47,719 results match your criteria Epidural Abscess


[Objectives: To analyze a clip from the program “Acupuncture, osteopathy, hypnosis: do complementary medicines have superpowers” about acupuncture as an anesthetic for surgical procedures in China. To propose a rational explanation for the phenomena observed. To describe the processes leading a public service broadcasting channel to offer this type of content at prime time and the potential consequences in terms of public health.Method: Analysis using critical thinking attitudes and skills, along with a bibliographical search of Medline, Google Scholar and Cochrane Library databases.Results: The information delivered in the television clip is ambiguous. It does not allow the viewer to form an informed opinion on the relevance of acupuncture as an anesthetic for surgical procedures. It is reasonable to assume that the clip shows surgery performed with undisclosed epidural anesthesia coupled with mild intravenous anesthesia, sometimes performed in other countries. What needs to be highlighted here is the overestimation of acupuncture added to the protocol. The media tend to exaggerate the risks and expected effects of the treatments they report on, which can lead patients to turn to unproven therapies.Conclusion].

Sante Publique 2018 Oct;30(4):455-464

Objectives: To analyze a clip from the program ?Acupuncture, osteopathy, hypnosis: do complementary medicines have superpowers?? about acupuncture as an anesthetic for surgical procedures in China. To propose a rational explanation for the phenomena observed. To describe the processes leading a public service broadcasting channel to offer this type of content at prime time and the potential consequences in terms of public health. Read More

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October 2018

The Clinical Characteristics of Spinal Epidural Lipomatosis in the Lumbar Spine.

Anesth Pain Med 2018 Oct 20;8(5):e83069. Epub 2018 Oct 20.

Department of Anesthesiology and Pain Medicine, Jeju National School of Medicine, Jeju, Korea.

Background: Spinal epidural lipomatosis (SEL) is a rare disease, defined as diffuse hypertrophy of unencapsulated adipose tissue causing spinal canal compression and progressive neurologic deficits. However, there are few studies on SEL in Korea.

Objectives: The purpose of this study was to describe the prevalence and clinical characteristics of SEL in Korea. Read More

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October 2018

Anaesthetic Considerations in a Patient with Pycnodysostosis undergoing Caesarean Delivery.

Case Rep Anesthesiol 2018 13;2018:5675637. Epub 2018 Nov 13.

Department of Anesthesia, Hospital Unit Vest, Herning, Denmark.

Pycnodysostosis is a rare congenital disorder with several implications, which might complicate anesthesia. Patients are more prone to fractures and have an anticipated difficult airway. We report a case of a 34-year-old woman with pycnodysostosis who underwent elective caesarean delivery under epidural blockade. Read More

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November 2018

Influence of needle-insertion depth on epidural spread and clinical outcomes in caudal epidural injections: a randomized clinical trial.

J Pain Res 2018 21;11:2961-2967. Epub 2018 Nov 21.

Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea,

Background: A caudal epidural steroid injection (CESI) is a commonly used method to improve symptoms of lumbosacral pain. We compared the achievement of successful epidurograms and patient-reported clinical outcomes following different needle-insertion depths during CESI.

Methods: For the conventional method group, the needle was advanced into the sacral canal. Read More

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November 2018

Assessment of Postoperative Outcomes in Spinal Epidural Abscess Following Surgical Decompression.

Spine J 2018 Dec 8. Epub 2018 Dec 8.

Center for Spine Health, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio, 44195, USA; Department of Neurosurgery, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio, 44195, USA; Cleveland Clinic Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, Ohio, 44195, USA. Electronic address:

Background Context: A spinal epidural abscess (SEA) is a serious condition that may be managed with antibiotics alone or with decompressive surgery combined with antibiotics.

Purpose: The objectives of this study were to assess the clinical outcomes of SEA after surgical management and to identify the patient-level factors that are associated with outcomes following surgical decompression and removal of SEA.

Study Design/setting: Retrospective chart review analysis. Read More

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December 2018
7 Reads

Effects of Ropivacaine in Patient-Controlled Epidural Analgesia on Uterine Electromyographic Activities during Labor.

