Search our Database of Scientific Publications and Authors

I’m looking for a

    8537 results match your criteria LP Lumbar Puncture

    1 OF 171

    Real time optic nerve sheath diameter measurement during lumbar puncture.
    Am J Emerg Med 2018 Jan 10. Epub 2018 Jan 10.
    NYMC, Metropolitan Hospital Center, Department of Emergency Medicine, New York, NY, United States.
    Measurement of optic nerve sheath diameter (ONSD) using point of care ultrasound has been used to indirectly assess the intracranial pressure (ICP) particularly in conditions where it is raised. Direct pressure measurements using probes reaching the ventricle system correlated with ONSD using ultrasound. Attempts were made to measure the ONSD pre and post lumbar puncture (LP) after draining cerebrospinal fluid (CSF) as well as post ventricular shunt placement. Read More

    Conventional Radiofrequency Thermocoagulation vs Pulsed Radiofrequency Neuromodulation of Ganglion Impar in Chronic Perineal Pain of Nononcological Origin.
    Pain Med 2018 Jan 10. Epub 2018 Jan 10.
    Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College Hospital, Aligarh Muslim University, Aligarh, India.
    Background: Chronic nononcological perineal pain has been effectively managed by ganglion Impar block. Chemical neurolysis, cryoablation, and radiofrequency ablation have been the accepted methods of blockade. Recently, pulsed radiofrequency, a novel variant of conventional radiofrequency, has been used for this purpose. Read More

    [Dose-response relationship of ropivacaine for epidural block in early herpes zoster guided by CT].
    Zhonghua Yi Xue Za Zhi 2017 Dec;97(48):3783-3786
    Department of Pain Management, the First Hospital of Jiaxing, Jiaxing 314000, China.
    Objective: To determine the dose-response relationship of ropivacaine for epidural block in early herpes zoster by CT guided. Methods: From January 2015 to February 2017, according to the principle of completely random digital table, 80 patients with early herpes zoster who were prepared for epidural block were divided into 4 groups(each group 20 patients): in group A the concentration of ropivacaine was 0.08%, in group B was 0. Read More

    Biomarkers in Spinal Cord Injury: from Prognosis to Treatment.
    Mol Neurobiol 2018 Jan 6. Epub 2018 Jan 6.
    Instituto Estadual do Cérebro Paulo Niemeyer, Rua do Rezende 156, Rio de Janeiro, RJ, Brazil.
    Spinal cord injury (SCI) is considered an incurable condition, having a heterogenous recovery and uncertain prognosis. Therefore, a reliable prediction of the improvement in the acute phase could benefit patients. Physicians are unanimous in insisting that at the initial damage of the spinal cord (SC), the patient should be carefully evaluated in order to help selecting an appropriate neuroprotective treatment. Read More

    Iatrogenic Spinal Subarachnoid Hematoma after Diagnostic Lumbar Puncture.
    Korean J Spine 2017 Dec 31;14(4):158-161. Epub 2017 Dec 31.
    Department of Neurosurgery, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan, Korea.
    Spinal subarachnoid hematoma (SSH) following diagnostic lumbar puncture is very rare. Generally, SSH is more likely to occur when the patient has coagulopathy or is undergoing anticoagulant therapy. Unlike the usual complications, such as headache, dizziness, and back pain at the needle puncture site, SSH may result in permanent neurologic deficits if not properly treated within a short period of time. Read More

    Bedside Ultrasound for the Evaluation of Epidural Hematoma After Infant Lumbar Puncture.
    Pediatr Emerg Care 2018 Jan 2. Epub 2018 Jan 2.
    Background: Unsuccessful lumbar puncture (LP) attempts may lead to epidural hematoma (EH) formation within the spinal canal at the site of needle insertion, which can affect subsequent attempts. We aimed to determine the rate of EH formation after infant LP using bedside ultrasound (US). Furthermore, we aimed to correlate both perceived trauma during LP and cerebral spinal fluid (CSF) red blood cell (RBC) counts with EH formation. Read More

    Traumatic Neonatal Lumbar Punctures: Experience at a Large Pediatric Tertiary Care Center in Canada.
    Am J Perinatol 2017 Dec 29. Epub 2017 Dec 29.
    Division of Infectious and Immunological Diseases, Department of Pediatrics, BC Children's Hospital, Vancouver, British Columbia, Canada.
    Objective:  Contamination of cerebrospinal fluid (CSF) by blood during neonatal lumbar puncture (LP) is common and poses diagnostic difficulties. Our objectives were to determine the number of traumatic LPs performed at the BC Children's Hospital over 9 years and whether there was an association between traumatic LPs and demographic variables, hospital location, or time of the procedure.

