RESUMEN
Spinal epidural haematoma is increasingly picked up using magnetic resonance imaging, especially following trauma. The presentation can be varied especially if there is a trivial history of trauma. Spontaneous subarachnoid haemorrhage can occur in spinal haematoma as a rare and unusual presentation and can be easily misdiagnosed. The key to early diagnosis is a strong suspicion and careful repeated neurological examination. We present an illustrative case.
Asunto(s)
Hematoma Espinal Epidural/diagnóstico , Hemorragia Subaracnoidea/diagnóstico , Adulto , Diagnóstico Diferencial , Femenino , Hematoma Espinal Epidural/complicaciones , Humanos , Imagen por Resonancia Magnética , Compresión de la Médula Espinal/etiologíaRESUMEN
A case study of intramedullary schistosomiasis in a 10-year-old child is reported. The patient presented with a short history of ascending paraparesis with no sensory loss. Sphincter dysfunction was rapid. She had surgical exploration and removal of a conus medullaris mass. Schistosomiasis was confirmed histologically. Combined steroid and praziquantel therapy improved her sphincter function and paraparesis.
Asunto(s)
Neuroesquistosomiasis/patología , Neuroesquistosomiasis/cirugía , Esquistosomiasis mansoni/patología , Esquistosomiasis mansoni/cirugía , Enfermedades de la Columna Vertebral/patología , Enfermedades de la Columna Vertebral/cirugía , Niño , Femenino , Humanos , Imagen por Resonancia Magnética , Neuroesquistosomiasis/parasitología , Esquistosomiasis mansoni/parasitología , Enfermedades de la Columna Vertebral/parasitologíaRESUMEN
BACKGROUND/AIMS: Intussuception was a common cause of intestinal obstruction at the University College Hospital, Ibadan. A peculiar type characterized by being ceco-colic, and found most commonly in adults, was the commonest variety found, but over the last few years this type of intussusception appears to have reduced in incidence. The aim of the study is to define the relative incidence of intussusception and the contribution of the various types of the overall incidence as seen at the University College Hospital, Ibadan, Nigeria. METHODOLOGY: Review of case notes and the surgical pathology records of all cases of Intussusception seen at the University College Hospital, Ibadan between 1975 and 1994 was done. RESULTS: There was a 48.1% decline in the absolute number of cases seen during the period of the study, and this decline was more among adult cases than infantile intussusception. The mean age of presentation of infantile intussusception was 8 months, while it was 42 years for adults. The classical triad of vomiting, pain and bloody stool was seen in only 15% of cases. Morbidity and mortality rates were high at 18 and 8.5% respectively and this was related to delayed presentation. CONCLUSIONS: The incidence of intussusception has fallen in the community studied and this decline has affected the adult age group and the ceco-colic type of intussusception more. Late presentation is a feature of most cases and is related to the high mortality and morbidity rates seen.