Exercises Anti-Shake

If lately your legs are not synonymous with strength, applies an action plan it now. With only 10 minutes, four times a week, you will notice the difference by following these exercises:

Tuner thighs

• Stand with your feet together and hips slightly forward.
• Propelling with the heel, takes a giant step forward with the left leg. Fold the two legs so that your right thigh is parallel to floor. Hold for 10 seconds. Return to the starting position. Switch legs. Do 16 repetitions with each leg.

Inside of the thighs

•  Lie on the floor, leaning on his elbows, right knee bent, feet on the floor and left leg extended.
•  With the foot pointing upward, lifting the left leg looks. Hold this position for a few seconds and slowly lower the leg off the ground. Do 16 repetitions and then switch legs.

Occult leptomeningeal large cell medulloblastoma in an adult.

Large cell medulloblastoma is an uncommon malignancy of childhood that often pursues an aggressive clinical course. We report the first case of this entity in an adult that proved to be an unsuspected primary leptomeningeal tumor.

CLINICAL PRESENTATION:
A 30-year-old man complained of worsening neck pain over the course of 3 months. Neck pain increased a few days prior to admission and a cervical spine CT revealed tonsillar herniation.

Cervical spine MRI performed the day prior to admission confirmed the diagnosis of Chiari I malformation and C3-4 disk herniation without spinal cord compression. On the day of admission, the patient became unresponsive and resuscitative measures were unsuccessful. Postmortem examination of the brain was notable for necrotic cerebellar tonsils, but demonstrated no evidence of an intraparenchymal mass lesion.

Microscopic examination of the cerebellum revealed discohesive neoplastic cells, which showed characteristic dot-like immunoreactivity for synaptophysin, diagnostic of large cell medulloblastoma within the subarachnoid space.

CONCLUSIONS:
Our experience with this unique case illustrates the challenges of diagnosing a primary leptomeningeal neoplasm. This case also underscores the importance of maintaining a high degree of suspicion for leptomeningeal neoplasms in patients who present with imaging studies suspicious for Chiari I malformation.


Occult leptomeningeal large cell medulloblastoma in an adult.
Clin Neuropathol. 2009 May-Jun; 28(3): 188-92Rushing EJ, Smith AB, Smirniotopoulos JG, Douglas AF, Zeng W, Azumi N

[Treatment of cervical spondylotic myelopathy and radiculopathy by anterior subtotal vertebrectomy and decompression combined graft and internal fixation]

Zhongguo Gu Shang. 2009 May; 22(5): 394-5Chen Z, Lin L, Cao GH, Wu JM

[Potentialities of traction therapy for diskogenic compressive radicular syndromes]

Vopr Kurortol Fizioter Lech Fiz Kult. 2009 Mar-Apr; 13-5Ziniakov NN, Ziniakov NTThis study included 78 patients with lumbar subligamentary herniation. Based on their clinical and functional examination, several variants of diskogenic radiculopathies were distinguished. Special emphasis was laid on the evaluation of efficiency of underwater vertical traction in these patients. The proposed method was shown to produce better effect than underwater horizontal traction when used for the treatment of both axonopathies and axonomyelinopathies. The efficiency of underwater vertical traction applied to the treatment of axonopathies appears to be higher than in patients with axonomyelinopathies.