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discitis/sakit kepala

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Campylobacter fetus Meningitis and Pyogenic Spondylodiscitis in a Healthy Young Woman.

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We report a rare case of Campylobacter fetus meningitis and pyogenic spondylodiscitis in a healthy young woman. A 35-year-old woman without significant medical history presented with fever, headache, and low back pain. C. fetus was detected from the blood culture. Cerebrospinal fluid

Spondylodiscitis: a common complication of brucellosis.

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Brucellar spondylodiscitis is a frequent and serious complication of brucellosis. The aim of this study is to describe the brucellosis patients with spondylodiscitis and the predictive factors related to spondylodiscitis in brucellosis.Laboratory-confirmed

Prevalence and characteristics of chronic pain: Experience of Niger.

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BACKGROUND Chronic pain is a major health problem, considered as a disease in its own right. The prevalence of chronic pain is estimated to be between 2% and 40% in adult populations. In Niger, there are no data on chronic pain. OBJECTIVE This study was designed to provide the demographic, clinical

Clinical and radiological investigations on cervical spine involvement in rheumatoid arthritis in adults.

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The radiological and clinical features of cervical spine involvement observed in 49 patients with rheumatoid arthritis are described. The forward atlas-odontoid subluxation, after an x-ray with full flexion of the cervical spine, occurred in 36.9% of the cases. The upward subluxation was found in 8

Complications of cervical discography: findings in a large series.

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The use of cervical discography remains controversial. Recently in a small patient group, a high complication rate was reported. The purpose of this study was to determine the incidence of complications associated with cervical discography. Data from 161 cervical discography procedures, involving

Evaluation of posteromedial transdiscal superior hypogastric block after failure of the classic approach.

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OBJECTIVE The iliac crest and L5 transverse process are potential barriers to proper needle placement in superior hypogastric plexus block (SHPB) for pelvic cancer pain. Several investigators report successful SHPB using a paramedian transdiscal approach. Another new single puncture approach,
BACKGROUND The crowned dens syndrome, related to microcrystalline deposition in the peri-odontoid articular and abarticular structures, is mainly responsible for acute or chronic cervical pain. METHODS We report eight cases of crowned dens syndrome with atypical presentations mimicking giant cell

Neck pain and fever: what if it was a vertebral artery vasculitis?

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A 64-year-old man was admitted for a neck pain, posterior headaches, fever (39°C), and an inflammatory syndrome lasting for six weeks (persistent elevation of C-reactive protein, around 200 mg/l). Because of a dry cough, a bronchopneumonia was firstly suspected: antibiotics were inefficient. The

[Syrinx formation secondary to cervical epidural abscess].

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We report a patient with syrinx formation secondary to cervical epidural abscess, cervical spondylitis, cervical discitis and meningitis. A 53-year-old woman developed sudden fever, headache and neck pain. On admission, neurological evaluation showed limitation of cervical motion, meningeal

[Crowned dens syndrome: three new cases].

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BACKGROUND Crowned dens syndrome is due to a microcrystalline infringement (hydroxyapatite or calcium pyrophosphate) of the retro-odontoidal ligament of atlas, often leading to the erroneous diagnosis of meningitis or spondylitis. We report on three new cases diagnosed from 1996 to 1999. METHODS The

Meningitis caused by Streptococcus suis: case report and review of the literature.

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BACKGROUND Human infection with Streptococcus suis (S. suis), a zoonotic pathogen, has been reported mainly in pig-rearing and pork-consuming countries. Meningitis is the most-common clinical manifestation and is often associated with deafness and vestibular dysfunction. METHODS A 57-year-old man

Post-laminectomy cerebrospinal fluid fistula treated with epidural blood patch.

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OBJECTIVES AND SUMMARY OF BACKGROUND DATA: Cerebrospinal fluid fistula after spinal surgery is associated with a definite risk of meningitis or discitis, and as a result, early active intervention usually is recommended. RESULTS This report describes the successful use of an epidural blood patch

The crowned dens syndrome. Evaluation with CT imaging.

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OBJECTIVE The purpose of this study was to verify the value of computed tomography (CT) in the diagnosis of the "crowned dens" syndrome, not only in crystal deposition diseases, but also in other rheumatic or nonrheumatic conditions. METHODS Thirty-eight patients (15 men and 23 women; mean age 55
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