Biomed Res Int 2018 7;2018:7162865. Epub 2018 Nov 7.

Department of Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.

Epidural analgesia is effective in relieving pain during labor. However, concerns as to compromised labor progress and outcomes arise. This study aimed to assess the effect of patient-controlled epidural analgesia (PCEA) with ropivacaine on uterine electromyography (EMG) activities and outcomes in labor. Read More

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November 2018

Clinical Results of Minimally Invasive Spine Stabilization for the Management of Metastatic Spinal Tumors Based on the Epidural Spinal Cord Compression Scale.

Biomed Res Int 2018 8;2018:1258706. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, Nihon University School of Medicine, 30-1 Oyaguchi Kami-cho, Itabashi-ku, Tokyo 173-8610, Japan.

Purpose: Minimally invasive spine stabilization (MISt) using percutaneous pedicle screws plays a significant role in palliative surgery for metastatic spinal tumors. However, few studies have investigated surgical outcomes based on the epidural spinal cord compression scale (ESCCS). The purpose of this study was to examine outcomes of metastatic spinal tumors as evaluated by ESCCS in patients treated by MISt. Read More

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November 2018

Comparison of Three-Quadrant Transversus Abdominis Plane Block and Continuous Epidural Block for Postoperative Analgesia After Transperitoneal Laparoscopic Nephrectomy.

Anesth Pain Med 2018 Oct 3;8(5):e80024. Epub 2018 Sep 3.

Department of Anesthesiology and Intensive Care, Universitas Indonesia, Jakarta, Indonesia.

Background: Postoperative pain management is important for the early recovery of the living donor patient. Patient-controlled opioid analgesia, epidural analgesia, or a combination of both is the preferred pain management after abdominal surgery although these approaches have serious side effects. The transversus abdominis plane (TAP) block has been increasingly used for postoperative pain management and the addition of dexamethasone to local anesthetic can prolong the duration of action. Read More

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October 2018

Incidence and management of post-dural puncture headache following spinal anaesthesia and accidental dural puncture from a non-obstetric hospital: A retrospective analysis.

Indian J Anaesth 2018 Nov;62(11):881-886

Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital and Homi Bhabha National Institute, Mumbai, Maharashtra, India.

Background And Aims: Post-dural puncture headache (PDPH) is one of the complications following spinal anaesthesia (SA) and accidental dural puncture (ADP). In our institute, we routinely practice epidural analgesia (EA) for supra-major surgeries. Our previous audit on EA revealed 4% incidence of ADP. Read More

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November 2018

[Prevention of cognitive dysfunction in elderly cancer patients operated on the pelvic organs in conditions of multimodal anesthesia].

Khirurgiia (Mosk) 2018 (11):44-48

FGBU 'Rostov Research Institute of Oncology' of the Ministry of Health of the Russia, Rostov-on-Don, Russia.

The aim of the study was to evaluate the impact of various variants of multimodal anesthesia on the cognitive functions of elderly patients after surgical interventions on pelvic organs, the development of preventive measures for POCD.

Material And Methods: A study was conducted in 76 elderly patients aged 62 to 84 years with an increased risk of developing POCD. Of these, 46 women and 30 men. Read More

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January 2018
1 Read

A Rare Case of Thyrotoxic Periodic Paralysis After Epidural Steroid Injection: A Case Report and Literature Review.

Am J Case Rep 2018 Dec 8;19:1453-1458. Epub 2018 Dec 8.

Department of Internal Medicine, Piedmont Athens Regional Medical Center, Athens, GA, USA.

BACKGROUND Thyrotoxic periodic paralysis (TPP) is a rare cause of acute paralysis, which if not promptly recognized and treated, can lead to significant morbidity and mortality. TPP can be precipitated by several factors, including a high carbohydrate diet and exercise. This report is of a rare case of TPP after epidural steroid injection in a young man, with a review of the literature of previous cases. Read More

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December 2018

Intraoperative Cerebrospinal Fluid Leak in Extradural Spinal Tumor Surgery.

Neurospine 2018 Oct 7. Epub 2018 Oct 7.

Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Objective: Patients with extradural spine tumors are at an increased risk for intraoperative cerebrospinal fluid (CSF) leaks and postoperative wound dehiscence due to radiotherapy and other comorbidities related to systemic cancer treatment. In this case series, we discuss our experience with the management of intraoperative durotomies and wound closure strategies for this complex surgical patient population.

Methods: We reviewed our recent single-center experience with spine surgery for primarily extradural tumors, with attention to intraoperative durotomy occurrence and postoperative wound-related complications. Read More

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October 2018

Teaching NeuroImages: Severe myelopathy due to epidural lipomatosis.

Neurology 2018 Dec;91(24):e2282-e2283

From the Department of Neurology (W.A.D., G.S.) and Department of Radiology and Medical Imaging, Division of Neuroradiology (J.D.), University of Virginia, Charlottesville.

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December 2018

Cortical surface intracranial electrodes identify clinically relevant seizures missed on scalp EEG after traumatic intracranial hemorrhage.

Epileptic Disord 2018 Dec 10. Epub 2018 Dec 10.

Department of Neurology, Mayo Clinic, Rochester, Minnesota, USA.

Seizures and other electrophysiological disturbances are an under-recognized cause of coma, focal deficits, and prolonged encephalopathy following subdural hematoma evacuation. In these patients, it is possible that seizures remain unrecognized on scalp EEG. It has been shown that a high burden of seizures and other electrophysiological disturbances exist following surgical evacuation and underlie the encephalopathy commonly seen in this patient population, predisposing them to medical complications and confounding estimates of prognosis. Read More

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December 2018

Minimally invasive open-window thoracostomy using wound edge protectors.

Ann Thorac Surg 2018 Dec 5. Epub 2018 Dec 5.

Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, 371-8511, Japan.

We herein report the technical details of minimally invasive open-window thoracostomy using wound edge protectors for postoperative pyothorax following bronchopleural fistula with acute exacerbation of idiopathic pulmonary fibrosis under epidural and local anesthesia. Read More

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December 2018

Infectious Spondylitis Mimics: Mechanisms of Disease and Imaging Findings.

Authors:
Humberto Morales

Semin Ultrasound CT MR 2018 Dec 15;39(6):587-604. Epub 2018 Nov 15.

Section of Neuroradiology, University of Cincinnati Medical Center, Cincinnati, OH. Electronic address:

Infectious processes of the spine are on the rise; in this scenario recognition of entities imitating infection is very important. The discovertebral unit is regarded as one of the most important and active sites in the spine. Importantly, the vertebral bony rim and the anterior corners of the vertebral bodies have significant vascularization, they are the last regions to ossify in the developmental process and suffer mechanical forces. Read More

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December 2018

Spinal arachnoiditis ossificans: report of a quadruple triggered case.

World Neurosurg 2018 Dec 3. Epub 2018 Dec 3.

Department of Neurological Surgery, Policlinico "G. Rodolico" University Hospital, Via Santa Sofia 86, 95123 - Catania, Italy.

Background: Arachnoiditis ossificans (AO) is a rare condition often associated with previous spine surgery. Here we describe a unique case of a patient affected by ankylosing spondylitis (AS), presenting with progressive neurological deterioration due to AO. We also review the literature on evaluation and management of patients suffering from AO. Read More

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December 2018
2 Reads

Ultrasound-guided selective nerve root block versus fluoroscopy-guided interlaminar epidural block for the treatment of radicular pain in the lower cervical spine: a retrospective comparative study.

J Ultrasound 2018 Dec 5. Epub 2018 Dec 5.

Department of Physical Medicine and Rehabilitation, Sanggye Paik Hospital, Inje University College of Medicine, Sanggye 7 dong 761-7, Nowon-gu, 139-707, Seoul, South Korea.

