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Post-traumatic syringomyelia with holocord involvement: a case report

Amin, Idris; Ilizarov, Gavriil; Chowdhury, Nayeema; Kalva, Shailaja
INTRODUCTION: Syringomyelia is a disorder in which a cyst, or syrinx, develops within the spinal cord. Historically, syringomyelia in post-traumatic spinal cord injury has been uncommon; however, its diagnosis has been increasing due to the advances in medical technology. Syringomyelia that involves the entire spinal cord, or holocord, is rare after traumatic spinal cord injury, with only a few cases reported in the literature. CASE PRESENTATION: We present a case of a 57-year-old male who had a motorcycle accident 30 years ago resulting in a spinal cord injury, who presented a rapid decline in the function of his left upper extremity. Imaging studies were reviewed to reveal an expansive T2 hyperintense intramedullary spinal cord lesion from C1 inferiorly to the conus medullaris. The patient underwent a T6-T7 laminectomy for the placement of a syringosubarachnoid shunt. The patient was then transferred to acute inpatient rehabilitation where he underwent an intense course of therapy for 3 weeks while being monitored closely by physiatrists. DISCUSSION: The patient was able to make significant recovery and was successfully discharged home. There are a limited number of reports published about post-traumatic holocord syringomyelia. It is important to recognize this diagnosis during follow-up visits with spinal cord injury patients.
PMCID:5577711
PMID: 28868156
ISSN: 2058-6124
CID: 2687792

Glenohumeral joint osteoarthritis

Chapter by: Mirchandani, Mona; Kalva, Shailaja
in: Musculoskeletal sports and spine disorders : a comprehensive guide by Kahn, Stuart; Xu, Rachel Yinfei (Eds)
Cham, Switzerland : Springer, [2017]
pp. 75-77
ISBN: 9783319505121
CID: 3653922

Hydrocephalus and cognitive decline in myotonic dystrophy: case report and literature review [Case Report]

Moroz A; Kalva S
Myotonic dystrophy is a rare genetic neuromuscular disorder with multisystem involvement. Hydrocephalus and cognitive deterioration are not commonly considered part of adult-onset myotonic dystrophy. This report describes a case of progressive distal muscle weakness, cognitive decline, and longstanding ventricular enlargement. Review of the literature suggests that hydrocephalus may be associated with myotonic dystrophy while progressive cognitive decline is rare in the adult form of the disease
PMID: 9710180
ISSN: 0003-9993
CID: 7698