The aortic dissection may result in spinal cord ischemia and subsequent paraparesis. However, the presentation of aortic dissection with both paraparesis and the absence of characteristic pain is very unusual. Our patient had the progressive flaccid paraparesis without characteristic pain. The initial impression was GBS because of the antecedent history of febrile illness, the absence of sensor...

Thyrotoxic periodic paralysis (TPP) is a potentially lethal complication of hyperthyroidism characterized by recurrent muscle weakness and hypokalemia. It has been commonly reported in non-Asian populations. Four cases were reported in Saudis so far, and one had a life-threatening arrhythmia. We describe an additional case of a 28-year-old apparently healthy Saudi male patient, who presented wi...

OBJECTIVE To evaluate whether spinal cord intraoperative monitoring (IOM) with somatosensory and transcranial electrical motor evoked potentials (EPs) predict adverse surgical outcomes. METHODS A panel of experts reviewed the results of a comprehensive literature search and identified published studies relevant to the clinical question. These studies were classified according to the evidence-...