Purpose: Recent studies have compared the therapeutic efficacy and safety of the procedure using ultrasound and fluoroscopy. However, there are no published studies comparing the therapeutic efficacy and safety of fluoroscopy (FL)-guided cervical interlaminar epidural steroid injection (CIESI) with that of ultrasound (US)-guided selective nerve root block (SNRB). This study aimed to compare the mid-term effects and advantages of US-guided SNRB with FL-guided CIESI for radicular pain in the lower cervical spine through assessment of pain relief and functional improvement. Read More

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December 2018

Thoracic epidural analgesia (TEA) versus patient-controlled analgesia (PCA) in laparoscopic colectomy: a systematic review and meta-analysis.

Int J Colorectal Dis 2018 Dec 5. Epub 2018 Dec 5.

Department of Surgery, University Hospital of Larissa, Mezourlo, 41110, Larissa, Greece.

Purpose: A meta-analysis of RCTs was designed to provide an up-to-date comparison of thoracic epidural analgesia (TEA) and patient-controlled analgesia (PCA) in laparoscopic colectomy.

Methods: Our study was completed following the PRISMA guidelines and the Cochrane Handbook for Systematic Reviews of Interventions. A systematic literature screening was performed in MEDLINE and Web of Science. Read More

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December 2018

ED of intrathecal ropivacaine for cesarean delivery with and without epidural volume extension with normal saline: a randomized controlled study.

Authors:
M Lv P Zhang Z Wang

J Pain Res 2018 8;11:2791-2796. Epub 2018 Nov 8.

Institute of Clinical Research, Jiaxing university, Jiaxing, China,

Background: It was reported that epidural volume extension could decrease the ED of intrathecal plain bupivacaine. In this study, we investigated the ED of intrathecal hyperbaric ropivacaine followed by epidural normal saline bolus for cesarean section.

Methods: Sixty parturients were allocated into two groups in this prospective study. Read More

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November 2018

An exploratory study of the effect of labor pain management on postpartum depression among Chinese women.

Ginekol Pol 2018 ;89(11):627-636

Department of Nursing, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou, China; Department of Nursing, Haining Maternal and Child Health Care Hospital, Haining, China.

Objectives: The purpose of this study was to investigate the effects of pain relief during labor on the occurrence of potential postpartum depression in early postpartum among Chinese women.

Material And Methods: A quasi-experimental study used, with a convenience sample of 565 women who delivered at the Women's Hospital, School of Medicine. Three types of pain relief were administered based on the women's preference (doula, n = 301; transcutaneous electrical nerve stimulation, n = 51; epidural analgesia, n = 213). Read More

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January 2018
1 Read

Nonintubated surgical biopsy of undetermined interstitial lung disease: a multicentre outcome analysis.

Interact Cardiovasc Thorac Surg 2018 Dec 1. Epub 2018 Dec 1.

Section of Biostatistics, Tor Vergata University, Rome, Italy.

Objectives: Nonintubated surgical biopsy (NISB) of interstitial lung disease (ILD) has shown promise in unicentre reports as a reliable method to achieve pathological diagnosis with low morbidity. The aim of this study was to investigate for the first time early outcomes of NISB of ILD using a multicentre retrospective analysis.

Methods: Seven European and extra-European institutions participated in the study. Read More

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December 2018
1 Read

Post Dengue Fever Epidural Abscess With or Without Spondylodiscitis: A Case Series of Eight Patients in a Single Season in a Single Center: Does the Dengue Have a Predilection for the Neural Tissue?

Spine (Phila Pa 1976) 2018 Dec;43(24):E1454-E1462

Aster MIMS Hospital, Calicut, Kerala, India.

Study Design: A retrospective case series.

Objective: The aim of this study was to report the immunosuppression and secondary bacterial infection after dengue viral infection and the predilection of these infections in the spine. This can trigger further research in to this fact. Read More

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December 2018
1 Read

A review of the role of epidural percutaneous neuroplasty.

Pain Manag 2018 Dec 3. Epub 2018 Dec 3.

Vice Chair for Research & Education, Department of Anesthesiology & Pain Management, Advocate Illinois Masonic Medical Center, Chicago, IL 60657, USA.

