Spinal Cord Injuries - Comprehansive Management & Research - page 439

TABLE 22
(continued)
Patient Age Lesion
M.F.
32
Time
after
injury
Creatinine
Relevant history
Serum
Clearance
(mg/ioo ml)
(ml/min)
3-8
Ty
6 yr
Injured at 26. Pressure sores with
compl.
osteomyelitis. Automatic micturition. At 31,
oedematous; serum albumin 0-9 g/ioo ml;
serum globulin 200 g/ioo ml. Proteinuria
12-8 g/24 hr. Positive Congo Red test;
positive rectal biopsy. Died after
subarachnoid haemorrhage. Amyloidosis
confirmed.
P.R.
31
T7
10 yr
Injured at 21. Automatic micturition. At 26,
5-2
compl.
hydronephrosis left, no secretion on right;
4-9
bilateral reflux; diverticula of bladder. At
9-3
31, hypertensive retinopathy. Post-mortem
10-1
diagnosis of renal amyloidosis.
G.M.
27
Tio
8 J yr
Injured at 19. Pressure sores with
compl.
osteomyelitis and a periurethral abscess.
Suprapubic cystotomy performed.
Hydronephrosis, hydro-ureter and
diverticula. Oedematous; serum albumin
0-4 g/ioo ml; serum globulin 2-4 g/ioo ml.
Proteinuria, 13-6 g/24 hr. Amyloidosis
(rectal biopsy). Maximum urine
concentration 528 m.osmole/kg.
P.O'D.
48
Tu
6 yr
Haemangioma of cord at 42. Pressure sores
compl.
with osteomyelitis. Discharged at 45 with
automatic bladder, sterile urine and bilateral
hydronephrosis. At 48, B.P. 150/100.
Proteinuria 2 g/24 hr. Amyloidosis (rectal
biopsy.
2-8
2-9
19
15
23
Urea
Blood
Clearance (° 0
(mg/ioo ml) average normal)
99
IO
8
2
2
67
70
IO9
I 5 6
II
12
8
4
0-7
0-8
0-7
86
65
73
30
29
38
99
66
n
ffi
H
W
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