Neurosciences
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Randomized Controlled Trial Comparative Study
Management options of chronic low back pain. A randomized blinded clinical trial.
To compare efficacies of 2 active programs in the management of chronic low back pain (CLBP). ⋯ Multidisciplinary rehabilitation improved functional indices and pain scale scores in group A compared with B. This would be an effective strategy in CLBP management.
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Lambert-Eaton myasthenic syndrome (LEMS) is frequently associated with malignancy, especially small cell lung cancer (SCLC). Here, we describe a patient with a 5-year history of cervical myelopathy who presented with recurrent limb weakness of her limbs and complained of recent progressive weakness. Following an examination that included electromyography, a chest CT scan, and a bronchofiberscopy examination with brushing biopsy, the patient was diagnosed with LEMS and SCLC. This case report highlights the ongoing need for clinicians to be observant for cases of LEMS, to consider both patient history and physical examination data, and to accurately obtain a differential diagnosis between LEMS and other diseases, which also cause weakness.
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Sarcoidosis is a multisystem inflammatory disease of unknown etiology. Isolated neurosarcoidosis without signs of systemic involvement has rarely been reported in the literature. We report a case of isolated neurosarcoidosis that presented with psychiatric symptoms and headache. ⋯ Further research did not reveal any evidence of systemic disease. The patient was treated with corticosteroids and responded well to medical therapy. The diagnosis of isolated neurosarcoidosis is a challenge and may require histological examination.