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A rare spinal cord injury: 58-year-old male with human immunodeficiency viruses and newly discovered syringomyelia: A case report [Meeting Abstract]

Kim, B; Maddalo, S; Michalisin, J
Case Description: We present the case of a 58-year-old male with a history of human immunodeficiency viruses (HIV) presenting with an 8-month history of paresthesia and burning sensation through anterior and posterior thigh. On examination, a significant level of specificity was noted in bilateral lower extremities. There was also a sustained clonus in the left ankle and hyperreflexia bilateral lower extremities. Magnetic resonance imaging studies revealed syrinx extending from T7 to T9 with maximal dilatation with concomitant myelomalacia from T2 to T9.
Setting(s): An outpatient setting Patient: A 58-year-old male with a past medical history of HIV. Assessment/Results: No surgical intervention was recommended due to concern for the development of a new deficit likely in proprioception that will negatively impact functionality including the patient's gait. Symptoms were treated with pharmacotherapy and physical therapy for spasticity management and functional mobility.
Discussion(s): To our knowledge, this is the first case report of syringomyelia in a patient with HIV in Rehabilitation Medicine literature. Syringomyelia is a condition characterized by the formation of syrinx which is a fluid-filled system within the spinal cord parenchyma. While the exact pathogenesis remains debated, it has been known to be associated with Arnold-Chiari malformation, intramedullary tumors, spinal trauma, and arachnoiditis (well established in literature). However, the association between HIV and syringomyelia lack published information.
Conclusion(s): It is suspected that HIV might play a role in developing spontaneous syringomyelia in a non-traumatic setting, without Arnold Chiari malformation or other previously known associated conditions. Even though this case is exceedingly rare, clinicians should consider its probability and provide individualized restorative treatment plans to optimize functionality
EMBASE:631854730
ISSN: 1934-1482
CID: 4454922

Pediatric rehabilitation

Chapter by: Michalisin, John J
in: Physical medicine and rehabilitation Q & A review by Weiss, Lyn D.; Lenaburg, Harry J; Weiss, Jay (Eds)
New York : Demos Medical, 2018
pp. ?-?
ISBN: 9781617052989
CID: 4533472

Lower extremity prosthetics

Chapter by: Michalisin, John J
in: Physical medicine and rehabilitation Q & A review by Weiss, Lyn D.; Lenaburg, Harry J; Weiss, Jay (Eds)
New York : Demos Medical, 2018
pp. ?-?
ISBN: 9781617052989
CID: 4533482

Spinal cord stimulator therapy for plantar fasciitis?. [Meeting Abstract]

Khan, BA; Papapetrou, P; Michalisin, JJ
ORIGINAL:0014678
ISSN: 1525-1403
CID: 4533412

Therapeutic exercise

Chapter by: Michalisin, John J
in: Physical medicine & rehabilitation pocketpedia by Shatzer, Matthew M (Ed)
Philadelphia, PA : Lippincott Williams & Wilkins, 2013
pp. ?-?
ISBN: 1609132408
CID: 4533452

Modalities

Chapter by: Michalisin, John J
in: Physical medicine & rehabilitation pocketpedia by Shatzer, Matthew M (Ed)
Philadelphia, PA : Lippincott Williams & Wilkins, 2013
pp. ?-?
ISBN: 1609132408
CID: 4533442

Pharmacology

Chapter by: Michalisin, John J
in: Physical medicine & rehabilitation pocketpedia by Shatzer, Matthew M (Ed)
Philadelphia, PA : Lippincott Williams & Wilkins, 2013
pp. ?-?
ISBN: 1609132408
CID: 4533462

Pediatric rehabilition

Chapter by: Michalisin, John J
in: Physical Medicine and Rehabilitation Q & A Review by Lenaburg, Harry; Weiss, Jay K; Weiss, Lyn D (Eds)
New York : Demos Medical Publishing, 2013
pp. ?-?
ISBN: 1617051659
CID: 4533492

Lower extremity prosthetics

Chapter by: Michalisin, John J
in: Physical Medicine and Rehabilitation Q & A Review by Lenaburg, Harry; Weiss, Jay K; Weiss, Lyn D (Eds)
New York : Demos Medical Publishing, 2013
pp. ?-?
ISBN: 1617051659
CID: 4533502

Loss of femoral neck "waistline" in pistol grip hip deformity predisposing to hip arthroplasty in the young population: A case report [Meeting Abstract]

Walla, H; Michalisin, John J; Root, BC
ORIGINAL:0014680
ISSN: 1934-1482
CID: 4533432