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An Illustrative Case of Cervical Spondylotic Myelopathy and Medullary Cavernoma: Which Should Be Treated First?
Cureus
September 2024
Department of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Mexico City, MEX.
Cervical spondylotic myelopathy (CSM) and spinal cavernoma (SC) represent distinct yet challenging conditions. CSM manifests as progressive neurological dysfunction, whereas SC denotes a benign vascular lesion. The need for documented cases featuring CSM and SC highlights the absence of evidence-based management guidelines for such scenarios.
View Article and Find Full Text PDFAnti-galactocerebroside Antibody-Associated Bickerstaff's Brainstem Encephalitis With Dysautonomia: A Case Report and a Review of Associated Central Nervous System Diseases.
Cureus
September 2024
Department of Neurology, Tokyo Metropolitan Neurological Hospital, Tokyo, JPN.
A 68-year-old man developed diplopia, unsteady walking, and bladder and bowel dysfunction followed by consciousness disturbance within four weeks. On physical examination, consciousness disturbance, bilateral ptosis, ophthalmoplegia, disappearing of doll's eye phenomenon, dysarthria, and diminished deep tendon reflexes were observed. Cerebrospinal fluid (CSF) examination showed oligoclonal bands.
View Article and Find Full Text PDFCombined Microscopic Tubular and Endoscopic Approach for Calcified Midline Thoracic Disc Herniation: A Bridge to Endoscopic Discectomy.
Cureus
August 2024
Neurosurgery, Temple University Hospital, Philadelphia, USA.
Symptomatic thoracic disc herniation (TDH) is relatively uncommon and can present with thoracolumbar pain, myelopathy, bladder dysfunction, and motor dysfunction. Midline TDHs and calcified discs are more challenging to access and treat compared to the cervical or lumbar region due to the narrow working corridor around the lungs, ribs, and thoracic spinal cord. Open approaches such as the transthoracic or retropleural approach are particularly morbid.
View Article and Find Full Text PDFAutonomic impairment in primary lateral sclerosis.
Clin Auton Res
August 2024
Department of Neurology, Mayo Clinic, Rochester, MN, USA.
Purpose: Prior studies reported evidence of autonomic involvement in motor neuron disease and suggested more severe dysfunction in upper motor neuron predominant syndromes. Hence, we sought to characterize autonomic impairment in primary lateral sclerosis.
Methods: Neurological evaluations, thermoregulatory sweat tests, and autonomic reflex screens were analyzed retrospectively in 34 primary lateral sclerosis patients (28 definite and 6 probable).
Squatting-based exercises cure bedwetting in children and improve pain and bladder symptoms in premenopausal women.
Ann Transl Med
April 2024
Urologische Klinik Planegg, Zentrum für Rekonstruktive Urogenitalchirurgie, Planegg, Germany.
This paper explores a practical approach to pelvic floor health called the Skilling technique. Unlike the commonly recommended "squeezing upwards" method which teaches a woman to voluntarily squeeze upwards (a learnt technique), the Skilling method is entirely reflex: the squatting-based exercises on which it is based, strengthen the three reflex pelvic muscle forces which pull against the suspensory ligaments pubourethral ligament (PUL) and uterosacral ligament (USL) to: close the urethra during effort (control of stress incontinence), open the urethra during micturition, and stretch the vagina in opposite directions to control inappropriate activation of the micturition reflex [overactive bladder (OAB)]. The strengthened ligaments better support the pelvic visceral plexuses (VPs), which unsupported, can fire off impulses which the brain interprets as "chronic pelvic pain".
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