Abstract:
STUDY DESIGN:Retrospective study of 13 patients treated by the authors. OBJECTIVE:To examine the course of the disease of malignant lymphoma (ML) presenting in the epidural area of the spine. SETTING:Department of Neurosurgery, Third Department of Internal Medicine, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary. SUBJECTS AND METHODS:The epidural presentation in eight patients was heralded by motor signs (paraparesis and plegia), in one by a lesion of the posterior columns of the spinal cord (ataxia), and in three by pain. One patient was free of complaints and symptoms. The affected epidural area was diagnosed previously by myelography and computerized tomography (CT), and later by magnetic resonance (MR), over the course of which the location was verified as thoracic in eight patients, cervical in one, and lumbar in four. The authors recommended surgical intervention in 9 out of 13 cases, in seven cases of Hodgkin's and six cases of non-Hodgkin's lymphoma. Seven patients were treated for recognized manifestations of malignant lymphoma while six were diagnosed by intraoperative-histological examination. RESULTS AND CONCLUSION:The decompression operations for tumors resulted in limited improvement in seven patients (reduction in pain and return of ability to walk). Four patients were not operated on, two of which had significant improvement in their neurological symptoms. Paraparesis remained unchanged in one patient. One patient remained symptom-free. The authors emphasize the importance of interdisciplinary consultation and weighing individual priorities in the indications for operation on epidural ML.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Székely G,Miltényi Z,Mezey G,Simon Z,Gyarmati J,Gergely L Jr,Bognár L,Illés Adoi
10.1038/sj.sc.3102124subject
Has Abstractpub_date
2008-04-01 00:00:00pages
278-81issue
4eissn
1362-4393issn
1476-5624pii
3102124journal_volume
46pub_type
杂志文章相关文献
SPINAL CORD文献大全abstract:OBJECTIVES:Hereditary spastic paraplegia (HSP) is a degenerative central nervous system disorder characterized by progressive spasticity and hyperreflexia of the lower limbs. Often, patients with HSP experience symptoms of voiding dysfunction. Urodynamic evaluations of these patients are rarely reported in the literatu...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2011.193
更新日期:2012-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective study. OBJECTIVES:To examine the value of operative fracture stabilization by means of the ring fixator in fractures of the lower extremity in the presence of chronic paralysis caused by transverse lesions of the spinal cord. SETTING:A specialist center for the treatment of spinal cord inju...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101397
更新日期:2003-03-01 00:00:00
abstract::Previous studies have estimated that between 25% and 45% of people with spinal cord injury report severe levels of chronic pain. Few studies have examined this longitudinally. This study examines the primary pain sites, intensity and variability of perceived pain in 76 patients, 6 weeks post injury and 45 patients fro...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100569
更新日期:1997-12-01 00:00:00
abstract:STUDY DESIGN:Three independent experiments in a rat model of contusive spinal cord (SC) injury were performed. Two studied the alterations induced by SC injury on some immunological aspects of the T-cell response. The third one evaluated the motor recovery of rats with low-thoracic injuries. OBJECTIVE:To examine the e...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101972
更新日期:2007-05-01 00:00:00
abstract:STUDY DESIGN:Psychometric study based on retrospectively collected data. OBJECTIVE:Development of a pressure injury (PI) risk screening instrument for use during spinal cord injury (SCI) rehabilitation. SETTING:Tertiary rehabilitation center. METHODS:Medical charts of 807 inpatients participating in SCI rehabilitati...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-020-0510-y
更新日期:2020-07-21 00:00:00
abstract:OBJECTIVE:To assess the effects of exercise therapy (ET) on motor control and functional ability of the upper extremity in patients with cervical spinal cord injury (SCI). METHODS:An extensive systematic literature search in five databases was performed to identify clinical and (randomized) controlled trials, evaluati...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sc.2008.113
更新日期:2009-03-01 00:00:00
