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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5-6
|
pubmed:dateCreated |
1986-5-22
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pubmed:abstractText |
Thirty-two patients with myelomatosis (3 with a solitary plasmocytoma and 29 with multiple myeloma) and neurological complications, from a group of 110 unselected patients with myelomatous disease were recorded. Spinal cord compression was the most frequent complication seen in 12 cases. In 9 subjects, it was the presenting symptom, and in 11 cases was caused by extradural plasmocytoma of the thoracic spine. Early decompressive laminectomy was curative in 3 cases, but in the rest, delay in diagnosis resulted in only partial recovery even with radiotherapy. Of the 6 patients with nerve root involvement, radiotherapy led to full recovery in 2 of 3 cases, and laminectomy resulted in complete improvement in 2 other cases. Peripheral polyneuropathy was seen in 8 cases, 2 related to systemic amyloidosis and 6 unassociated with amyloidosis. Both forms of neuropathy shared a slow progression, independent of the course of the myeloma. Acute encephalopathy, found in 6 cases, was due to hypercalcemia and/or serum hyperviscosity, and led to a significant shortening of mean survival. One patient had third cranial nerve palsy due to the overlying lesion of the skull base, and another suffered acute bacterial meningitis.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0025-7850
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
597-611
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3868689-Aged,
pubmed-meshheading:3868689-Female,
pubmed-meshheading:3868689-Follow-Up Studies,
pubmed-meshheading:3868689-Humans,
pubmed-meshheading:3868689-Immunoglobulins,
pubmed-meshheading:3868689-Male,
pubmed-meshheading:3868689-Middle Aged,
pubmed-meshheading:3868689-Multiple Myeloma,
pubmed-meshheading:3868689-Nerve Compression Syndromes,
pubmed-meshheading:3868689-Neurologic Manifestations,
pubmed-meshheading:3868689-Plasmacytoma,
pubmed-meshheading:3868689-Spinal Cord Compression
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pubmed:year |
1985
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pubmed:articleTitle |
The spectrum of neurological manifestations in myeloma.
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pubmed:publicationType |
Journal Article,
Research Support, Non-U.S. Gov't
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