[Multiple post-traumatic cerebral infarcts. A case report].
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Brain Injuries↗
Biomedical subjects
G Coloma-Valverde
Publications and source records attributed to G Coloma-Valverde.
[C6-C7 subluxation and the importance of simple radiology in the emergency department. A case report and literature review].
INTRODUCTION: Post-traumatic fractures and luxations of the cervical spine are commonest in young patients. A good basic radiological study of the region between the occipitocervical joint and the first thoracic vertebra is essential. The antialgic spasm which causes the shoulders to be raised means that their image is superimposed on that of the cervico-dorsal vertebrae hiding the latter. Suitable technical measures should be taken for X-ray images of this area. If these are not satisfactory, computerized tomography (CT) or magnetic resonance (MR) are indicated. CLINICAL CASE AND CONCLUSIONS: We present the case of a twenty year old woman who presented after cervical hyperextension due to a road traffic accident. She had been attended in the Emergency Department of another hospital, where she went complaining of bilateral cervicobrachial pain. Plain antero-posterior and lateral X-rays were done showing as far as C6. The patient was discharged on analgesics and muscle relaxants. Her symptoms did not improve so she was sent for rehabilitation. Even so, she became paraplegic three months later. On MR subluxation of C6-C7, an extradural intraspinal space-occupying lesion and osteolysis of C7 were seen. An emergency operation was done. The C7 vertebra was removed together with a very vascular mass. Histological study showed that it was a giant cell tumour. Subsequently, the patient recovered movement of her legs and radiotherapy was started.
Adult↗
[Multisegmental spondylotic cervical myelopathy treated by longitudinal medial corporectomy without fusion].
INTRODUCTION: The treatment of cervical spondylosis may be medical, surgical or both. Surgical treatment is indicated mainly in patients with untreatable pain, progressive neurological deficit and proven compression of the nerve roots and spinal cord. Corporectomy with a graft and fusion is one of the most widely used techniques carried out by neurosurgeons and orthopaedic surgeons using an anterior approach. PATIENTS AND METHODS: Between January 1993 and December 2000, six patients aged between 62 and 75 years, with a median age of 68.5 years, clinically and radiologically diagnosed as having multisegmental spondylotic cervical myelopathy, had surgical operations involving corporectomies without grafts. Nurick s scale was used to classify symptoms and radiological assessment was done before and after operation using plain Xrays, three dimensional computerized tomography and magnetic resonance. In one case one corporectomy was done, in two cases two and in three cases three. RESULTS: The patients follow up varied from 3 months to seven years. In four patients symptoms improved, two became stable and in no case was there any radiological sign of vertebral instability. As far as we know after reviewing the literature, this is the first time that this technique has been published. CONCLUSIONS: Corporectomy without grafting is a new, simple, effective technique for the treatment of multisegmental spondylotic cervical myelopathy.
Aged↗
[Spontaneous resolution of the syrinx. A case report and survey of the literature].
INTRODUCTION: Syringomyelia is characterized by the presence of single or multiple intramedullary cavities. Since Abbe and Coley performed the first syringotomy, a number of surgical techniques have been used in an attempt to collapse the cavities. Spontaneous resolution of the syrinx, however, is an unusual event that has been reported on very few occasions. CASE REPORT: A two year old male with chronic neck pain and normal results from the neurological exploration. A craniocervical magnetic resonance scan revealed a Chiari type I malformation associated to a cervical syringomyelia, which disappeared spontaneously three years after it was diagnosed. CONCLUSION: After reviewing the literature, we found that the case reported here is the first to describe a child in whom, despite the persistence of a Chiari malformation, there was complete spontaneous resolution of the syrinx.
Arnold-Chiari Malformation↗