Degeneration, whether from age or postsurgical, in the ventral and lateral epidural space can lead to irritation of both the nerve roots and of the nerves present in the epidural space, the peridural membrane and the posterior longitudinal ligament. This irritation is often accompanied by mild scarring. Neuroplasty is a specific procedure designed to relieve this irritation. Read More

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December 2018

Patient intermittent epidural boluses (PIEB) plus very low continuous epidural infusion (CEI) versus patient-controlled epidural analgesia (PCEA) plus continuous epidural infusion (CEI) in primiparous labour: a randomized trial.

J Clin Monit Comput 2018 Nov 30. Epub 2018 Nov 30.

Department of Anesthesia and Surgical Critical Care, Hospital Universitario Rio Hortega (HURH), C/Dulzaina 2, 47012, Valladolid, Spain.

Epidural maintenance technique for labour analgesia updates constantly. Thanks to infusion pumps, the recently developed programmed intermittent epidural bolus (PIEB) may reduce the use of anesthetic drugs and minimize unintended consequences such as cardio or neurotoxicity. Nevertheless, it is not yet a general practice. Read More

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November 2018

A rare cause of spinal extramedullary compression: An epidural bullet.

Neurol India 2018 Nov-Dec;66(6):1842-1843

Department of Radiology, Military Hospital of Tunis, Montfleury, Tunisia.

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December 2018

Prognostic Factors and a Survival Score in Patients Irradiated for Metastatic Epidural Spinal Cord Compression from Urothelial Carcinoma Cancer of the Bladder.

Anticancer Res 2018 Dec;38(12):6841-6846

Department of Radiation Oncology, Mayo Clinic, Scottsdale, AZ, U.S.A.

Background/aim: Prognoses of patients with metastatic epidural spinal cord compression (MESCC) from urothelial carcinoma of the bladder are generally poor. This study aimed to identify prognostic factors that can facilitate personalized care of these patients.

Patients And Methods: In 46 patients, 10 factors were evaluated for overall response (OR), post-radiotherapy (RT) ambulatory status, local control of MESCC and overall survival (OS). Read More

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December 2018

Epidural anesthesia and analgesia in small animal practice: An update.

Authors:
F Garcia-Pereira

Vet J 2018 Dec 11;242:24-32. Epub 2018 Sep 11.

Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, 2015 SW 16th Avenue, Gainesville, FL, 32610 USA. Electronic address:

Epidural anesthesia is a commonly performed technique in both human and veterinary medicine. The technique is relatively simple following appropriate training and provides anesthesia and analgesia for acute and chronic pain. Several drug combinations have been administered by this route with variable success and duration. Read More

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December 2018

Three Epidural Steroid Techniques.

PM R 2018 Nov;10(11):1271-1278

Department of Rehabilitation Medicine, Center for Comprehensive Spine Care, Weill Cornell Medicine, 525 E 68th Street, 16th Floor, New York, NY 10065(‖). Electronic address:

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November 2018

Hepatic retractor in an ex vivo model1.

Acta Cir Bras 2018 Nov;33(11):975-982

MD, Holy House of Mercy of Fortaleza, Professional Master's Degree Program in Minimally Invasive Technology and Simulation in Health, UNICHRISTUS, Fortaleza-CE, Brazil. Conception and design of the study, interpretation and analysis of data, critical revision, final approval.

Purpose: To discuss the use of models of hepatic retraction by laparoscopy, to present a new Hepatic Retractor (HR) and to evaluate its practicality, efficacy and safety in Esophageal Hiatus Exposure (EHE).

Methods: Experimental cross - sectional study with a quantitative character. It was carried out in the Laboratory of Health Training of Christus University Center. Read More

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November 2018
2 Reads

Comparison of the Effects of Epidural Analgesia and Patient-controlled Intravenous Analgesia on Postoperative Pain Relief and Recovery After Laparoscopic Gastrectomy for Gastric Cancer.

Surg Laparosc Endosc Percutan Tech 2018 Dec 3. Epub 2018 Dec 3.

Departments of Gastroenterological Surgery.

