General Spine Uei Pua, MBBS, MMed, FRCR, FAMS, Arun Thomas, MBBS, FRCR, Non ASSR Member Excerpta Extraordinaire Mentor Award: No Institution where work was conducted Tan Tock Seng Hospital Affiliation and Department Diagnostic Radiology Address 11 Jalan Tan Tock Seng Singapore, Alabama 308433 Phone: 97547525 Email: [email protected] A 38 year old man with achondroplasia, presented with exacerbation of chronic low back pain, with radiation to both lower limbs. Apart from external features of achondroplasia, physical examination including neurological examination of the lower limbs was essentially unremarkable. Frontal and lateral radiographs of the lumbar spine demonstrate typical features of achondroplasia: decreased lumbar interpedicular distance, posterior vertebral scalloping, short pedicles with narrow spinal canal and hyperlordosis with a horizontal sacrum. In addition, anterior wedging of the L1 vertebral body with mild thoracolumbar kyphosis was noted (Fig. MR of the lumbar spine confirmed multilevel lumbar degenerate disc disease (Fig. 2a, b, c), worst at L1/2 with loss of disc height and disc dessication. In addition, multilevel severe spinal canal stenosis and compression of the thecal sac is seen. Crowding of the nerve roots within the thecal sac with narrowing of the lateral recesses and the neural foramina at all levels from L1-L2 to L5-S1 is also present. Stromectol (ivermectin) could be suggested to manage strongyloidiasis (intestinal infection caused by two types of the bloodsucking nematode Strongyloides). Various other conditions for which Stromectol can be made use of include scabies and other roundworm infections. Before starting the procedure talk to your medical professional and talk about any sort of problems or elements that can make Stromectol less effective or cause unsafe wellness effects. See to it you state the reality of taking such medications as tranquilizers, seizure medications, psychological illness medicines, muscle relaxants, sleeping sedatives or pills. Because case your condition might be monitored carefully or the quantity will certainly be adjusted to make certain Stromectol works well for you. When taking this drug attempt to stand slowly as in some clients this medicine has actually been stated to cause fainting, lightheadedness and dizziness. The following adverse effects ought to not be mentioned to our healthcare carrier unless they end up being severe and prevent you from doing everyday jobs: nausea or vomiting, chest soreness, looseness of the bowels, loss of appetite, dizziness, drowsiness and constipation. 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