Necrotizing myelopathy: A case report

Nekrotizan myelopati çeşitli malignitelerle birlikte görülen nadir nörolojik paraneoplastik bir komplikasyon olmasına rağmen, kanser dışı hastalarda da bildirilmiştir. Yavaş, ilerleyici seyirli, ikinci motor nöron tutulumu ile giden bir sendromdur. Elektromyografide duyusal potansiyeller korunur ve spinal kord da etkilenen segmentlerde denervasyon potansiyelleri ile kendini gösterir. Bu makalede bir nekrotizan myelopati olgusu elektrofizyolojik bulguları ve rehabilitasyon sonuçlarıyla sunulmuş ve literatür gözden geçirilmiştir.Necrotizing myelopathy, although very rare, is a neurological paraneoplastic complication of various malignancies, it may certainly be seen in non-cancer patients. It is a slowly progressing disease characterized with lower motor neuron involvement. Preservation of sensory nerve action potentials and severe denervation seen in electromyography. In this case, we present a necrotizing myelopathy case with electrophysiological findings and rehabilitation outcomes. A discussion of the case and a brief review of the literature on the subject were presented

Prevalence, etiology, and biopsychosocial risk factors of cervicogenic dizziness in patients with neck pain: A multi-center, cross-sectional study

Objectives: This study aims to investigate the prevalence, etiology, and risk factors of cervicogenic dizziness in patients with neck pain. Patients and methods: Between June 2016 and April 2018, a total of 2,361 patients (526 males, 1,835 females; mean age: 45.0 +/- 13.3 years; range, 18 to 75 years) who presented with the complaint of neck pain lasting for at least one month were included in this prospective, cross-sectional study. Data including concomitant dizziness, severity, and quality of life (QoL) impact of vertigo (via Numeric Dizziness Scale [NDS]), QoL (via Dizziness Handicap Inventory [DHI]), mobility (via Timed Up-and-Go [TUG] test), balance performance [via Berg Balance Scale [BBS]), and emotional status (via Hospital Anxiety Depression Scale [HADS]) were recorded. Results: Dizziness was evident in 40.1% of the patients. Myofascial pain syndrome (MPS) was the most common etiology for neck pain (58.5%) and accompanied with cervicogenic dizziness in 59.7% of the patients. Female versus male sex (odds ratio [OR]: 1.641, 95% CI: 1.241 to 2.171, p=0.001), housewifery versus other occupations (OR: 1.285, 95% CI: 1.006 to 1.642, p=0.045), and lower versus higher education (OR: 1.649-2.564, p<0.001) significantly predicted the increased risk of dizziness in neck pain patients. Patient with dizziness due to MPS had lower dizziness severity scores (p=0.034) and milder impact of dizziness on QoL (p=0.005), lower DHI scores (p=0.004), shorter time to complete the TUG test (p=0.001) and higher BBS scores (p=0.001). Conclusion: Our findings suggest a significant impact of biopsychosocial factors on the likelihood and severity of dizziness and association of dizziness due to MPS with better clinical status