Leziuni medulare, paraplegie și tetraplegie.
55 de articoleA 38-year-old woman developed acute tetraplegia from a cervical spinal neurenteric cyst despite mild radiological compression, requiring urgent surgical intervention. The case demonstrates the unpredictable clinical course of these rare benign lesions and supports early surgical resection to prevent irreversible neurological damage.
This study validated the Bengali translation of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in 144 individuals with spinal cord injury, demonstrating acceptable reliability and validity across most domains through comprehensive psychometric testing including test-retest reliability and convergent validity measures. The tool showed internal consistency ranging from questionable to excellent across domains, supporting its clinical use in resource-limited settings, though further validation with larger samples is recommended.
Sleep-disordered breathing (SDB) is highly prevalent in both tetraplegic and paraplegic spinal cord injury patients and significantly impacts daytime functioning and quality of life, yet remains largely undiagnosed and untreated. Recent research expands understanding beyond tetraplegia to include paraplegia, identifies limitations of screening questionnaires, and explores alternative treatments such as mandibular advancement devices as potential management options.
A 12-month randomized double-blind placebo-controlled trial examined vitamin D3 supplementation efficacy in 42 individuals with chronic spinal cord injury and baseline vitamin D insufficiency. High-dose supplementation (24,000 IU every 2 weeks) achieved sufficient 25(OH)D levels in 46% of participants, with dose-response effects observed and good tolerability; outcomes were influenced by lesion completeness, baseline levels, BMI, and season.