Neuroarthropathy associated with chronic alcoholism

Björkengren, Ann; Weisman, M H; Pathria, MN; Zlatkin, M B; Pate, D; Resnick, D

doi:10.2214/ajr.151.4.743

Cited by 17 publications

(6 citation statements)

References 4 publications

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“…Several different treatment regimens have been used in the management of spinal synovial cysts in humans, ranging from chiropractic manipulation (Hazen and Cox 1993), rest or bracing (Hsu and others 1995), or administration of intraarticular or epidural corticosteroid (Bjorkengren andothers 1987, Hsu andothers 1995), to decompressive surgery with excision of the cyst (Bhushan and others 1979, Onofrio and Mih 1988, Hsu and others 1995, Levitski and others 1999, Lyons and others 2000, Perez and others 2000. Surgical intervention is indicated in the face of intractable pain, especially where significant neurological deficits are present (Hsu and others 1995).…”

Section: Discussionmentioning

confidence: 99%

Extradural spinal synovial cysts in nine dogs

Dickinson

Sturges

Berry

et al. 2001

J of Small Animal Practice

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Nine dogs presenting for investigation of cervical or thoracolumbar myelopathies were diagnosed with extradural spinal synovial cysts. Degenerative disease affecting the articular facets or intervertebral discs was present on plain spinal radiographs in all cases. Myelography was consistent with dorsolateral, extradural spinal cord compression. Two groups of dogs were identified: (1) young, giant breed dogs with multiple cysts involving one or more levels of the cervical spinal cord; and (2) older, large breed dogs with solitary cysts involving the thoracolumbar spinal cord. The synovial cysts constituted the major compressive lesions in four of the dogs. Analysis of lumbar cerebrospinal fluid demonstrated albuminocytological dissociation, consistent with chronic compressive myelopathy, in six dogs. All dogs underwent decompressive surgery and the diagnosis of synovial cysts was confirmed histologically. The mean follow-up period was 17 months (range four to 36 months). At the time of follow-up, all dogs were fully ambulatory with improved neurological function compared with that at initial presentation.

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Section: Discussionmentioning

confidence: 99%

Extradural spinal synovial cysts in nine dogs

Dickinson

Sturges

Berry

et al. 2001

J of Small Animal Practice

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“…However a number of other conditions such as neurosyphilis, multiple sclerosis,2 syringomyelia, leprosy, peripheral nerve injuries, meningomyelocele, spinal cord lesions, folate deficiency, poliomyelitis, vitamin B 12 deficiency, neurotoxic medications, HIV infection3 and chronic alcohol abuse3 4 can cause CN. Most publications, demonstrate the correlation of diabetes and Charcot foot, as the prevalence of diabetic neuropathy is greater than that of other types of neuropathy.…”

Section: Discussionmentioning

confidence: 99%

Charcot foot associated with chronic alcohol abuse

2013

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Two patients without a history of diabetes mellitus but with a history of chronic alcohol abuse were referred to our foot clinic due to pain and deformity of the midfoot. On examination both of the feet of the first patient and the left foot of the second patient were swollen and warm but all the inflammatory markers were negative. Subsequent imaging revealed Charcot deformity and the patients were treated with casting and special shoes. The temperature and the swelling of the feet after the offloading improved. x-Rays which were performed 1 and 2 years after the diagnosis did not show any progression of the Charcot deformity.

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“…Bjorkengren et al. [25] have recently reported five such cases. All were male, all had at least a io-year history of alcohol abuse and all had clinical signs of peripheral neuritis in the legs.…”

Section: In Victor Et Al's Classical Monograph On Thementioning

confidence: 98%

Neurological complications of alcohol usage

Price

1991

Drug and Alcohol Review

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The relationships between alcohol usage and a number of neurological syndromes are reviewed. These are often complex and incompletely understood. Multiple rather than single factors are the rule rather than the exception. The correct diagnosis may be missed particularly where the aetiological role of alcohol is overlooked. Multiple diagnoses are not uncommon. Issues of differential diagnosis and diagnostic procedures are discussed. Management, including a number of its pitfalls, is outlined.

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Neuroarthropathy associated with chronic alcoholism

Cited by 17 publications

References 4 publications

Extradural spinal synovial cysts in nine dogs

Extradural spinal synovial cysts in nine dogs

Charcot foot associated with chronic alcohol abuse

Neurological complications of alcohol usage

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