Purpose: Epidural analgesia (EDA) is an imperative modality for postoperative pain relief after major open abdominal surgery. However, whether EDA has benefits in laparoscopic surgery has not been clear. In this study, the effects of EDA and patient-controlled intravenous analgesia (PCIA) after laparoscopic distal gastrectomy (LDG) were compared. Read More

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December 2018

PET/CT and MR Features of Infiltrating Spinal Angiolipoma.

Clin Nucl Med 2018 Dec 3. Epub 2018 Dec 3.

From the Department of Nuclear Medicine, West China Hospital of Sichuan University, Sichuan, People's Republic of China.

Spinal angiolipomas are benign tumors predominantly found in the epidural space. Infiltrating spinal angiolipoma is an extremely rare type, which tends to invade the surrounding tissue and may mimic an aggressive tumor. Herein, we reported the case of a 64-year-old woman with a thoracic angiolipoma involving the T9 vertebral body and its appendix. Read More

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December 2018
2 Reads

Thoracic epidural hematoma.

Can J Anaesth 2018 Dec 4. Epub 2018 Dec 4.

Department of Medicine, Section of Anaesthesiology and Intensive Care, University of Padua, Padua, Italy.

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December 2018

Prefrontal Cortical Stimulation in Tourette Disorder: Proof-of-concept Clinical and Neuroimaging Study.

Mov Disord Clin Pract 2018 Sep-Oct;5(5):499-505. Epub 2018 Oct 3.

Department of Neurology Catholic University of the Sacred Heart Milan Italy.

Background: The benefits of neurosurgery in Tourette Syndrome (TS) are still incompletely understood. Prefrontal cortical electrical stimulation offers a less invasive alternative to deep brain stimulation.

Objective: To perform a pilot assessment on safety and efficacy of prefrontal cortical bilateral electrical stimulation in TS using clinical and brain metabolic assessments. Read More

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October 2018
1 Read

Surgery on cervical folds for transcervical intrauterine artificial insemination with frozen-thawed semen enhances pregnancy rates in the sheep.

Theriogenology 2018 Nov 22;126:28-35. Epub 2018 Nov 22.

Section of Obstetrics and Gynecology, Department of Veterinary Medicine, University of Sassari, Sassari, Italy.

In sheep industry, genetic progress rate achieved by artificial insemination (AI) is limited by the convoluted anatomy of the cervix, which does not allow the passage of an insemination catheter for uterine semen deposition. The aim of this study was to test, in 98 pregnant at term Sarda ewes, the effects of: Experiment 1) total or partial ablation of cervical folds and Experiment 2) 4 or 2 incisions of cervical folds, on the passage of an insemination catheter, deposition of frozen-thawed semen and pregnancy rates. Surgical procedures were performed within 24 h from parturition providing deep sedation and epidural anaesthesia. Read More

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November 2018

MRI Guidance Technology Development in a Large Animal Model for Hyperlocal Analgesics Delivery to the Epidural Space and Dorsal Root Ganglion.

J Neurosci Methods 2018 Dec 1. Epub 2018 Dec 1.

Department of Anesthesiology, Mayo Graduate School, Mayo Clinic, Rochester, MN, 55902, USA; Department of Oncology, Mayo Clinic, Mayo Graduate School, Mayo Clinic, Rochester, MN, 55902, USA; Translational Science Track, Mayo Graduate School, Mayo Clinic, Rochester, MN, 55902, USA. Electronic address:

Background: Development of new analgesic drugs or gene therapy vectors for spinal delivery will be facilitated by "hyperlocal" targeting of small therapeutic injectate volumes if spine imaging technology can be used that is ready for future clinical translation.

New Method: This study provides methods for MRI-guided drug delivery to the periganglionic epidural space and the dorsal root ganglion (DRG) in the Yucatan swine.

Results: Phantom studies showed artifact-corrected needle localization with frequency encoding parallel to the needle shaft, while maximizing bandwidth (125 KHz) minimized needle artifact. Read More

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December 2018
4 Reads

At the birth of pediatric anesthesia in Mexico: An interview with Dr. Estela Melman, a pioneering woman in medicine.

Paediatr Anaesth 2018 Dec;28(12):1066-1070

Department of Anesthesiology, Children's Hospital Colorado, University of Colorado, Aurora, Colorado.