abstract::Management of the neuropathic bowel is one of the major issues in the treatment of patients with severe spinal cord injury (SCI). Pulsed irrigation evacuation (PIE) has been evaluated in several small studies for the clearing of fecal impactions in patients with a neuropathic bowel. We evaluated our experience with 39...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3100491
更新日期:1997-10-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional descriptive analysis of magnetic resonance imaging (MRI) and clinical outcome. OBJECTIVES:The aim of this study was to present anatomically consistent and independent spinal cord atrophy measures based on standard MRI material and analyze their specific relations to sensory and motor outco...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2010.87
更新日期:2011-01-01 00:00:00
abstract:STUDY DESIGN:A case report of purely epidural cavernous haemangioma with MRI appearance and pathological features. OBJECTIVE:To present a rare case of extradural mass with differential diagnosis. SETTING:Delhi, India. METHOD:A 55-year-old man presented with progressive weakness and diminished sensation in both lower...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3101248
更新日期:2002-04-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVES:Each type of intramedullary spinal cord tumor (IMSCT) has specific anatomical and pathological features visible on magnetic resonance (MR) imaging. The purpose of this study was to investigate the accuracy of preoperative IMSCT diagnosis using our diagnostic chart of...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.127
更新日期:2014-10-01 00:00:00
abstract:STUDY DESIGN:The analysis of oxygen uptake (VO(2)) and energy consumption in quadriplegics after 6 months of treadmill gait with neuromuscular electrical stimulation (NMES). OBJECTIVES:To compare metabolic responses in quadriplegics after 6 months of treadmill training, with NMES (30-50% body weight relief), with quad...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3101776
更新日期:2005-11-01 00:00:00
abstract:STUDY DESIGN:: Single-subject (male, 16 years of age) case. OBJECTIVES:To demonstrate a suitable method for oesophageal repair after perforation as a complication of anterior spinal fusion in an individual with quadriplegia, and to review the literature on oesophageal perforation and repair. SETTING:University hospit...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101439
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVES:To describe health-related quality of life (HRQoL) in persons with traumatic spinal cord injury (TSCI) and to assess factors that affect HRQoL. STUDY DESIGN:Cross-sectional. METHODS:Eighty Estonian-speaking TSCI patients from the Estonian TSCI database were included in the study. The RAND-36 questionnaire,...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.47
更新日期:2014-07-01 00:00:00
abstract:STUDY DESIGN:Prospective study. OBJECTIVE:To identify and define dermatological conditions following acute traumatic spinal cord injury (ATSCI) during inpatient rehabilitation. SETTING:Spinal Cord Injury Unit, The Department of Neurological Rehabilitation, The Chaim Sheba Medical Center, Israel. METHODS:During a 1-y...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章
doi:10.1038/sj.sc.3101697
更新日期:2005-03-01 00:00:00
abstract:STUDY DESIGN:Prospective multi-center cohort study. OBJECTIVES:To compare the neurological and functional recovery between tetraplegic Brown-Séquard-plus syndrome (BSPS) and incomplete tetraplegia (non-BSPS). SETTING:European Multicenter Study of Human Spinal Cord Injury (EM-SCI). METHODS:BSPS was defined as a traum...
journal_title:Spinal cord
pub_type: 杂志文章,多中心研究
doi:10.1038/sc.2009.189
更新日期:2010-08-01 00:00:00
abstract::The importance of urinary tract infection (UTI) in patients with spinal cord injury cannot be understated. Many patients with significant bacteriuria are considered to be colonised rather than infected, and treatment should be reserved for those with clinical symptoms or other signs of infection. Published research on...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sj.sc.3100382
更新日期:1997-04-01 00:00:00
abstract:STUDY DESIGN:Multicentered follow-up with centralized data collection based on retrospective study. OBJECTIVES:To assess the outcome in a population of patients with spinal cord injury (SCI). The assessed outcomes are mortality, state of health, occupation, mobility, autonomy, social and partner relationships, quality...
