Box , Heredia, Costa Rica. Blood samples from equines from the Central Valley of Costa Rica were collected in the year to determine the presence of antibodies against selected infectious agents in horses and to determine the risk factors associated with these agents. The most seroprevalent agent detected was EHV-4 Seroprevalence to B.
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If you have anemia , your blood does not carry enough oxygen to the rest of your body. The most common cause of anemia is not having enough It carries oxygen from the lungs to the It has many causes, including some you can control.
For example, in older people, a poor diet In some cases, your doctor can prescribe medicine to help your body produce more red blood cells. Examples include: Erythropoietin shots to treat normocytic anemia. These can help your A rare etiology of cauda equina syndrome. Fungal infections of the spine are very rare and usually seen in immunocompromised patients.
Acute cauda equina syndrome presenting in an immunocompetent patient is usually due to a prolapse of the intervertebral disc.
Infective pathology caused by Mycobacterium tuberculosis with epidural collection can also have a similar presentation. We present a case of spinal epidural abscess caused by Aspergillus fumigatus, presenting as acute cauda equina syndrome. To the best of our knowledge, spinal aspergillosis presenting as cauda equina syndrome in an immunocompetent patient has not been reported before in the English-language based medical literature.
Surgical decompression with antifungal treatment with oral itraconazole yielded a good recovery. A rare invasive hemangioma in cauda equina. Typical hemangioma of cauda equina with relative clear margin has been described in some case reports, but atypical hemangioma with invasion, infiltration, and augmentation of all nerve roots in the cauda equina area has never been reported. In this paper, we reported a rare case with invasive hemangioma in cauda equina , and analyzed its radiological appearance and treatment.
We described an atypical case of hemangioma, which was revealed by MR and intraoperative photograph without clear margin and confirmed by histopathologic diagnosis. Surgery may be the first management modality for hemangiomas with severe or progressive neurologic deficits, and radiotherapy may be an alternative therapy to treat hemangiomas according to accurate histopathologic diagnosis. Cauda equina syndrome: a comprehensive review.
Cauda equina syndrome CES is a rare syndrome that has been described as a complex of symptoms and signs--low back pain, unilateral or bilateral sciatica, motor weakness of lower extremities, sensory disturbance in saddle area, and loss of visceral function--resulting from compression of the cauda equina.
In this article, we review information that is critical in understanding, diagnosing, and treating CES. Cauda equina syndrome versus saddle embolism. We discuss a case of saddle embolism with a clinical presentation similar to cauda equina syndrome in a year-old woman with a history of ischaemic heart disease. Saddle embolus is very rare but one of an array of visceral causes for back and leg pain. This case highlights diagnostic difficulties, particularly in patients with multiple disorders.
A high index of suspicion for vascular conditions must be exercised in cases of arterial dysfunction presenting with back pain. PubMed Central. Two cases of cauda equina neuritis are compared and contrasted.
Neurological deficits of the tail and perineum were noted and functional deficits were seen in gait, urination, defecation and cranial nerve function. Lesions consisted of nonsuppurative inflammation of the nerve trunks and proliferation of the perineurium of the cauda equina.
Cranial nerve involvement in one case supported a diagnosis of polyneuritis equi rather than cauda equina neuritis. The possible etiologies and pathogenesis of this disease are discussed.
ImagesFigure 1. Figure 2. Figure 3. Figure 4. Lumbar vertebral hemangioma causing cauda equina syndrome: a case report. Case report. To report a case of lumbar hemangioma causing neurogenic claudication and early cauda equina , managed with hemostatic vertebroplasty and posterior decompression.
This is the first report to our knowledge of a lumbar hemangioma causing neurogenic claudication and early cauda equina syndrome. Most hemangiomas causing neurologic symptoms occur in thoracic spine and cause spinal cord compression. Vertebroplasty as a method of hemostasis and for providing mechanical stability in this situation has not been discussed previously in the literature.
L4 hemangioma was diagnosed in a year-old woman with severe neurogenic claudication and early cauda equina syndrome. Preoperative angiograms showed no embolizable vessels. Posterior decompression was performed followed by bilateral transpedicular vertebroplasty. The patient received postoperative radiation to prevent recurrence.
Complete relief of neurogenic claudication and cauda equina with less than mL of blood loss. A lumbar hemangioma of the vertebral body, although rare, can cause neurogenic claudication and cauda equina syndrome.
Intraoperative vertebroplasty can be an effective method of hemostasis and provide stability of the vertebra following posterior decompression. Microsurgical enbloc resection of myxopapillary cauda equina ependymoma. Benign myxopapillary filum terminale ependymomas are often poorly encapsulated and in apposition the cerebrospinal fluid CSF.