Dr. Estela Melman (1939-present), Professor in the Department of Anesthesiology, the American British Cowdray Medical Center, Mexico, is an influential pioneer who has shaped the scope and practice of pediatric anesthesia in Mexico and throughout the world. Her early work to reintroduce neural blockade into routine pediatric anesthetic care, particularly the caudal approach to the epidural space, helped to transform current anesthesia practice. Read More

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December 2018
1 Read

A case of extensive epidural abscess concomitant with intracranial involvement due to successfully treated with ceftriaxone in combination with linezolid and rifampin.

eNeurologicalSci 2019 Mar 22;14:1-3. Epub 2018 Nov 22.

Department of Neurology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465, Kajii-chou, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-0841, Japan.

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Report on Implementation, Use, and Sustainability of a Labor Epidural Service in Georgetown, Guyana.

J Educ Perioper Med 2018 Jul-Sep;20(3):E626. Epub 2018 Jul 1.

Background: The use of epidural analgesia for laboring women is generally unavailable at public hospitals in Guyana despite favorable utilization rates in private institutions. In 2014, a healthcare team completed a targeted mission aimed at neuraxial analgesia training of providers at the preeminent public hospital in Georgetown, Guyana. This study evaluates the impact of the training, including provider attitudes, use, and barriers. Read More

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A 10-year update: national survey questionnaire of obstetric anesthesia units in Israel.

Int J Obstet Anesth 2018 Nov 2. Epub 2018 Nov 2.

Department of Anesthesiology, Perioperative Medicine & Pain Treatment, Shaare Zedek Medical Center, Affiliated with the Hadassah-Hebrew University Medical School Ein-Kerem, Jerusalem, Israel.

Background: This nationwide survey was conducted to provide data about the obstetric anesthesia services in Israeli labor and delivery units in 2016.

Methods: Prospective survey questionnaire was emailed to obstetric anesthesia unit directors/chairperson of all 25 labor and delivery services units within the jurisdiction of the Israeli Ministry of Health.

Results: The response rate was 100%. Read More

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November 2018

Comparison of calculated lumbosacral epidural volumes of injectate using a dose regimen based on body weight versus length of the vertebral column in dogs.

Vet Anaesth Analg 2018 Oct 22. Epub 2018 Oct 22.

Department of Clinical Studies, Ontario Veterinary College, University of Guelph, Guelph, ON, Canada.

Objective: To compare volumes for epidural injection calculated on body weight or the length from sacrococcygeal space to occipital crest in dogs.

Study Design: Prospective study.

Animals: A total of 431 dogs weighing mean ± standard deviation (range) 24. Read More

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October 2018

Safety and Effectiveness of Transforaminal Epiduroscopic Laser Ablation in Single Level Disc Disease: A Case-Control Study.

Pain Physician 2018 Nov;21(6):E643-E650

Department of Neurosurgery, Spine and Spinal Cord Research Institute, Yonsei University College of Medicine, Seoul, Korea.

Background: The non-operative treatment of herniated intervertebral discs has long been a fundamental challenge. A novel technique of laser ablation to ablate the nucleus pulposus under a transforaminal epiduroscope (TELA system, Lutronics, Seoul, Republic of Korea) was recently developed.

Objective: The purpose of this study was to evaluate the safety and effectiveness of transforaminal epiduroscopic laser ablation (TELA) for selective ablation of the nucleus pulposus in single-level disc disease. Read More

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November 2018
2 Reads

Percutaneous Epidural Adhesiolysis Using Inflatable Balloon Catheter and Balloon-less Catheter in Central Lumbar Spinal Stenosis with Neurogenic Claudication: A Randomized Controlled Trial.

Pain Physician 2018 Nov;21(6):593-606

Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.

Background: When conventional interventional procedures fail, percutaneous epidural adhesiolysis (PEA), which has moderate evidence for successful treatment of lumbar spinal stenosis (LSS), has been recommended over surgical treatments. In a previous study, we demonstrated the efficacy of a newly developed inflatable balloon catheter for overcoming the access limitations of pre-existing catheters for patients with severe stenosis or adhesions.

