Paraparesis after Spinal Anesthesia During Delivery.

Traumatic injury to the spinal cord during spinal or epidural anesthesia is usually secondary to either direct needle penetration or intra-neural injection of local anesthetics. Two women were admitted to a rehabilitation department with paraparesis and hypoesthesia after delivery. One had undergone a lower segment cesarean section under spinal anesthesia and the other, a spontaneous delivery under epidural anesthesia.

[PARAPARESIS DUE TO RHABDOMYOLYSIS AND A COMPARTMENT SYNDROME IN FIVE PATIENTS WHO HAD BEEN IN A PROLONGED SLEEP IN A SITTING POSITION].

Five patients developed symmetrical paraparesis due to a combination of: compartment syndrome, rhabdomyolysis, renal failure, and demyelinative sensory-motor polyneuropathy, after prolonged sleep in a sitting position. The long deep sleep was induced by consumption of alcohol or drugs. Long-term follow-up showed that these patients remained paraparetic.

A novel technique for conduction studies of the infrapatellar nerve.

Objective: To introduce a noninvasive method for electrodiagnostic evaluation of the infrapatellar nerve (IPN).

Design: A prospective cohort study.

Setting: Electrodiagnostic laboratory, rehabilitation department, Hadassah University Hospital.

A new syndrome sheds light on old medical & rehabilitative dilemmas: paraparesis due to rhabdomyolysis and bilaterally symmetric compartment syndrome in four patients. Cases study.

Via our description of a seemingly heterogeneous group of four patients who presented to our rehabilitation facility with a rather unusual clinical presentation of compartment syndrome with development of a flaccid paraparesis and rhabdomyolysis immediately after awakening from a prolonged sleep episode in an unusual posture - which might, in fact, be a 'new syndrome' - we have also come to address an important issue linking our group of patients - specifically, the complexities which present to a rehabilitative facility in the cases of unusual and unclear diagnoses. Eventually, all four of our patients remained severely disabled. All had suffered sensorimotor axonal demyelinative polyneuropathies and two patients had subclinical hypothyroidism.

Outcomes in patients admitted for rehabilitation with spinal cord or cauda equina lesions following degenerative spinal stenosis.

Purpose: To evaluate outcome measures and the factors affecting them in patients treated between 1962 and 2000 at Loewenstein Rehabilitation Hospital, Israel.

Method: This retrospective cohort study included 262 patients with spinal neurological lesions (spinal cord or cauda equina lesions) following degenerative spinal stenosis. Data were collected retrospectively.

Outcomes in patients admitted for rehabilitation with spinal cord or cauda equina lesions following degenerative spinal stenosis.

Purpose: To evaluate outcome measures and the factors affecting them in patients treated between 1,962 and 2,000 at Loewenstein Rehabilitation Hospital, Israel.

Method: This retrospective cohort study included 262 patients with spinal neurological lesions (spinal cord or cauda equina lesions) following degenerative spinal stenosis. Data were collected retrospectively.

Recovery of neurologic function following nontraumatic spinal cord lesions in Israel.

Study Design: Retrospective cohort study.

Objective: To assess neurologic recovery and the manner in which it is affected by various factors following nontraumatic spinal cord lesions (NTSCLs).

Summary Of Background Data: NTSCLs comprise a considerable portion of spinal cord lesions.

Survival after nontraumatic spinal cord lesions in Israel.

Objective: To assess survival in patients with nontraumatic spinal cord lesions (SCL).

Design: Retrospective cohort study.

Setting: Spinal department at a rehabilitation hospital in Israel.

[Our experience with rehabilitation of patients with Pott's tuberculous paraplegia].

Spinal tuberculosis with paraplegia is rarely seen in Israel. All the 10 patients that were hospitalized in our rehabilitation departments had contracted the disease abroad prior to their immigration to Israel. The comprehensive rehabilitation process must include close cooperation between pulmonary physicians, orthopedic surgeons and rehabilitation medicine specialists.