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Related Experiment Videos

Endemic fluorosis presenting as cervical cord compression.

U K Misra1, D Nag, M Husain

  • 1Department of Neurology, Sanjay Gandhi Postgraduate, Lucknow, India.

Archives of Environmental Health
|January 1, 1988
PubMed
Summary

Surgical intervention, specifically laminectomy, can significantly improve neurological symptoms in advanced fluorosis patients experiencing cervical cord compression. This procedure offers a viable treatment option for manual laborers affected by this condition.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Public Health

Background:

  • Neurological complications in fluorosis, often presenting as spinal cord or nerve root compression, typically manifest in advanced stages.
  • Surgical management for these neurological deficits in fluorosis remains sparsely documented in medical literature.

Observation:

  • Five manual laborers from Uttar Pradesh, India, with endemic fluorosis presented with cervical cord compression.
  • Myelography revealed a blocked cervical subarachnoid space in three of these patients.

Findings:

  • Laminectomy, performed under local anesthesia, was undertaken in the three patients with subarachnoid block.
  • Significant improvement in neurological status was observed in all three patients post-surgery.

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Implications:

  • Laminectomy demonstrates potential efficacy in managing cervical cord compression secondary to fluorosis.
  • This suggests surgical intervention is a valuable consideration for select fluorosis patients with neurological involvement.