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INTRAMEDULLARY TUMOUR OF SPINAL CORD: TREATMENT BY LAMINECTOMY AND APPLICATION OF RADIUM

1914; BMJ; Volume: 1; Issue: 2784 Linguagem: Inglês

10.1136/bmj.1.2784.1009

0959-8138

Jonathan Clarke, Richard Lansdown,

Meningioma and schwannoma management

TiHE following case is; onle of intramedullary tuiimotur lItmbo-sacral region of cord, found irremovable operation, some weelis later treated by placing a tube containing 50riug.radium for twenty-two lhours in tlhe canal, witi the resuLlt of steady and progressive improvement miovement and sensatiotn in tlle previously paralysed limbs, until the onset of an actute cystitis with colti infec- tion wore otut tlhe patient's strengtlh and causedlher deatlh.History.Tlle patient, a single woman aged 26. was by ocecupation a typist, andlhad had no previouLs illness.In May, slhe lhad a curious itching feeling in tlle right tlhigh, followed June by pains inthe rigllt hiip and thigh causinglher limnp.At the -end of Jtune pains in the back, riglt lutmbar region, of sharp, slhooting clharacter came were increased by turning the head.In July tile pains superficial tenderness in the right leg were so severe atat she bandaged it to preventrub;bing with the clothes.From July 14th she could no longer to work, and took to bed for a nmonth.At this time shle couid walk without support.At the end of August clhanged over to the left hip and left the right numb."After further rest in September shle improved, anid pains were less, hut from this timeshle had difficulty great frequency in micturition, with burning pains in the6 bladder.Condition oni Adnission.Shec was senit to Bristol General Hospital by Dr.Mayes on October 11th, and in addition to bladder complained of pains like stitch in the back, stiffness and paiins in the legs, and inability to walk through being uniable to balance."She was in a very nervous state, and had Symptoms tlhyroidisM, evidenced by a symm etrical general nlarge.m ient of thyroid, which was soft, a rapid pulse fine tremor of the hands, and a moist skin; symptoims were present more or less thlroughout illness.