Spinal cord series and cases
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Spinal Cord Ser Cases · Apr 2020
Case ReportsCOVID-19 tsunami: the first case of a spinal cord injury patient in Italy.
We present the report of the first, to our best knowledge, case of COVID-19 in a tetraplegic person. ⋯ Blood test and chest X-ray findings in this patient were similar to previously published findings regarding COVID-19. One difference between this case and the known clinical course of COVID-19 is that did not develop cough. Another interesting feature of our case is that, despite tetraplegia, the clinical course was not severe. Persons with COVID-19 remain asymptomatic, these results underscore the need for rehabilitation and SCI professionals to have a high index of suspicion for COVID-19 in their inpatient and outpatient clients. Only inpatient with fever hase being tested for COVID-19. All new patients are submitted to SARS-COV-2 Test. Moreover, routine testing of patients who have to participate in therapy in common gym areas may be warranted.
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Spinal Cord Ser Cases · Apr 2020
COVID-19 and spinal cord injury and disease: results of an international survey.
An online survey. ⋯ There is substantial variability in the rehabilitation medicine community in COVID-19 screening practices and availability of screening kits. People living with SCI/D are expressing legitimate and real concerns about their vulnerability to COVID-19. More and rapid work is needed to address these concerns and to standardize best-practice protocols throughout the rehabilitation community.
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Spinal Cord Ser Cases · May 2019
Pulse article: opioid prescription for pain after spinal cord damage (SCD), differences from recommended guidelines, and a proposed algorithm for the use of opioids for pain after SCD.
Online questionnaire of spinal cord injury (SCI) physicians. ⋯ Most physicians who responded to this survey prescribe opioids for intractable pain after SCD. A significant proportion of respondents believed that there should not be a specific upper limit of opioid dose prescribed if the drug is tolerated; this does not align with current recommendations. Most physicians do not feel influenced in their prescribing habits by regulatory bodies. If physicians decide to taper an opioid that is being tolerated well, it is most commonly related to a fear of the patient developing an opioid-use disorder. The authors propose an algorithm that may help align practice patterns with current recommended practice guidelines.
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Spinal Cord Ser Cases · Jan 2017
Successful spinal cord stimulation for neuropathic below-level spinal cord injury pain following complete paraplegia: a case report.
Neuropathic pain is common in patients with spinal cord injury (SCI) and often difficult to treat. We report a case where epidural spinal cord stimulation (SCS) below the level of injury has been successfully applied in a patient with a complete spinal cord lesion. ⋯ Even in case of complete SCI, SCS might be effective. Mechanisms of pain relief remain unclear. A modulation of suggested residual spinothalamic tract function may play a role. Further investigation has to be carried out to support this theory.
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Spinal Cord Ser Cases · Jan 2016
Erratum for Spinal Cord Series and Cases content published prior to July 2016.
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