These characteristics present the potential surgical risk of CSF dissemination or injury to the delicate cauda equina nerve roots. This video details the techniques of en bloc surgical resection of a filum terminale ependymoma. Treatment strategies and techniques are illustrated to reduce the risk of CSF dissemination and cauda equina injury.
Hemolytic anemia. Anemia - hemolytic Hemolytic anemia occurs when the bone marrow isn't making There are several possible causes of hemolytic anemia. Red blood cells may be destroyed due to MRI of inflammatory spondyloarthropathy following traumatic cauda equina syndrome. Spondyloarthropathy has been described radiographically in patients following paralysis from spinal cord trauma. Onset of these findings after cauda equina syndrome have not been reported previously. Furthermore, the magnetic resonance documentation of its early evolution has not been recorded.
We report a case of early-onset spondyloarthropathy shown by magnetic resonance imaging MRI in a patient with cauda equina syndrome due to bilateral sacral insufficiency fractures. Unique case study review, one case. Review of the clinical case notes and imaging including initial and subsequent MR imaging. The initial MRI of the lumbosacral spine showed bilateral sacral insufficiency fractures with a kyphotic deformity.
The vertebral bodies were normal on the initial computed tomography and MRI studies, which did not reveal pre-existing features of sacroiliitis.
The second MRI performed 5 months later clearly showed spondylitis at multiple vertebral levels with partial resolution 18 months post injury. Spondyloarthropathy in patients with paralysis due to spinal cord injury is well documented in the English language literature, but until now this has not been demonstrated by MRI.
It is a rare complication of traumatic cauda equina syndrome that commences soon after the traumatic event and can resolve spontaneously. Cauda equina syndrome: evaluation of the clinical outcome. Cauda equina syndrome is a rare but highly impairing syndrome involving lower limbs as well as urinary, defecatory and sexual function.
In the literature the most investigated sphincter dysfunction is the urinary. Bowel and sexual function are often overlooked since they become more relevant after the acute phase. Eight consecutive male patients affected by cauda equina syndrome with sphincter dysfunction due to herniated disc disease of lumbar spine were treated between and Five patients were followed-up for at least two years.
Sexual function was evaluated by IIEF-5 questionnaire; bowel function was investigated by means of clinical and instrumental investigation and manometry. Although little clinical improved, patients still complained severe symptoms at first year follow-up while all but one improved significantly in the following year. At two years follow-up only the patient whose cauda equina syndrome was misdiagnosed and surgically treated late respect to the onset of the syndrome, complained a persistent severe sexual and bowel dysfunction.
Our results show that a long-term follow-up is mandatory to evaluate the real outcome of surgical managed cauda equine syndrome because short-term evaluation could be misleading about the residual capacity of late neurologic improving.
Despite the relatively low number of cases evaluated, our results confirm that early diagnosing and treating the syndrome are relevant for the final outcome. Aplastic Anemia. Aplastic anemia is a rare but serious blood disorder. If you have it, your bone marrow doesn't make There are different types, including Fanconi anemia. Causes include Toxic substances, such as pesticides, arsenic, Unspecific clinical manifestation of cauda equina myxopapillary ependymoma. A 9-year-old boy admitted to the neurosurgical hospital complaining of headache, vomiting, abdominal pain, and weakness in the arms and legs, urinary retention.
Previously, the patient had a treatment of pediatricians. He was examined, magnetic resonance imaging revealed the tumor of the conus medullaris and cauda equina. The surgery was performed with removal myxopapillary ependymoma ME. Postoperative neurological symptoms regressed; he has received radiotherapy postoperatively.
This case illustrates a rare clinical presentation of ME, which simulated intracranial, thoracic, and caudal pathology. We presented features of the clinical presentation, diagnostics, and treatment options of this ependymoma. Pregnancy Complications: Anemia. What causes anemia?
Serosurveillance of infectious agents in equines of the Central Valley of Costa Rica
In the study, was evaluated the prevalence of equine infectious anemia EIA in traction horses in the municipality of Florencia, looking for relationship by sex, age, body condition and racial communes. The samples were analyzed in laboratory with agar gel immunodiffusion test. Regarding body condition, 21 horses classified in grade 2, and Environmental and socio-economic conditions facilitate transmission of the virus between horses of the same trade and any equine management system and production in the area, which would generate economic and livestock of importance to the equine industry losses. This work is licensed under a Creative Commons Attribution 4.
The system can't perform the operation now. Try again later. Citations per year. Duplicate citations. The following articles are merged in Scholar. Their combined citations are counted only for the first article.