    Study Design:  This study was a retrospective review of neonatal CSF samples from May 2006 to March 2015. Read More

    Massive lumbar spine hematoma post-spinal tap.
    Surg Neurol Int 2017 6;8:293. Epub 2017 Dec 6.
    Division of Neurosurgery, Department of Surgery, McMaster University, Hamilton, Canada.
    Background: Lumbar puncture is a well-known procedure. The indications for lumbar puncture vary among different medical and surgical disciplines, though obtaining a sample for cerebrospinal fluid analysis is the most common one. A normal coagulation profile is crucial prior to pursing the procedure. Read More

    Role of Oral Prednisolone in the Management of Postdural Puncture Headache after Spinal Anesthesia in Urological Patients.
    Anesth Essays Res 2017 Oct-Dec;11(4):1075-1078
    Fortis Escorts, Okhla, Delhi, India.
    Background And Aims: Postdural puncture headache (PDPH) is a frequently encountered complication of spinal anesthesia and may be associated with significant morbidity in some patients. Parenteral corticosteroids have been used in the management of PDPH both prophylactically and after the occurrence of headache. The aim of this study was to evaluate the effect of oral prednisolone in the management of PDPH after spinal anesthesia in urological patients. Read More

    CSF inflammatory markers and neurocognitive function after addition of maraviroc to monotherapy darunavir/ritonavir in stable HIV patients: the CINAMMON study.
    J Neurovirol 2017 Dec 26. Epub 2017 Dec 26.
    Chelsea and Westminster NHS Foundation Trust and St Stephen's AIDS Trust, 4th Floor, St Stephen's Centre, Chelsea and Westminster Hospital, 369 Fulham Road, London, SW10 9NH, UK.
    CINAMMON is a phase IV, open-label, single-arm, pilot study assessing maraviroc (MVC) in the central nervous system (CNS) when added to darunavir/ritonavir monotherapy (DRV/r) in virologically suppressed HIV-infected subjects. CCR5 tropic participants on DRV/r were recruited. Participants remained on DRV/r for 12 week (w) (control phase). Read More

    Disseminated Nontuberculous Mycobacterial Infection in a Patient with Anti-IFN-γ Autoantibodies.
    Acta Med Okayama 2017 Dec;71(6):547-552
    Department of Internal Medicine, Tottori Municipal Hospital, Tottori 680-8501,
    We treated a 72-year-old Japanese female with sustained high fever and overall body exhaustion. An infectious liver cyst and right lung pneumonia were suspected causes. Hepatic cystectomy and various antibiotics did not resolve symptoms. Read More

    Effect of 24-Hour Bed Rest versus Early Ambulation on Headache after Spinal Anesthesia: Systematic Review and Meta-analysis.
    Pain Manag Nurs 2017 Dec 18. Epub 2017 Dec 18.
    College of Nursing, Chungnam National University, Daejeon, Republic of Korea. Electronic address:
    We performed a systematic review of the evidence for the effectiveness of bed rest after dural puncture to update current evidence on the topic. The design was a systematic review and meta-analysis. We searched 10 electronic databases in English (Medline, CINAHL, EMBASE, and the Cochrane Controlled Trial Register) and Korean (KISS, KMBASE, NDSL, and RISS) using the terms "post-dural puncture headache," "spinal anesthesia," "epidural anesthesia," and "bed rest" to identify reports discussing the effectiveness of bed rest in preventing post-dural puncture headache (PDPH) after spinal anesthesia from 1980 to 2014. Read More

    Post-traumatic acute thoracic aortic injury (TAI)-a single center experience.
    J Thorac Dis 2017 Nov;9(11):4477-4485
    Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland.
    Background: We assess the effectiveness and our experience in emergency thoracic endovascular aortic repair (TEVAR) in patients with post-traumatic acute thoracic aortic injury (TAI) and associated multiorgan trauma. TAI is a life-threatening condition. It usually results from a sudden deceleration caused by vehicle accident, a fall or some other misfortune. Read More

