Search

Copyright of Farabi Medical Journal is the property of Farabi Medical Journal and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Type A aortic dissection is an infrequent occurrence following open-cardiac surgery, and the development of paraplegia as a complication is even rarer. This case report presents a unique instance of Type A aortic dissection in a patient who experienced paraplegia subsequent to undergoing coronary artery bypass grafting and mitral valve replacement. The causes of paraplegia after aortic dissection are diverse, with cerebrovascular diseases and spinal cord ischemia being uncommon contributors. Despite its rarity, paraplegia in this context carries substantial mortality and morbidity risks. This case emphasizes the importance of considering such complications in the postoperative management of cardiac surgery patients, highlighting the need for vigilance and early intervention. [ABSTRACT FROM AUTHOR]

Copyright of Bosphorus Medical Journal / Boğaziçi Tıp Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To retrospectively analyze the demographic characteristics of patients receiving robotic rehabilitation treatment and examine various parameters such as walking distance, speed, and time before and after treatment. Material and Method: Between 2019 and 2021, 136 patients who received robotic rehabilitation therapy were analyzed. 136 patients were divided into 3 groups-hemiplegia, cerebral palsy, and spinal cord injury groups. Walking distance, speed and time recorded in the Lokomat device on the first and last day of treatment were recorded. Results: Of the 136 patients, 62 were male (45.5%) and 74 (54.5%) were female. The number of patients treated with hemiplegia, cerebral palsy and spinal cord injury was 46 (33.8%), 30 (22%) and 60 (44.1%), respectively. In all the three diagnostic groups, a significant increase was observed in the walking time, distance, and speed recorded in the Lokomat device on the first and last day of treatment (p <0.001). No significant difference was observed between the groups in terms of walking parameters (p >0.05). Conclusion: We believe that this treatment approach is effective in the neurological rehabilitation group [ABSTRACT FROM AUTHOR]

Copyright of Journal of Pediatric Infection / Çocuk Enfeksiyon Dergisi is the property of Journal of Pediatric Infection / Cocuk Enfeksiyon Dergisi and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Trauma & Emergency Surgery / Ulusal Travma ve Acil Cerrahi Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Child & Adolescent Mental Health / Çocuk ve Gençlik Ruh Sagligi Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Surgery & Medicine (JOSAM) is the property of Journal of Surgery & Medicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Pediatrik çağda spinal tutulum gösteren kitlelerin çoğunluğunu sarkomlar oluşturmaktadır. Granülositik sarkom, immatür granülositlerin oluşturduğu nadir rastlanan bir tümördür. En sık akut myelositer löseminin seyri sırasında ortaya çıkmakta olup, bazen de ilk bulgusu granülositik sarkom olabilmektedir. Akut gelişen paraparezi nedeniyle acil kliniğimize başvuran 16 yaşındaki erkek olgunun yapılan tetkikleri sonucunda torakal 3-7 vertebraları arasında ekstradural spinal kitle saptanması üzerine olgu, acil olarak ameliyat edildi. Patoloji sonucu granülositik sarkom olarak geldi. Yapılan kemik iliği muayenesi ve flow sitometri sonucu, akut myelositer lösemi tanısı kondu.

Spontan mesane rupturu nadir gorulen klinik bir durumdur ve genellikle uriner retansiyon, uriner sistem enfeksiyonları, mesane ici basıncı arttıran sebepler, alkol intoksikasyonu sonrasında mesane duvarındaki zayıflama sebebiyle oluşurlar. Daha nadir olarak foley kateter erozyonu, inflamasyon (eozinofilik sistit, interstisyel sistit), dev mesane taşları, intraarteriyel kemoterapi ya da aterosklerotik emboli sonrasında perforasyon gorulebilir. Norojenik mesaneye bağlı olgularda literaturde yer almaktadır. Bu yazımızda sepsis kliniği ile başvuran, yoğun bakıma alınarak takip edilen ve yapılan laparotomide spontan mesane perforasyonu tanısı alan, paraplejik hastayı sunmak ve deneyimimizi paylaşmak istedik. [ABSTRACT FROM AUTHOR]