journal_title:Spinal cord
pub_type: 杂志文章,多中心研究
doi:10.1038/sj.sc.3101457
更新日期:2003-05-01 00:00:00
abstract:OBJECTIVES:The aim of this study was to investigate the pharmacological effects of long-term oral tadalafil treatment on the corpus cavernosum function in rats subjected to experimental spinal cord transection (SCT). METHODS:Thirty young adult, male Sprague–Dawley rats were randomly divided into five groups (n¼ 6, eac...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2013.61
更新日期:2013-09-01 00:00:00
abstract:STUDY DESIGN:Exploratory qualitative. OBJECTIVES:The aim of this study was to describe the experiences of bowel and bladder dysfunction on social activities and relationships in people with spinal cord injury living in the community. SETTING:People living with spinal cord injury experiencing bowel and bladder dysfunc...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2017.19
更新日期:2017-07-01 00:00:00
abstract:STUDY DESIGN:Retrospective Nationwide Inpatient Sample (NIS) study. OBJECTIVES:To determine national trends in prevalence, risk factors and mortality for vertebral column fracture (VCF) and spinal cord injury (SCI) patients with and without acute respiratory distress syndrome/acute lung injury (ARDS/ALI). SETTING:Uni...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2013.16
更新日期:2013-06-01 00:00:00
abstract:STUDY DESIGN:Single centre, single ascending dose study. OBJECTIVES:To compare the pharmacokinetics and assess the safety of capromorelin, a compound that has potential to treat constipation following spinal cord injury (SCI), in groups of able-bodied and SCI volunteers. SETTING:Local population from Victoria, Austra...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.218
更新日期:2015-02-01 00:00:00
abstract:STUDY DESIGN:Longitudinal, multiple wave panel design. OBJECTIVES:To investigate the degree to which current thinking in terms of early appraisals and coping predicts adjustment and quality of life outcomes after spinal cord injury, and to what degree social and demographic variables are involved. SETTING:Data were a...
journal_title:Spinal cord
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1038/sc.2010.20
更新日期:2010-10-01 00:00:00
abstract:OBJECTIVES:Noxious stimuli activate small to medium-sized dorsal root ganglion (DRG) neurons. Intense noxious stimuli result in the release of substance P (SP) from the central terminals of these neurons. It binds to the neurokinin type 1 receptor (NK1r) and sensitises the dorsal horn neurons. SP is also released from ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.206
更新日期:2016-03-01 00:00:00
abstract:STUDY DESIGN:Retrospective chart review. OBJECTIVE:To analyze the role of sonography in detecting heterotopic ossification (HO) following spinal cord injury (SCI). SETTING:Department of Spinal Cord Injury and Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2016.93
更新日期:2017-01-01 00:00:00
abstract:STUDY DESIGN:A prospective study. OBJECTIVES:To investigate the risk factors predicting upper urinary tract (UUT) deterioration in patients with spinal cord injury (SCI). SETTING:Beijing, China. METHODS:We reviewed the medical records and UUT imaging studies of 112 patients, with a mean follow-up of 2 years. Variabl...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2014.63
更新日期:2014-06-01 00:00:00
abstract:STUDY DESIGN:The paper describes a technique for complete vertebrectomy and spinal cord decompression, followed by a formal anterior column reconstruction, using endoscopic instruments. This procedure is indicated for patients with radioresistant metastasis of the thoracic spine, particularly those involving the upper ...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sj.sc.3101194
更新日期:2001-09-01 00:00:00
abstract:INTRODUCTION:Increased demands on the upper extremities (UE) have been associated with a higher occurrence of musculoskeletal pain in individuals with spinal cord injury (SCI). STUDY DESIGN:This is a cross-sectional retrospective study. OBJECTIVE:The aim of this study was to characterize SCI subjects with musculoskel...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.126
更新日期:2016-02-01 00:00:00
abstract:STUDY DESIGN:Psychometric study. OBJECTIVES:Evaluate the intra-rater and inter-rater reliability of the Penn Spasm Frequency Scale (PSFS) in people with chronic traumatic spinal cord injury (SCI). SETTING:Community setting. METHODS:Participants with chronic traumatic SCI were administered the PSFS, a self-reported s...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/s41393-018-0063-5
更新日期:2018-06-01 00:00:00
abstract:STUDY DESIGN:Neurogenic bowel dysfunction (NBD) is a common occurrence after spinal cord injury (SCI) and in patients with spina bifida or multiple sclerosis. The impact of NBD on well-being is considerable, affecting both physical and psychological aspects of quality of life. Transanal irrigation (TAI) of the colon pr...
journal_title:Spinal cord
pub_type: 杂志文章,评审
doi:10.1038/sc.2010.5
更新日期:2010-09-01 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:To describe a case of testicular torsion in spinal cord injury (SCI). SETTING:Physical Medicine Rehabilitation Training and Research Hospital in Turkey. METHODS:We present the first case of testicular torsion in SCI along with its clinical presentation and follow-up results. RESU...
journal_title:Spinal cord
pub_type: 杂志文章
doi:10.1038/sc.2015.11
更新日期:2016-02-01 00:00:00