Clinical neurology and neurosurgery
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This study comprises a total of 159 victims from bicycle accidents treated as inpatients at the Department of Neurosurgery, University of Bonn between January 1987 and June 1995. It was our aim to define the severity and features of bicycle-related head injuries in a defined population. Our results show that 33% of admitted bicycle victims sustained severe head injuries (Glasgow Coma Score 3-8). ⋯ Of the 159 bicycle victims, 112 (70%) made a good recovery, 11 (7%) remained moderately and 4 (3%) severely disabled, and 26 (16%) had died at follow-up (mean 2 years). In conclusion, our data indicate that bicycle-related trauma accounts for a substantial proportion of all head injuries requiring neurosurgical treatment. Active (e.g. traffic regulations, education of riders) and passive measures (e.g. safety helmets) can be expected to reduce both incidence and severity of head injuries among bicyclists.
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Clin Neurol Neurosurg · Nov 1995
Review Case ReportsNeurogenic claudication by epidural lipomatosis: a case report and review of literature.
Epidural lipomatosis is most frequently seen in patients on chronic steroid treatment. Only twelve cases of idiopathic spinal epidural lipomatosis have been described. In this report we present an additional case of this condition in a middle-aged male presenting with neurogenic claudication.
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We report a case of spinal neurinoma at a high thoracic level, whose main presentation was intractable pain in a body part innervated by the right femoral nerve. Sensations of pain and temperature were impaired in the right thigh, but usual symptoms of myelopathy were undetectable. In conjunction with the other reports, this case suggests that spinal tumors at high thoracic levels can produce remote symptoms mimicking peripheral neuropathy such as femoral or sciatic neuralgia.
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Clin Neurol Neurosurg · May 1995
Case ReportsBrain stem cheiro-oral syndrome: neurological signs for brain stem lesions.
Cheiro-oral syndrome (COS) is characterized by a sensory disturbance in one hand and the ipsilateral oral corner. It is usually due to a lesion in the parietal cortex, thalamocortical projections or thalamus. Brain stem lesions may rarely produce COS. ⋯ In our patients, unilateral oculomotor nerve palsy or medial longitudinal fasciculus syndrome concurred with sensory disturbances of cheiro-oral distribution. COS produced by cortical/thalamic lesion is not accompanied with such oculomotor signs. Thus, oculomotor deficits are decisive in differentiating brain stem from cortical or thalamic COS.