Anti-N Methyl D Aspartate Receptor encephalitis (anti-NMDARE) is a recently defined disease, which is probably more under-recognized than rare. We report a case of anti-NMDARE in a 13-years-old girl, who presented with intractable seizures. To the best of our knowledge, this is the second case of pediatric anti-NMDARE being reported from India. The need for a greater awareness of this disease and the subtle differences in clinical presentation between pediatric and adult patients are highlighted.
Low back ache arising due to a herniated lumbar disk with radicular pain to the lower limbs is a commonly occurring problem evaluated by spine surgeons. Conservative treatment has usually been proposed for an acute disk prolapse in cases without significant motor or sensory deficit. Spontaneous radiological regression of an extruded herniated disk with complete symptomatic recovery has occasionally been reported. A case of conservatively treated large extruded lumbar disk is described who showed complete radiological resolution, along with regression of the clinical symptoms.
Cervical disk prolapse is a common ailment in young people and has generally been treated by anterior cervical diskectomy and fusion. This has caused restricted movement of the neck at the level of fusion along with adjacent segment changes over a period of time. With the advent of artificial disk, motion preserving techniques are being used for young people with active lifestyles with excellent outcomes. Artificial disk replacement at single level has been used by many surgeons after cervical diskectomy, however, a three level cervical disk replacement or cervical disk arthroplasty surgery has rarely been performed. We report a 46-year-old patient with symptomatic three level cervical disk prolapse treated with anterior cervical diskectomy followed by artificial disk replacement at all three levels as a motion preserving surgery.
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.