The sitting position in neurosurgery may lead to complications such as air embolism and neurological complications. We report the case of a 16-year-old male who suffered from post-operation paraplegia after surgery for Arnold Chiari disease. This patient had several risk factors and serious morphological spinal abnormalities. We propose to include monitoring of somatosensory evoked potentials (SSEP) during this surgery in order to detect this type of devastating incident.
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http://dx.doi.org/10.1016/s0750-7658(02)00685-8 | DOI Listing |
Bioengineering (Basel)
November 2024
School of Medicine, Universidad de Concepción, Concepción 4030000, Chile.
The Modified Functional Reach Test (mFRT) was developed to assess sitting balance in individuals with spinal cord injury (SCI). No studies have explored which mFRT reach directions correlate with the center of pressure (CoP) variables in patients with motor-complete SCI (mcSCI). Addressing this gap is important for improving the clinical usefulness of the mFRT.
View Article and Find Full Text PDFEur Spine J
November 2024
Department of Orthopaedics, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya-shi, Aichi, 466-8550, Japan.
Purpose: To classify sagittal spinopelvic alignment patterns of non-ambulatory scoliosis patients with paraplegia based on lateral sitting radiographs and explore their relation to clinical background and physical function.
Methods: We reviewed non-ambulatory scoliosis patients with paraplegia, excluding those with prior spinal surgery from a single-center database. Alignment patterns in sitting postures were classified into slump sitting (SS) and erect sitting (ES) based on the most posterior edge of the spine's location on lateral sitting radiographs.
J Spinal Cord Med
May 2024
University of Malaya Eye Research Centre, Department of Ophthalmology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Background: Reduced ocular perfusion pressure (OPP) from hypotension and consistent OPP variability due to blood pressure (BP) fluctuations are predisposing factors for glaucoma. Low resting BP and orthostatic hypotension (OH) in spinal cord injury (SCI) patients may increase the risk of glaucoma post-injury. This study investigated BP, intraocular pressure (IOP), and OPP changes between supine and sitting positions in SCI and normal individuals.
View Article and Find Full Text PDFPediatr Neurol
March 2024
Department of Pediatric Neurology, Kocaeli University Faculty of Medicine, Kocaeli, Turkiye.
Background: Hereditary spastic paraplegias (HSPs) are a group of genetically heterogeneous neurodegenerative disorders. Our objective was to determine the clinical and molecular characteristics of patients with genetically confirmed childhood-onset HSPs and to expand the genetic spectrum for some rare subtypes of HSP.
Methods: We reviewed the charts of subjects with genetically confirmed childhood-onset HSP.
Pediatr Neurol
March 2024
Division of Neurology and Rehabiliation Medicine, Scottish Rite Hospital for Children, Dallas, Texas. Electronic address:
Background: HSP is a heterogeneous group of rare genetic diseases. In childhood, little is known of the development and psychological manifestations.
Methods: Retrospective analysis of 87 patients with childhood-onset HSP.
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