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Paraplegia aguda. Uma complica o rara da dissec o aórtica  [cached]
Lacerda Renato C?rtes de,Andrea Patrícia Bernard,Machado Neto Evaristo,Figueiredo Carlos Baptista de
Arquivos Brasileiros de Cardiologia , 1998,
Abstract: Mulher normotensa de 67 anos desenvolveu síncope, seguida de choque, e, mesmo após estabiliza o hemodinamica, permaneceu anúrica. Observaram-se paraplegia e paresia do membro superior direito, além de isquemia das extremidades distais dos membros inferiores. A hipótese de dissec o aórtica aguda foi considerada e confirmada através de tomografia computadorizada, tendo sido a paraplegia atribuída a infarto isquêmico da medula espinhal. óbito ocorreu no 4o dia de evolu o, conseqüente a tamponamento pericárdico. S o revistas as dificuldades diagnósticas relacionadas a manifesta es pouco conhecidas da dissec o aórtica, enfatizando-se, como complica o rara, a paraplegia aguda.
Paraplegia aguda por compress?o da medula espinhal torácica causada por tofo gotoso
Hasegawa, Eduardo Massato;Goldeinstein-Schainberg, Claudia;Fuller, Ricardo;
Revista Brasileira de Reumatologia , 2007, DOI: 10.1590/S0482-50042007000400011
Abstract: axial gout is a rare condition and the involvement of the thoracic spine has been described only 17 times in the literature. this paper presents the case of a 48 year-old male patient with a history of gout, under irregular treatment with allopurinol and colchicines, who developed acute paraplegia resulting from spinal cord compression by tophaceous gout. the diagnosis was made using magnetic resonance imaging and anatomic pathology. the patient was treated with anti-inflammatory drugs and surgical decompression and showed important, albeit partial, improvement. thus, although tophi rarely affect the spinal cord, they should be considered as a possibility in cases of spinal cord compression syndrome in patients with a history of gout
Manifesta??es tegumentares da doen?a enxerto contra hospedeiro em pacientes transplantados de medula óssea
Silva, Márcia de Matos;Bouzas, Luis Fernando S.;Filgueira, Absalom L.;
Anais Brasileiros de Dermatologia , 2005, DOI: 10.1590/S0365-05962005000100010
Abstract: graft-versus-host disease (gvhd) is a systemic disease that occurs in patients that receive immunocompetent lymphocytes. pathophysiology involves an immunologic reaction between transplanted lymphocytes and tissues of the host, through an immune attack of donor t cells against recipient cells that differ from the donor's by histocompatibility antigens. it is a major complication of allogeneic hematopoietic stem cell transplantation. gvhd skin involvement is frequent and contributes to morbidity and mortality of bone marrow transplantation. dermatologists have an important role on patient's evaluation, providing early diagnosis of gvhd disease and its complications, so as to follow-up these patients. in this review, we emphasize the skin manifestations of gvhd, taking into account our 14-year personal experience at centro nacional de transplante de medula óssea/inca/ms.
Leucoencefalopatia multifocal progressiva como manifesta o inicial da síndrome da imunodeficiência adquirida
Lima Marcus Aurelho de,Andrade Fabiana Valente de,Etchebehere Renata Margarida,Silva-Vergara Mario León
Revista da Sociedade Brasileira de Medicina Tropical , 1998,
Abstract: Relata-se caso de homem portador da Síndrome da Imunodeficiência Adquirida que apresentou quadro agudo e grave de Leucoencefalopatia Multifocal Progressiva (LMP) como primeira manifesta o da Síndrome. A LMP foi caracterizada macro e microscopicamente e através de estudo imuno-histoquímico utilizando o anticorpo antivírus JC.
Manifesta es músculo-esqueléticas como apresenta o inicial das leucemias agudas na infancia  [cached]
Barbosa Cássia Maria Passarelli Lupoli,Nakamura Cláudia,Terreri Maria Teresa,Lee Maria Lúcia de Martino
Jornal de Pediatria , 2002,
Abstract: Objetivo: estudar a prevalência e as características clínicas e laboratoriais dos pacientes com manifesta es músculo-esqueléticas na apresenta o inicial das leucemias agudas. Métodos: estudo de casos prevalentes, retrospectivo, descritivo, no qual foram avaliados pacientes com diagnóstico de leucemia aguda, atendidos no Instituto de Oncologia Pediátrica da UNIFESP, de novembro de 1999 a fevereiro de 2000. As queixas músculo-esqueléticas foram investigadas através de um questionário. Os dados referentes ao exame físico e provas laboratoriais, no início da doen a, foram obtidos através da revis o de prontuários. Resultados: sessenta e uma crian as foram incluídas neste estudo, sendo que 93% apresentavam leucemia linfóide aguda, e 7% leucemia mielóide aguda. Trinta e oito crian as (62%) apresentaram dor músculo-esquelética no início da doen a. Artrite foi observada em 8 casos (13%). A média de articula es acometidas foi 2,5 (variando de 1 a 6), sendo as mais acometidas os joelhos, os tornozelos e os cotovelos. Três pacientes (4,9%) apresentavam hemograma normal, 54 (88%) hemoglobina baixa (em 6 pacientes foi a única altera o), leucopenia em 14 (22%), leucocitose em 26 (42%), e plaquetopenia em 46 (75%) pacientes. Oito pacientes (13%) mostravam blastos em sangue periférico. Conclus o: as queixas músculo-esqueléticas s o manifesta es iniciais freqüentes das leucemias agudas, e devem ser consideradas no diagnóstico diferencial da dor em membros e das artrites agudas ou cr nicas da infancia. Os exames laboratoriais podem ser inicialmente normais, tornando ainda mais difícil esta diferencia o.