Glucocorticoid induced osteoporosis can cause vertebral fractures. However, neurological complications such as spinal cord compression are rare. Here, we report a case study of a 55-year-old asthmatic male patient, who was on high doses of oral as well as inhaled steroids for uncontrolled bronchial asthma, was presented to the emergency room with paraplegia and urinary incontinence for a week. He showed the clinical features of cord compression with a sensory level at T10. His workup revealed a fracture of vertebrae T6, T8, T12 and L2 with cord contusion and edema at multiple levels on MRI. Osteomalacia was present as well and DXA scan revealed the lowest individual T-score of -3.4 at the lumbar spine. Surgical intervention was deferred due to fragile nature of the fractured spine and patient was treated with teriparatide (recombinant PTH), oral steroid dose was gradually reduced, and supportive care was given. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Leriche's syndrome represents an arterial occlusion of the aortic bifurcation with ischaemic symptoms of both legs. A case of Leriche's syndrome as a complication of end stage renal failure has not yet been reported in the litarature. A 50-year-old woman was taken into the emergency service with severe abdominal and leg pain, loss of movement of both legs, and dyspnoea. On physical examination, there was abdominal tenderness, coldness and pallor of both legs, and pulselessness of the upper and lower extremities. No flow was seen in either femoral artery with superficial ultrasonography probe in the emergency department. Dynamic thorax and abdominal computed tomography was planned and total occlusion of the infrarenal level of the abdominal aorta was detected. Within the first hour of the diagnosis of acute thrombosis of the aorta bifurcation, bilateral femoral embolectomy was performed by the Cardiavascular Surgery Clinic. After 1 week, the paitent was discharged without any complication. Chronic renal disease patients, especially those referred to the emergency department with acute complaints, must be evaluated carefully and quickly, primarily for cardiovascular diseases. Principally, infrarenal aortic occlusion must be considered and femoral pulses must be examined in the differential diagnosis for patients presenting with paraplegia and severe pain. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The aim of this report describes the identification of an interesting spinal cord lesion developing in a 2 years old, male, hybrid dog due to being injured by gunshot. In the direct radiography of the patient diagnosed with clinic paraplegia was detected a bullet in the 9th-10th intercostal space at a distance of 2-3 cm away from the corpus vertebrae. While no abnormal findings were determined from direct and contrast radiography (myelography), through MRI, an area with a lesion at the T9-T10 level was identified on the spinal cord. At necropsy of the dog dying on the 10th day of case, a damaged area of 0.5 cm compatible with MRI findings was determined while examining the injured spinal cord. Besides, myelomalacia on spinal cord was recognized during histopathology evolution. As a result, this case report is presented so that it would be beneficial in the identification of both diagnosis and prognosis of the disease in similar cases our colleagues may come across. [ABSTRACT FROM AUTHOR]

Paraparesia, tetraplegia and radiculopathy caused by direct compression on spinal cord or ischemic changes are observed in approximately 1% of all hydatid cyst cases. A 13 year-old female patient who had been operated for lung hydatid cyst nearly 2.5 years earlier in another medical facility applied to our out-patient department with back pain, weakness in both lower extremities, paraplegia especially in the left lower extremity and paraparesia in the right lower extremity that had started 20 days earlier. During radiological examination, the reason of paraplegia was detected as extradural intraspinal hydatid cyst causing spinal cord compression and the cyst was removed surgically. The said patient, whose neurological symptoms were observed to improve during postoperative early term, is being reported here along with literature reference. [ABSTRACT FROM AUTHOR]

Copyright of Turkish Journal of Physical Medicine & Rehabilitation / Turkiye Fiziksel Tip ve Rehabilitasyon Dergisi is the property of Turkish Society of Physical Medicine & Rehabilitation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

In a patient operated for left femoropopliteal bypass under epidural anesthesia, 3 ml of 3% glutaraldehyde solution was administered through the epidural catheter at the postoperative sixth hour accidentally. Following glutaraldehyde administration, the patient developed paraplegia in addition to systemic symptoms such as hypotension, tachycardia, nausea and vomiting. At the end of the first year, neurologic symptoms didn't improve despite medical treatment and rehabilitation program. [ABSTRACT FROM AUTHOR]

Myocardial infarctions (MI) has many complications and spinal infarction is one of them. Although spinal infarction is rare, we should keep in mind that spinal infarction is a possible complication after MI. [ABSTRACT FROM AUTHOR]

