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Red Flag for Cauda Equina Syndrome in Symptomatic Lumbar Disc Herniation

2020

Surgery versus Conservative Treatment for Symptomatic Lumbar Disk Herniation: A Never-Ending Story.

2020

Re: Outcomes of Lumbar to Sacral Nerve Rerouting for Spina Bifida

2011

A case of guillain-barre syndrome in a patient with non small cell lung cancer treated with chemotherapy

2006

Guillain-Barré Syndrome (GBS) is a demyelinating polyneuropathy of probable autoimmune pathogenesis characterized by rapidly progressive symmetric paralysis. In the literature some cases of GBS associated with anticancer chemotherapy are reported. We present a case of a 55-year old woman who complained of progressive motor deficit in four limbs, areflexia in lower limbs and facial nerve paralysis one week after beginning cisplatin-gemcitabine chemotherapy for metastatic lung cancer. The cerebrospinal fluid analysis showed a strong positive Pandy reaction with 435 mg/dl total protein. The electromyography and the electroneuronography established the diagnosis of inflammatory demyelinating po…

Students’ experiences of reflective writing in physiotherapy education

2015

band through the big fingers and the first toes and instructed them to extend the band as much as possible (band exercise). Each exercise was to be performed on alternate days. Before exrcise, we obtained MR imaging using Achieva 3.0T MRI (Philips Medical Systems, Best, Netherland). The imaging technique was T2 star (repetition time, 500ms; echo time, 0.703ms; field-of-view, 480mm). After scanning, participants performed each exercise in the MRI machine. For a duration of 5min, each exercise was performed at an interval of 10 s; MRI was conducted immediately after exercise. The OsiriX imaging software was used for analysis, and we circled region of interest (ROI) multifidus muscles and the …

Generic Health-Related Quality of Life May Not Be Associated with Weight Loss 4 Years After Bariatric Surgery: a Cross-Sectional Study

2018

Background: There seem to exist a belief that weight-loss is proportionally associated with improvement of health-related quality of life (HRQoL) after bariatric surgery. HRQoL is a complex multidimensional construct of one’s perception of health and well-being and is measured through generic and disease specific questionnaires. Objectives: This study aimed to test the associations between weight-loss after bariatric surgery, and both generic and obesity-specific HRQoL, and mental distress, controlling for other patient characteristics. Methods: The study was conducted at the Department of Surgery at Haugesund Hospital (Norway) based on a cohort of bariatric surgery patients operated betwee…

Skeletal Muscle Collagen Type 1 mRNA, Prolyl-4-Hydroxylase and Hydroxyproline after Prolonged Physical Training in Hypobaric Hypoxia

1994

Mechanisms of C-reactive protein-induced blood-brain barrier disruption.

2009

Background and Purpose— Increased mortality after stroke is associated with brain edema formation and high plasma levels of the acute phase reactant C-reactive protein (CRP). The aim of this study was to examine whether CRP directly affects blood–brain barrier stability and to analyze the underlying signaling pathways. Methods— We used a cell coculture model of the blood–brain barrier and the guinea pig isolated whole brain preparation. Results— We could show that CRP at clinically relevant concentrations (10 to 20 μg/mL) causes a disruption of the blood–brain barrier in both approaches. The results of our study further demonstrate CRP-induced activation of surface Fcγ receptors CD16/32 fo…

Fresh cell therapy followed by fatal coma

1986

A 60-year-old woman received a 3-day course of nine injections of “fresh” cells from fetal lamb ovary, placenta, brain (hypothalamus) and liver. There were no immediate complications, but a few days later she developed headache, fever and hemiparesis. She subsequently fell into a coma and died 3 weeks after her fresh cell therapy and 2 weeks after the onset of her clinical symptoms. Autopsy revealed perivenous leucoencephalopathy with a probably steroid-treatment-induced paucity of perivascular inflammation. Fresh cell therapy, clinical symptomatology and morphological findings suggest, though do not prove, that this patient's monophasic and probably immune-mediated disease is a rare and fa…

Technique and value of gas and pantopaque cisternography in the diagnosis of cerebello-pontine angle tumours

1971

The techniques of gas and Pantopaque cisternography are described, as well as the various advantages and disadventages of these methods. Patients without neurological signs in whom a small tumour is suspected in the region of the cerebellopontine angle should be examined with Pantopaque. The examination can be carried out as an outpatient procedure. If definite neurological signs are present, gas cisternography is preferable in order to demonstrate secondary displacements of the ventricular system as well as the tumour itself.