ABSTRACT
Neurenteric cysts are congenital lesions of the spine usually diagnosed in children. There are few reports of diagnosis in adults. The abnormality is thought to arise during embryonic life and can be associated with other congenital deformities. We describe a case where the diagnosis occurred in a 54-year-old woman, whose symptoms improved following surgical excision of the cyst. We postulate that the cyst contributed to symptoms of cord tethering rather than cord compression and that the lateness of presentation was due to age-related spinal degeneration.
Subject(s)
Neural Tube Defects/diagnosis , Delayed Diagnosis , Female , Gait Ataxia/etiology , Humans , Low Back Pain/etiology , Middle Aged , Musculoskeletal Pain/etiology , Neural Tube Defects/surgerySubject(s)
Coloring Agents/adverse effects , Dermatitis, Allergic Contact/etiology , Phenylenediamines/adverse effects , Tattooing/adverse effects , Administration, Topical , Adult , Anti-Inflammatory Agents/therapeutic use , Arm , Dermatitis, Allergic Contact/diagnosis , Dermatitis, Allergic Contact/drug therapy , Humans , Hypersensitivity, Delayed/drug therapy , Hypersensitivity, Delayed/etiology , Male , Patch Tests/methods , Steroids , Tattooing/methodsABSTRACT
PIP: This article discusses some concerns of the 1996 UN Summit on Social Development. Conference organizers identified the three key conference issues as poverty alleviation, social integration of the marginalized and disadvantaged, and expansion of productive employment. The goal of a "society for all" means dealing with the increasing differences between rich and poor countries, the survival of weaker economies in a competitive market system, wide variations in consumption patterns between countries, attainment of political stability while respecting ethnic identity, the rise in social problems among countries with a high human development index, and increasing joblessness. The Human Development Report for 1994 emphasizes human security. Social development is not the equivalent of human resource development nor a side issue of economic growth. The integration of ethnic groups poses social and political problems. There remains a question about what political system and culture would be best for social integration. Developed countries define poverty as the inability of people and government to provide resources and necessary services for people's productive activity. Poverty in developing countries is blamed on colonialism. Globally, developed countries control 71% of world trade. Sharing resources to meet basic needs throughout the world is not an operational ideal. The highest 20% of income earners receive 83% of the world income. The culture of poverty is the strategy used by the poor to survive. Welfare is not an end in itself but does enable the poor to improve their conditions. Development that focuses on productive employment is uncertain. Developed and developing countries do not share similar perceptions of human rights. There is a question as to who should set the priorities for social development. Sustainable social development is related to preservation of natural resources, control of population growth, and promotion of social security.^ieng