    Proper training and use of ultrasonography facilitates lumbar puncture.
    Scand J Trauma Resusc Emerg Med 2017 Dec 20;25(1):121. Epub 2017 Dec 20.
    Department of Anesthesiology, Pain and Palliative Medicine, Radboud university medical center, Nijmegen, The Netherlands.
    With great interest, we read the study of Line Dussourd et al. concluding that ultrasonography allows better identification of anatomical structures before performing a lumbar puncture. We cannot concur with the conclusions of the study because the authors did not visualize the conus medullaris directly, nor did they assess the individual intervertebral levels. Read More

    Utility of intracranial pressure monitoring for diagnosis of Idiopathic Intracranial Hypertension in the absence of papilledema.
    World Neurosurg 2017 Dec 16. Epub 2017 Dec 16.
    Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon. Electronic address:
    Background: Idiopathic intracranial hypertension (IIH) is characterized by headaches, visual obscurations, and papilledema, while diagnosis involves lumbar puncture (LP) with an elevated opening pressure (OP) ≥ 20cm H20. When papilledema is absent, diagnosis becomes less clear. Some physicians have argued that absence of papilledema rules out IIH, while others maintain that elevated OP is sufficient for diagnosis. Read More

    Secondary intracranial hypertension (pseudotumor cerebri) presenting as post-traumatic headache in mild traumatic brain injury: a case series.
    Childs Nerv Syst 2017 Dec 11. Epub 2017 Dec 11.
    Department of Applied Physiology and Wellness, Southern Methodist University, 3101 University Boulevard, Dallas, TX, USA.
    Background: Cerebral edema peaks 36-72 h after moderate traumatic brain injury but thought to be uncommon after mild traumatic brain injury. Post-traumatic headache can develop 48-72 h post-injury, perhaps reflecting the developing cerebral edema. Pseudotumor cerebri can result from various causes, including cerebral edema, and is characterized by increased intracranial pressure, headache, visual, and other common symptoms. Read More

    Ethical Challenges Confronted When Providing Nusinersen Treatment for Spinal Muscular Atrophy.
    JAMA Pediatr 2017 Dec 11. Epub 2017 Dec 11.
    Department of Medical Ethics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
    The US Food and Drug Administration's December 2016 approval of nusinersen for the treatment of patients with all subtypes of spinal muscular atrophy ushered in a new era for patients with spinal muscular atrophy, their families, and all those involved in their care. The extreme cost of the medication and the complicated logistical requirements for administering nusinersen via lumbar puncture have created practical challenges that raise important ethical considerations. We discuss 6 challenges faced at the institutional level in the United States: cost, limited evidence, informed consent, treatment allocation, fair distribution of responsibilities, and transparency with stakeholders. Read More

    Determinants of Computed Tomography Head Scan Ordering for Patients with Low-Risk Headache in the Emergency Department.
    Cureus 2017 Oct 9;9(10):e1760. Epub 2017 Oct 9.
    Emergency Medicine, University of Calgary.
    Background Many specialty societies have found that neuroimaging in headache is a low-value intervention for benign presentations. This study describes factors that influence Emergency Room (ER) physicians' adherence to Choosing Wisely (CW) recommendations for low-risk headache patients presenting to Calgary's Emergency Departments (EDs). Emergency medicine has yet to address imaging in headache as a CW topic; however, this study may inform that decision. Read More

    Early lumbar puncture and risk of intraventricular hemorrhage in very low birth weight infants.
    Early Hum Dev 2017 Dec 5;117:1-6. Epub 2017 Dec 5.
    Duke Clinical Research Institute, Durham, NC, United States; Dept. of Pediatrics, Duke University, Durham, NC, United States. Electronic address:
    Background: Lumbar puncture (LP) is the gold standard for diagnosing meningitis; however it is unknown whether early LP (≤3days of life) is associated with increased risk of intraventricular hemorrhage (IVH) in very low birth weight (VLBW) infants.

    Objective: To determine whether early LP in VLBW infants is associated with severe IVH.

