A 45 year old Saudi male with poliosis, alopecia areata, vitiligo, anterior uveitis, inflammatory changes in the posterior pole of the retina and paraparesis presented with features of the Vogt-Koyanagi-Harada syndrome, uncontrolled diabetes mellitus and hypothyroidism. To the best of our knowledge the association of diabetes mellitus and hypothyroidism in this syndrome has not been reported pr...

We report on a 48 years-old man with basilar impression without syringohydromyelia, in which the cisterna magna was impacted by the cerebellar tonsils. Six months after posterior fossa decompression there was the disappearance of nuchal rigidity, vertigo, spastic paraparesis and improvement of balance. Nevertheless hyperreflexia and diminished pallesthesia of the lower limbs persisted.

We report a case of schwannoma of the twelfth thoracic vertebra that presented with paraparesis. The tumour was excised, and posterior and anterior stabilisation was performed. Eighteenmonths following this procedure, the patient has solid bony union, satisfactory neurological improvement and no recurrence.

Adult histiocytosis X involving the CNS caused progressive spastic paraparesis. The diagnosis was made by immunoreactive anti-S100 protein antibody staining and from the presence of Birbeck granules in biopsy specimens of skin lesions. Neuropathological examination showed massive proliferation and infiltration of S-100 containing histiocyte-like cells and reactive astrocytes throughout the CNS.

A 22 year old woman with recently diagnosed systemic lupus erythematosus presented with subacute progressive areflexic paraparesis, electrophysiologically identified as a pure axonal polyradiculopathy. Sural nerve biopsy disclosed necrotising vasculitis. A striking radiological feature was marked enhancement of the cauda equina with gadolinium.

Spinal cord compressing syndrome due to synovial cyst (SC) of the thoracic spine is a rare clinic condition. We report a case of SC located in the thoracic spine causing spastic paraparesis in a 14 year-old female patient. The SC was removed thoroughly by laminectomy. The patient had an excellent recovery. The etiological and therapeutic aspects are discussed.

recurrent spontaneous rupture of the urinary bladder has rarely been reported in english articles. this condition may be difficult to diagnosis before a laparotomy due to acute peritonitis. herein we describe a case of recurrent spontaneous rupture of the bladder in a 39-year-old woman with human t-lymphotropic virus type 1 (htlv-1) -associated myelopathy/topical spastic paraparesis (ham/tsp).

in pott’s disease (tuberculous spondylitis), involvement of two separate levels of spine is rare. attention to stability of spine prevents delayed progressive kyphosis. a 12-year-old girl presented with neck pain, tenderness and swelling imaging showed cl—c2 and t9-t10 and destruction. mild spastic paraparesis was noticed. preoperative diagnosis was metastasis. t9, t10 and t11 laminectomy and c...