Background:Ossification of the ligamentum flavum is a widely described pathology in eastern Asia. Cases have been reported in northern Africa, the Middle-East, India, the Caribbean, Europe, and North America, but no cases from Latin America have been published in the literature. It affects mostly elderly men, with a possible association with obesity and type 2 diabetes.Case Description:A 38-year-old previously healthy Latin American male presented to the emergency room department with severe functional disability and a 3/5 paraparesis. Blood reports showed no abnormalities. Computed tomography and magnetic resonance imaging showed a ligamentum flavum ossification with myelopathy. The patient underwent a T3-T9 laminotomy. At hospital discharge, the patient remained with a 3/5 paraparesis, mild hypoesthesia in both lower limbs and bladder incontinence. Rectal sphincter was continent. At 6 months, he was able to walk with a cane, with no sphincter or sensory alterations.Conclusions:Ligamentum flavum ossification is rare. To our understanding, this is the first case reported in the Latin American population.
Two trials involving 128 gilts were conducted to determine the effect of nutritional status during the first 28 d postnatally on subsequent growth and reproductive performance. Nutritional status was altered by adjusting litter size at birth to either 6 or 12 pigs and maintaining a lactation length of either 13 or 28 d. Pigs weaned at d 13 were fed on an ad libitum basis or at 50% of ad libitum through d 28. After d 28, all pigs were fed the same diets through the first parity. By market weight (d 154) pigs recovered differences in body weight imposed during the early postnatal period. Postnatal nutritional status did not alter age at puberty. Gilts weaned at d 28 from litter size 6 produced 2.4 more (P less than .05) ova than gilts from litter size 12; however, when weaned at d 13, gilts from litter size 6 produced 2.3 fewer ova than gilts from litter size 12. Feed restriction for 15 d postweaning did not depress ovulation rate in gilts. Subsequent litter size was not affected by postnatal litter size, lactation length or feed restriction, even though growth rate and ovulation rate had been altered by treatments imposed during the first 28 d postnatally. Assuming no difference in fertilization, these data suggest that prenatal mortality was altered by the early postnatal treatments and was the limiting factor for litter size. Until factors that influence prenatal losses are characterized and controlled, the alteration of nutritional status by changes in postnatal litter size, lactation length or feeding level will not detrimentally affect subsequent litter size in gilts.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.