Giriş: Tüberküloz gerek ülkemizde gerek dünyada morbidite ve mortalite açısından önemli bir sorun olma özelliğini korumakta olup tüberküloz menenjit (TBM) tüberküloz tipleri arasında en ağır seyreden formdur. Olgumuzu TBM’nin nadir gelişen komplikasyonlarından olan paravertebral apsenin önemini vurgulamak amacıyla sunmaktayız. Olgu: Bilinen kronik hastalığı olmayan 30 yaşında kadın hasta, yaklaşık bir aydır olan son 15 gündür şiddetlenen baş ağrısı ve iki gündür olan bilinç bulanıklığı şikayetleriyle acil servise başvurdu. Hastanın ateşi 37,6 ˚C idi, diğer vitalleri stabildi. Fizik muayenesinde ense sertliği mevcuttu. Hastaya beyin BT ve difüzyon MR çekildi. Patoloji saptanmadı. Hastaya tarafımızca lomber ponksiyon yapıldı. BOS direkt bakısında 130 lenfosit, 5 PMNL izlendi. Mikroprotein: 107, glukoz: 28, kan şekeri: 119 olarak ölçüldü. Hasta santral sinir istemi enfeksiyonu tanısıyla kliniğimize yatırıldı. BOS örneklerinden Gram, ARB, BOS kültürü, HSV PCR, TBC PCR, tüberküloz kültürü gönderildi. PPD testi yapıldı. Ampirik olarak seftriakson 2x2 gr IV, deksametazon 4x1 amp IV, nexium 1x1 amp IV, mannitol 4x125 mg IV order edildi. Hastanın takiplerinde baş ağrısı şiddetlendi, şuuru açıldı alınan biyokimya tetkiklerinde sodyum 125 olarak geldi. Hiponatremisi ve subakut kliniği olan hastaya PPD testinin de 17 mm gelmesi üzerine tarafımızca ampirik olarak 4’lü antitüberküloz tedavi başlandı. Kontrastlı MR çekildi. Leptomeningeal kontrastlanma artışı izlendi. TBC PCR pozitif olarak geldi. İzlemin 32. gününde BOS tüberküloz kültüründe Mycobacterium tuberculosis üredi. Hastanın takibinde bel ağrısı olması üzerine torakolomber MR çekildi. MR raporu “T11-12 seviyesinde 3 cm’lik kitlesel lezyon, leptomeningeal kontrastlanma artışı mevcut olup bulgular leptomeningeal metastaz lehine değerlendirilmiştir” şeklinde sonuçlandı. Takiplerinde parapleji gelişen hasta beyin cerrahi kliniğine operasyon açısından danışıldı ve opere edildi, kitlesel lezyon eksize edilerek patolojiye gönderildi. Beyin cerrahi tarafından kitlesel lezyon makroskobik olarak glioblastom lehine değerlendirildi. Hastanın patoloji raporu “kesitlerde geniş nekroz alanları, fokal alanlarda nekrotizan granülom benzeri yapılanmalar izlemiştir” şeklinde sonuçlandı. Hastada TBM’ye bağlı paravertebral apse gelişti. Hastanın steroid tedavisi azaltılarak kesildi. Walker yürüteçle yürümeye başlayan hasta ikili antitüberküloz tedavi ile taburcu edildi. Sonuç: Olgumuzda TBM’nin bir komplikasyonu olabilen paravertebral apse meydana gelmiştir. TBM’li olgularda %10’dan daha az görülebilen ve paraplejiye neden olabilen paravertebral apseler açısından dikkatli olunmalı bu paravertebral apselerin kitle ve metastaz ile karışabileceği akılda tutulmalıdır. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Physical Medicine & Rehabilitation Sciences is the property of Turkiye Klinikleri and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Spinal tuberculosis (Pott's disease) is still an important problem in many countries and may result in severe neurological deficits. Pott's paraplegia can occur in the early period of the disease or many years later. Pott's disease usually occurs in the thoracic vertebrae and may cause neurological symptoms as a consequence of bone destruction and spinal cord compression. In this article, we present the case of a 73-year-old diagnosed with Pott's paraplegia who was referred to our clinic with back pain. He had been previously diagnosed with pulmonary tuberculosis and had received anti-TB therapy. After five weeks of an intensive rehabilitation program, the patient could walk independently and was discharged with minimal dependency. We conclude that there should be more awareness of the possibility of non-traumatic spinal cord injuries in elderly patients. [ABSTRACT FROM AUTHOR]

Spinal epidermoid tumors are rare tumors, constituting about 1.5-2% of the spinal tumors. Cervical and thoracic spinal cord epidermoid tumors are exceedingly rare. We reported a case of a 28-year-old patient with an intradural extramedullary epidermoid cyst at the thoracic region presented with urinary incontinence and paraparesis to our outpatient clinic. First symptoms of patient started 16 years ago and diagnosed as peroneal muscular atrophy and he couldn't be investigated sufficiently. Because of the delayed diagnosis and treatment, paraparesis and urinary incontinence were persistent in spite of successful surgery and proper physical therapy. Spinal epidermoid tumors have a good prognosis, as they are histologically benign. When diagnosed early, complete surgical resection offers the patient good neurologic outcome. It is important to investigate extensively patients with neurological deficits and to make diagnosis as soon as possible. [ABSTRACT FROM AUTHOR]