Objectives: This study compared the treatment response of combined PEA with balloon decompression and PEA only in patients with central LSS over 6 months of follow-up. Read More

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November 2018

Do Regenerative Medicine Therapies Provide Long-Term Relief in Chronic Low Back Pain: A Systematic Review and Metaanalysis.

Pain Physician 2018 Nov;21(6):515-540

Massachusetts General Hospital and Harvard Medical School, Boston, MA.

Background: Several cell-based therapies have been proposed in recent years the management of low back pain, including the injection of medicinal signaling cells or mesenchymal stem cells (MSCs) and platelet-rich plasma (PRP). However, there is only emerging clinical evidence to support their use at this time.

Objective: To assess the effectiveness of MSCs or PRP injections in the treatment of low back and lower extremity pain. Read More

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November 2018

On Depression and Cervical Epidural Steroids.

Authors:
Nikolai Bogduk

Pain Med 2018 Nov 29. Epub 2018 Nov 29.

Spine Section Editor, The University of Newcastle, Newcastle, Australia.

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November 2018
2 Reads

Albumin and Spinal Epidural Abscess: Derivation and Validation in Two Independent Datasets.

World Neurosurg 2018 Nov 27. Epub 2018 Nov 27.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School. Electronic address:

Background: None of the existing prognostic scoring systems in spinal epidural abscess (SEA) include albumin despite albumin's established role in inflammation, nutrition, lipid peroxidation, and regulation of apoptosis. The purpose of this study was to determine the prognostic value of albumin in SEA.

Methods: This was a retrospective, case-control study of two independent datasets. Read More

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November 2018
1 Read

T2-blackout effect on DWI as a sign of early bone infarct and sequestration in a patient with sickle cell disease.

Clin Imaging 2018 Nov 15;54:15-20. Epub 2018 Nov 15.

Department of Radiology, University of Florida, Gainesville, FL, United States of America.

Differentiation of bone infarct from osteomyelitis is one of the most challenging issues in the evaluation of acute bone pain in sickle cell patients. The imaging modalities that are currently being used for assessment of bone marrow in this population have several limitations. We present a case of an 18-year-old male with a history of sickle cell disease, who was transferred to our emergency department with progressively severe headache and jaw pain for one-week. Read More

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November 2018
2 Reads

Clinical Factors Associated With Practice Variation in Discharge Opioid Prescriptions After Pancreatectomy.

Ann Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.

Objective: To characterize opioid discharge prescriptions for pancreatectomy patients.

Background: Wide variation in and over-prescription of opioids after surgery contribute to the United States opioid epidemic through persistent use past the postoperative period. Objective strategies guiding discharge opioid prescriptions for oncologic surgery are lacking, and factors driving prescription amount are not fully delineated. Read More

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November 2018
1 Read

[Disc hernia regression as a natural course of discogenic lumbosacral radiculopathy].

Zh Nevrol Psikhiatr Im S S Korsakova 2018 ;118(10):58-62

Sechenov First Moscow State Medical University, Moscow, Russia.

Disc herniation with radiculopathy is a common cause of severe back pain leading to significant disability and a decrease in patients' quality of life. The authors report a case of 38-year-old female patient with radiculopathy of the first sacral root due to a large (11 mm) sequestered disc herniation between the fifth lumbar and the first sacral vertebrae. Conservative treatment with fluoroscopically-guided epidural steroid injection provided a significant clinical improvement, the patient was able to return to normal daily and professional activity in a short time. Read More

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January 2018
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Persistent radiculopathy after surgical treatment for lumbar disc herniation: causes and treatment options.

Int Orthop 2018 Nov 29. Epub 2018 Nov 29.

Department of Orthopedic Surgery, Division of Spine Surgery, Newton Wellesley Hospital, Newton, MA, 02462, USA.

Purpose: Lumbar disc surgery is a common procedure in the USA. It is frequently performed with good or excellent results in most patients. This article reviews common causes of persistent radiculopathy after surgical intervention. Read More

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November 2018
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