Lumbar Spinal Canal Stenosis in Acromegaly: A Case Report and Literature Review

Yoshizawa, Miyako; Nagai, Ken; Asano, Shoko; Hori, Takeshi; Takagawa, Kiyoshi; Shimatsu, Akira

doi:10.2169/internalmedicine.0763-22

Cited by 2 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The acral parts-the hands and feet are large regarding ethnicity and constitution of the patient. 16,17 The mass effect of the pituitary adenoma produces visual disturbance in one-third to two-thirds of the patients. It is more so with the supra-sellar extension of the tumor.…”

Section: Resultsmentioning

confidence: 99%

Recognizing the Diverse Clinical Presentations of Acromegaly: Insight from a Case Series

Salam MU,

Jabeen R,

Ahmad MM

et al. 2024

JSWMC

View full text Add to dashboard Cite

Purpose: Acromegaly is an endocrine disease due to growth hormone excess with slowly developing manifestations and diverse clinical presentations. There are chances that patients may present with common clinical problems and the underlying endocrine condition is overlooked and diagnosis is delayed. This case series will discuss the presentation, clinical features and investigations of four acromegaly cases to increase the clinical skills of physicians so that an early diagnosis is made and treatment is initiated early. Methods: This is an observational study, where a series of four acromegaly cases, who presented to medicine inpatients or outpatients of Sylhet Women’s Medical College, Bangladesh. They were analyzed through detailed clinical features and, investigation findings. MRI brain was used as the main tool for diagnosis. Serum levels of growth hormone, IGF-1, TSH, ACTH, and prolactin were assessed in all. Other anterior pituitary hormone assays were selectively done. Ocular examinations were performed on all patients. Conclusion: Though a case series has lower value as medical evidence than systematic reviews and randomized clinical trials, it can help in generating future protocols of studies. This series emphasizes that a keen clinical eye of the physician can help in early diagnosis of acromegaly and thus an early MRI of brain based on clinical suspicion can ensure early treatment and prevent cardiovascular complications.

show abstract

Section: Resultsmentioning

confidence: 99%

Recognizing the Diverse Clinical Presentations of Acromegaly: Insight from a Case Series

Salam MU,

Jabeen R,

Ahmad MM

et al. 2024

JSWMC

View full text Add to dashboard Cite

show abstract

“…Spinal diseases, such as lumbar disc herniation, cervical spine disorders, spinal fractures, scoliosis, spinal or spinal canal tumours, spinal stenosis, spondylolisthesis and spinal tuberculosis, can lead to pain, limited limb movement and spinal deformities. 1 , 2 , 3 , 4 , 5 Some spinal diseases necessitate surgical intervention due to spinal canal occupation and nerve or spinal cord compression. 6 , 7 With the increasing number of spinal surgeries, the incidence of surgical site infections in these procedures is also rising.…”

Section: Introductionmentioning

confidence: 99%

Effect of wound drainage on the wound infection and healing in patients undergoing spinal surgery: A meta‐analysis

Yang,

Bao,

et al. 2024

International Wound Journal

View full text Add to dashboard Cite

A meta‐analysis was conducted to comprehensively evaluate the impact of wound drainage on postoperative wound infection and healing in patients undergoing spinal surgery. Computer searches were performed, from database inception to October 2023, in EMBASE, Google Scholar, Cochrane Library, PubMed, Wanfang and China National Knowledge Infrastructure databases for studies related to the application of wound drainage in spinal surgery. Two researchers independently screened the literature, extracted data and conducted quality assessments. Stata 17.0 software was employed for data analysis. Overall, 11 articles involving 2102 spinal surgery patients were included. The analysis showed that, compared to other treatment methods, the use of wound drainage in spinal surgery patients significantly shortened the wound healing time (standardized mean difference [SMD]: −1.35, 95% confidence intervals [CI]: −1.91 to −0.79, p < 0.001). However, there was no statistical difference in the incidence of wound infection (odds ratio: 1.35, 95% CI: 0.83–2.19, p = 0.226). This study indicates that wound drainage in patients undergoing spinal surgery is effective, can accelerate wound healing and is worth promoting in clinical practice.

show abstract

Lumbar Spinal Canal Stenosis in Acromegaly: A Case Report and Literature Review

Cited by 2 publications

References 18 publications

Recognizing the Diverse Clinical Presentations of Acromegaly: Insight from a Case Series

Recognizing the Diverse Clinical Presentations of Acromegaly: Insight from a Case Series

Effect of wound drainage on the wound infection and healing in patients undergoing spinal surgery: A meta‐analysis

Contact Info

Product

Resources

About