A 25-year-old man with chronic intermittent coccygeal pain and mild bladder dysfunction

Article Abstract:

A 25-year-old man was diagnosed with tethered-cord syndrome with myelomeningocele, a protrusion of membrane and the spinal cord through a defect in the spinal column. Tethered-cord syndrome is a disorder characterized by incomplete closure of the spinal column before birth. The patient was admitted to the hospital with intermittent lower back pain. He had had a history of this type of pain throughout his life but it had become worse after surgery one year before admission to the hospital. A large tumor had been found during the surgery but it had not been removed. A magnetic resonance image (MRI) scan of his spine revealed an oval mass inside the spinal canal and abnormalities in the spine and the spinal column. Urodynamic studies showed some abnormalities in bladder function. During surgery to remove the spinal mass, it was revealed that the patient was suffering from tethered cord syndrome.

Abnormalities, Birth defects, Spine, Myelomeningocele, Meningomyelocele

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Case 9-2007: A 27-year-old woman with pain and swelling of the legs

Article Abstract:

A 27-year-old, obese woman, with no family history of neurologic disease, was referred to the neurology clinic of a hospital because of pain and swelling in her feet. A discussion on the diagnosis and treatment of axonal neuropathy due to lymphoplasmacytic small-vessel vasculitis, associated with connective-tissue disease with features of Sjogren's syndrome, associated with autoimmune thyroiditis and autoimmune gastritis, is presented.

United States, Neuromuscular diseases, Edema, Dropsy, Clinical report

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Case 21-2007: A 58-year-old woman with headaches, weakness, and strokelike episodes

Article Abstract:

A case study of a 58-year-old woman with type 1 diabetes, increasing fatigues, word-finding difficulties and a 2-day history of right-arm weakness is reported. She was diagnosed with severe microangiopathy characteristic of diabetic vaculopathy, with multiple cerebral infarcts.

Diagnosis, Type 1 diabetes, Fatigue, Case study

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