Síndrome de Parinaud e sinal de Collier: manifesta o neurológica inicial em paciente HIV-1 positivo
COSTA M?NICA FONSECA DA,SANTOS VALéRIA,PIMENTEL MARIA LUCIA VELLUTINI,NOVIS SERGIO A. P.
Arquivos de Neuro-Psiquiatria , 1999,
Abstract: Relatamos o terceiro caso da literatura de síndrome de Parinaud como manifesta o clínica isolada de toxoplasmose mesencefálica em paciente HIV-1 positivo e revemos suas causas, enfatizando ser excepcional sua ocorrência por toxoplasmose cerebral. Destacamos a ocorrência isolada, sem associa o de hidrocefalia obstrutiva e hipertens o intracraniana e chamamos aten o para o sinal de Collier insuficientemente conhecido, porém de grande relevancia semiótica para les o de localiza o mesencefálica.
POTT's PARAPLEGIA
Muhammad Omar Sawar
The Professional Medical Journal , 1995,
Abstract: The aim in the treatment of Pott's Paraplegia is eradication of the disease producing the paraplegia, recoveryof neurological function, early mobilization and rehabilitation. To achieve this aim we followed the radicalanterior surgical approach. Twelve patients with Pott's paraplegia underwent radical anterior debridementand fusion with autogenous bone grafts. These patients were reviewed as to the effect of this radical approachon return of distal neurological function and time to independent ambulation. Benefits of this radical surgeryare discussed and recommendations made.
Extradural lipomatosis presenting with paraplegia.  [cached]
Deogaonkar M,Goel A,Tingare K,Dahiwadkar H
Journal of Postgraduate Medicine , 1995,
Abstract: An unusual case with spinal extradural lipomatosis in a non-obese and otherwise healthy man is reported. The patient presented with a history of weakness of legs which progressed to paraplegia over a 40 day period.
Síndrome da medula presa: registro de dois casos
Machado, Marco Antonio de Oliveira;Lemos, Sérgio;Morais, Josaphat Vilela de;
Arquivos de Neuro-Psiquiatria , 1986, DOI: 10.1590/S0004-282X1986000200010
Abstract: the tethered spinal cord syndrome is a disease that ir part of the group of spinal dysraphisms, that was recently recognized as an individualized nosological entity, yet not frequently diagnosed among us. it is characterized by shortenning and thickening of the filum terminale which prevents the ascent of the spinal cord into spinal canal, the conus medularis abnormaly remainning in a low place. it is associated in all cases with spina bifida. the diagnosis is simple, once the disease is suspected. it is manifested by progressive motor or sensory deficit in the legs, urinary incontinence, scoliosis and leg or back pain, specially in young children. the plain lumbosacral rx always shows spina bifida. myelography makes the diagnostic. it shows, basically, the negative image of the thickened filum terminale and the low placed conus medularis. other exams which can help are the computadorized tomography and the ultra-sound of the spinal cord. the surgical treatment is very simple and heals without sequels if done in due time. it consists in a sectioning of the filum terminale through laminectomy two cases diagnosed and treated at hospital da baleia, from funda??o benjamim guimar?es, belo horizonte, are reported in this paper.
Acute Paraplegia After General Anesthesia
Siamak Afshinmajd,Alireza Khalaj,Younes Roohani,Mohammadebrahim Yarmohammadi
Acta Medica Iranica , 2011,
Abstract: Acute paraplegia is a rare but catastrophic complication of surgeries performed on aorta and corrective operations of vertebral column. Trauma to spinal cord after spinal anesthesia and ischemia of spinal cord also may lead to acute paraplegia. Acute paraplegia as a complication of general anesthesia in surgeries performed on sites other than aorta and vertebral column is very rare. Here we present a 56 year old woman with acute paraplegia due to spinal cord infarction after laparoscopic cholecystectomy under general anesthesia probably caused by atherosclerosis of feeding spinal arteries and ischemia of spinal cord after reduction of blood flow possibly due to hypotension during general anesthesia.
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