusions to the sacrum for adult scoliosis. SUMMARY OF BACKGROUND DATA:The optimal UIV for stopping long fusions to the s...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0000000000000339
更新日期:2014-06-01 00:00:00
abstract:STUDY DESIGN:Retrospective analysis. OBJECTIVE:To evaluate conditional survival after surgical resection for spinal chondrosarcoma patients. SUMMARY OF BACKGROUND DATA:Survival estimates are usually reported as survival from the time of surgery, but survival probabilities can change over time. Conditional survival, w...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003494
更新日期:2020-08-15 00:00:00
abstract:STUDY DESIGN:Retrospective review of records and radiographs with postoperative questionnaire of patients with Marfan syndrome receiving surgical correction for spinal deformity. OBJECTIVE:To characterize and analyze the challenges of surgical correction for spinal deformity in Marfan syndrome and to present recommend...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200209150-00008
更新日期:2002-09-15 00:00:00
abstract:SUMMARY OF BACKGROUND DATA:Although high geographic variation in back surgery rates within the United States have been documented, international comparisons have not been published. METHODS:The authors compared rates of back surgery in eleven developed countries to determine if back surgery rates are higher: 1) in the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199405310-00001
更新日期:1994-06-01 00:00:00
abstract:STUDY DESIGN:In vitro accuracy assessment of a novel virtual fluoroscopy system. OBJECTIVES:To investigate a new technology combining image-guided surgery with C-arm fluoroscopy. SUMMARY OF BACKGROUND DATA:Fluoroscopy is a useful and familiar technology to all musculoskeletal surgeons. Its limitations include radiati...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200102150-00009
更新日期:2001-02-15 00:00:00
abstract:STUDY DESIGN:Retrospective radiographic and clinical review. OBJECTIVE:To evaluate the safety and efficacy of iliac screws as a method of pelvic fixation in neuromuscular spinal deformity correction using the Galveston rod technique as a comparison group. SUMMARY OF BACKGROUND DATA:Sacropelvic fixation in patients wi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000238973.13294.16
更新日期:2006-09-15 00:00:00
abstract:STUDY DESIGN:A randomized, placebo-controlled trial in which patients received either usual care by a general practitioner (information and analgesics), or placebo physiotherapy given by a physiotherapist, or exercise therapy given by a physiotherapist. OBJECTIVE:To assess the efficacy of exercise therapy on sickness ...
journal_title:Spine
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1097/00007632-199504150-00012
更新日期:1995-04-15 00:00:00
abstract::Delayed CT Myelography (CTM) demonstrated intramedullary cavities in 18 patients, most of which appeared on the 6-hour scan. The attenuation values of the normal spinal cord increased progressively with time, and recorded a peak at 6 hours. The CT numbers of the gray matter of metrizamide were significantly high, as c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198807000-00005
更新日期:1988-07-01 00:00:00
abstract:STUDY DESIGN:The possibility of a relationship between discographic pain responses and Minnesota Multiphasic Personality inventory scores was investigated. OBJECTIVES:To determine if patients with elevated Minnesota Multiphasic Personality Inventory scale scores were more likely to report pain on the injection of a no...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199602010-00017
更新日期:1996-02-01 00:00:00
abstract:STUDY DESIGN:Evaluation of a possible correlation of clinical symptoms of chronic low back pain (LBP) patients before and after application of external spinal fixation (ESF) with three-dimensional motion patterns. OBJECTIVE:To determine whether the intervertebral kinematics in chronic LBP patients correlate with pain ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200212010-00013
更新日期:2002-12-01 00:00:00
abstract::Biochemical tests that can index bone turnover rate in the patient are increasingly being used in the study and management of osteoporosis. Markers of bone formation and resorption are reviewed here, including their molecular basis, relative strengths and weaknesses in clinical performance, and future potential. A bon...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/00007632-199712151-00004
更新日期:1997-12-15 00:00:00
abstract:STUDY DESIGN:This study analyzed the effects of the autologous nucleus pulposus (NP) on nerve root function using electrophysiologic methods. OBJECTIVES:To investigate the chronic effects of the NP applied to nerve roots and dorsal root ganglions (DRGs) on ectopic firing and nerve conduction velocity. SUMMARY OF BACK...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200112150-00005
更新日期:2001-12-15 00:00:00
abstract:STUDY DESIGN:The relation between the rib head and the thoracic disc was investigated anatomically. OBJECTIVES:To clarify the necessity of rib head resection in thoracoscopic discectomy using the anterior approach. SUMMARY OF BACKGROUND DATA:When using the transthoracic anterior approach, the rib head must often be r...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000132516.03023.c4
更新日期:2004-08-01 00:00:00
abstract:STUDY DESIGN:Randomized prospective study using an experimental scoliosis model in a pinealectomized chicken. OBJECTIVE:To investigate the effect of the side of visual impairment on the incidence and laterality of the curves on a pinealectomized chicken model. SUMMARY OF BACKGROUND DATA:Visual impairment has been sho...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/01.brs.0000194781.53260.dc
更新日期:2006-01-15 00:00:00
abstract:STUDY DESIGN:A prospective and controlled comparative study. OBJECTIVES:To verify the difference in morphologic appearance between a group of adolescents with progressive adolescent idiopathic scoliosis and a control group of normal adolescents. SUMMARY OF BACKGROUND DATA:In a previous retrospective study, the possib...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199711010-00013
更新日期:1997-11-01 00:00:00
abstract:STUDY DESIGN:Three transaxial slices, dividing each disc into four layers of equal thickness, were made in each of 19 T12-L1 discs. Naked-eye and stereoscopic examination was used to record abnormalities of the T12 (superior) surface of the upper slice, opposing surfaces of the central slice, and the L1 (inferior) surf...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199711150-00012
更新日期:1997-11-15 00:00:00
abstract:STUDY DESIGN:Retrospective case series. OBJECTIVE:The aim of this study was to investigate the clinical outcomes >10 years following laminoplasty and pedicle screw fixation for cervical myelopathy associated with athetoid cerebral palsy (CP). SUMMARY OF BACKGROUND DATA:Surgery for cervical myelopathy associated with ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000003383
更新日期:2020-06-01 00:00:00