    Methods: VLBW infants from a cohort of 1,158,789 infants discharged from 382 neonatal intensive care units (1997-2015) were enrolled. Read More

    Single-center experience with intrathecal administration of Nusinersen in children with spinal muscular atrophy type 1.
    Eur J Paediatr Neurol 2018 Jan 21;22(1):122-127. Epub 2017 Nov 21.
    Department of Neuropediatrics and Muscle Disorders, Medical Center - University of Freiburg, Faculty of Medicine, University of Freiburg, Germany. Electronic address:
    Background: Spinal muscular atrophy (SMA) is a neuromuscular disorder mainly characterized by proximal muscle weakness. There have been enormous advances in therapeutic development with the possibility to influence the clinical course of the disease. Nusinersen is the first approved drug to treat SMA. Read More

    Lumbar Spine Anatomy in Women Sustaining Unintentional Dural Puncture During Labor Epidural Placement: A Descriptive Study Using Magnetic Resonance Imaging and Ultrasound.
    Reg Anesth Pain Med 2018 Jan;43(1):92-96
    Background And Objectives: Unintentional dural puncture is one of the most frequent complications of the epidural technique. One previous study suggested that atypical sonoanatomy of the ligamentum flavum/dura mater unit may be a risk factor for this complication. In this study, we describe the anatomy of the lumbar spine, assessed by magnetic resonance imaging (MRI) and ultrasound, in women sustaining unintentional dural puncture during epidural catheter placement for labor analgesia. Read More

    Refractory intracranial hypertension in traumatic brain injury: Proposal for a novel score to assess the safety of lumbar cerebrospinal fluid drainage.
    Surg Neurol Int 2017 1;8:265. Epub 2017 Nov 1.
    Department of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
    Background: Cerebrospinal fluid (CSF) drainage via ventricular puncture is an established therapy of elevated intracranial pressure (ICP). In contrast, lumbar CSF removal is believed to be contraindicated with intracranial hypertension.

    Methods: We investigated the safety and efficacy of lumbar CSF drainage to decrease refractory elevated ICP in a small cohort of patients with traumatic brain injury (TBI). Read More

    Approach to Chronic Secondary Headache: A Case Report on Unusual Drug Side Effects.
    Iran J Med Sci 2017 Nov;42(6):611-614
    Atherosclerosis and Coronary Artery Research Center, Birjand University of Medical Sciences, Birjand, Iran.
    In this article, we present the case of a 12-year-old female child who complained of bilateral temporal and frontal headache for 2 to 3 months with nausea and vomiting. Physical examination revealed right-sided sixth cranial nerve palsy and papilledema in ophthalmoscopy. To find the cause of increased intracranial pressure, the patient underwent brain imaging and brain MRI showed no abnormality. Read More

    Kikuchi-Fujimoto disease: an unusual presentation of meningitis in a returning traveller.
    BMJ Case Rep 2017 Nov 23;2017. Epub 2017 Nov 23.
    School of Medicine, University of Virginia, Charlottesville, Virginia, USA.
    A 19-year-old, previously healthy woman developed a pruritic erythematous maculopapular rash on her bilateral palms and wrists, right-sided tender cervical lymphadenopathy and nightly fevers and headaches 5 days after returning from a 1-month trip to Cambodia. She presented 2 weeks after her trip due to ongoing nightly fevers to a maximum of 38.8°C. Read More

    Superficial siderosis of central nervous system with unknown cause: report of 2 cases and review of the literature.
    Br J Neurosurg 2017 Nov 21:1-4. Epub 2017 Nov 21.
    a Department of Neurology , The Affiliated Hospital of Xuzhou Medical University , Xuzhou , China.
    Objective: To report 2 cases of superficial siderosis of central nervous system (SS-CNS) and a review of the literature.

    Methods: We have analyzed the clinical data and relevant features of two patients with SS-CNS who were presented with ataxia and slurred speech. Both patients undertook blood tests, lumbar puncture, head CT (computer tomography) scans, and brain and spinal cord magnetic resonance (MR) scans. Read More

    A Randomized Double Blind Trial of Needle-free Injected Lidocaine Versus Topical Anesthesia for Infant Lumbar Puncture.
    Acad Emerg Med 2017 Nov 20. Epub 2017 Nov 20.
    Department of Emergency Medicine, Denver Health and Hospital Authority, Denver, CO.
    Objectives: Lumbar punctures (LPs) are commonly performed in febrile infants to evaluate for meningitis, and local anesthesia increases the likelihood of LP success. Traditional methods of local anesthesia require injection that may be painful or topical application that is not effective immediately. Recent advances in needle-free jet injection may offer a rapid alternative to these modalities. Read More

