[Subacute autonomic and sensory neuropathy closely related to cytomegalovirus infection preceded by frequent syncopal attacks].

A 73-year-old woman who had hypertension developed a slight fever and general malaise with laboratory-proven hepatic dysfunction as well as frequent syncopal attacks 3 months before admission to our hospital. One month later, she developed urinary retention and distal limb numbness. Upon admission, her neurological examination showed reduced limb tendon reflexes, glove and stocking-type numbness, and diminished senses of touch, temperature, pain, and distal leg vibration and position.

Intraoperative Neural Mobility and Postoperative Neurological Recovery in Anterior Cervical Decompression Surgery: Evaluation With Intraoperative Sonography.

Study Design: A study using intraoperative sonography (IOS) was conducted for evaluating neural mobility in anterior cervical decompression surgery.

Objectives: To analyze decompression status and mobility of the spinal cord and the nerve root during anterior cervical decompression and to clarify its relevance to the postoperative neurological recovery.

Summary Of Background Data: Several papers introduced the usefulness of IOS assessments; however, there have been no reports systematically evaluating the neural mobility in anterior cervical decompression surgery.

A new performance test for cervical myelopathy: the triangle step test.

Study Design: Our original performance test for evaluating the severity of cervical myelopathy, the triangle step test (TST), was introduced along with an assessment of its validity.

Objective: The TST was designed to evaluate the lower extremity motor function objectively and quantitatively. This study aimed to assess the validity of the test by analyzing the relation to the other analytic methods.

Spinal cord morphology and dynamics during cervical laminoplasty: evaluation with intraoperative sonography.

Study Design: An intraoperative sonographic study for evaluating spinal cord decompression status was conducted.

Objectives: To analyze the spinal cord decompression status using intraoperative sonography and to evaluate the relation to postoperative neurologic recovery following cervical laminoplasty.

Summary Of Background Data: Since the 1980s, several papers have introduced that the intraoperative ultrasound allowed assessment of the adequacy of decompression and configuration of the spinal cord in compressive myelopathy.

Congenital anomaly of cervical vertebrae is a major complication of Rubinstein-Taybi syndrome.

Rubinstein-Taybi syndrome (RTS; MIM# 180849) is a well-known malformation syndrome, characterized by broad thumbs and halluces, a characteristic facies, short stature, and mental retardation. RTS is accompanied by a variety of morbid complications, particularly of the skeleton. Based on the experience of five RTS patients with malformation of the craniovertebral junction, we draw attention to previously unrecognized life-threatening complications of RTS, including instability of C1-C2, os odontoideum, hypoplasia of the dens, and fusion of the cervical vertebrae.

Combined anterior-posterior fusion for cervical spondylotic myelopathy in patients with athetoid cerebral palsy.

Object: Cervical spondylotic myelopathy (CSM) or myeloradiculopathy, frequent in adults with athetoid cerebral palsy, is a serious secondary disability in patients with an existing congenital handicap. Although several surgical procedures have been described for CSM in adults with athetoid cerebral palsy, none has had satisfying long-term results. The object of this study was to evaluate the effectiveness and safety of combined anterior-posterior fusion with wave-shaped rods and its influence on the stability of other spinal segments.