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A study was made of the pattern of spinal cord injury in the elderly who are forming an ever-increasing proportion of our population. It was noted that the elderly patients had a higher incidence of cervical injuries than other age-groups with a much lower incidence of dorsal and lumbar injuries. The mortality rate in complete cervical injuries was very… (More)
We have reported a series of 15 cases of ascending cystic degenerative myelopathy from a total of 1500 spinal injuries over a period of 30 years, an incidence of 1 per cent. although sensory impairment was troublesome in many cases, motor loss was infrequent and minimal and never became severe enough to warrant further investigation or active surgical… (More)
Arterio-venous shunting has been demonstrated in the limbs of ten subjects with traumatic quadriplegia, as shown by increased venous oxygen concentration and a Doppler sonogram pattern indicative of continuous forward flow. This phenomenon is similar to that seen in the diabetic neuropathic foot, suggesting that autonomic dysfunction is a major factor in… (More)
OBJECTIVE To determine whether mammographic screening has affected the presentation of invasive breast cancer in Western Australia. DESIGN Population-based reviews of the presentation of all invasive breast cancers diagnosed in Western Australia in 1989 and 1994. SETTING Western Australia (population 1.8 million). Active recruitment of women aged 50-69… (More)
A prophylactic regime of subcutaneous low-dose heparin for the 1st month, followed by warfarin for the 2nd and 3rd months after spinal cord injury resulted in a dramatic reduction in the incidence of venous thrombosis and pulmonary embolism.
Ileus is a common complication of spinal cord injury, resolving within one week of injury in most cases. Two cases are reported in which the ileus developed as a more serious later complication and proved to be very intractable to treatment. Causes and treatment are discussed.
Bernard-Soulier syndrome is an inherited bleeding abnormality characterized by thrombocytopenia with large platelets and deficiency of the platelet membrane glycoprotein (GP) Ib-IX complex. We have identified a young female with an acquired Bernard-Soulier-like platelet defect and a coexisting primary myelodysplastic disorder. Abnormal bruising had… (More)
Patients presenting with ST elevation myocardial infarction (STEMI) are routinely treated with percutaneous coronary intervention to restore blood flow in the occluded artery to reduce infarct size (IS). However, there is evidence to suggest that the restoration of blood flow can cause further damage to the myocardium through reperfusion injury (RI). Recent… (More)
A study of recent cases of spinal cord damage following aortic surgery confirmed previous reports that damage was confined to the anterior horn cells of the lumbar and sacral segments of the cord, with preservation of posterior column function and satisfactory bladder control.