    Development of an In Vivo Mouse Model of Discogenic Low Back Pain.
    J Cell Physiol 2017 Nov 18. Epub 2017 Nov 18.
    Departments of Biochemistry, Rush University Medical Center, Chicago, Illinois, USA.
    Discogenic Low back pain (DLBP) is extremely common and costly. Effective treatments are lacking due to DLBP's unknown pathogenesis. Currently, there are no in vivo mouse models of DLBP, which restricts research in this field. Read More

    Optimizing Residents' Performance of Lumbar Puncture: An RCT Comparing the Effect of Preparatory Interventions on Performance and Self-Confidence.
    J Gen Intern Med 2017 Nov 13. Epub 2017 Nov 13.
    Copenhagen Academy for Medical Education and Simulation, Copenhagen, The Capital Region of Denmark, Denmark.
    Background: Lumbar puncture is often associated with uncertainty and limited experience on the part of residents; therefore, preparatory interventions can be essential. There is growing interest in the potential benefit of videos over written text. However, little attention has been given to whether the design of the videos impacts on subsequent performance. Read More

    Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache.
    CMAJ 2017 Nov;189(45):E1379-E1385
    Department of Emergency Medicine (Perry, Sutherland, Calder, Vaillancourt, Thirganasambandamoorthy, Stiell); School of Epidemiology, Public Health and Preventative Medicine (Perry, Calder, Vaillancourt, Thirganasambandamoorthy, Wells, Stiell); Division of Neurosurgery (Lesiuk), University of Ottawa, the Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ont.; Departments of Emergency Medicine and Biomedical and Molecular Sciences (Sivilotti), Queen's University, Kingston, Ont.; Department of Emergency Medicine (Hohl), University of British Columbia, Vancouver, BC; Department of Emergency Medicine (Émond), Université Laval, Québec, Que.
    Background: We previously derived the Ottawa Subarachnoid Hemorrhage Rule to identify subarachnoid hemorrhage (SAH) in patients with acute headache. Our objective was to validate the rule in a new cohort of consecutive patients who visited an emergency department.

    Methods: We conducted a multicentre prospective cohort study at 6 university-affiliated tertiary-care hospital emergency departments in Canada from January 2010 to January 2014. Read More

    A Case of a 4-Year-Old Female with a Primary Spinal Malignancy Presenting with Froin's Syndrome.
    Pediatr Neurosurg 2018 2;53(1):64-68. Epub 2017 Nov 2.
    Vanderbilt University School of Medicine, Nashville, TN, USA.
    We report the case of a 4-year-old female with a primary extradural intramedullary atypical teratoid/rhabdoid tumor (AT/RT) leading to a middle cerebral artery (MCA) infarct and Froin's syndrome. She presented with a 6-pound weight loss over the previous week, as well as a decreased urinary output and an altered mental status. She underwent a brain MRI that revealed a left MCA infarct, mild ventriculomegaly, and bilateral internal carotid artery, M1, and A1 stenosis. Read More

    Transforaminal intrathecal delivery of nusinersen using cone-beam computed tomography for children with spinal muscular atrophy and extensive surgical instrumentation: early results of technical success and safety.
    Pediatr Radiol 2017 Nov 13. Epub 2017 Nov 13.
    Department of Radiology, Section of Interventional Radiology, Seattle Children's Hospital, University of Washington, 4800 Sand Point Way NE, M/S R-5417, Seattle, WA, 98105, USA.
    Background: Nusinersen, the only treatment approved by the United States Food and Drug Administration for spinal muscular atrophy (SMA), is delivered intrathecally. Many children with SMA have extensive spinal instrumentation and deformities, often precluding the use of standard approaches for gaining intrathecal access. Furthermore the anatomical distortion that often occurs with rotoscoliosis can complicate the use of fluoroscopic guidance. Read More

    Sudden cerebral depression detected by bispectral index monitoring in cryptococcal meningitis with elevated near-fatal cerebrospinal fluid pressure.
    Acute Med Surg 2017 Jul 28;4(3):338-340. Epub 2017 May 28.
    Graduate School of MedicineDepartment of Emergency and Critical Care MedicineEhime UniversityTohon CityEhimeJapan.
    Case: An increase in cerebrospinal fluid pressure (CSFP) is usually prominent in cryptococcal meningitis, which has a high mortality rate, so aggressive management to control CSFP is crucial. In this case, a 40-year-old-man survived cryptococcal meningitis treated with continuous spinal drainage under bispectral index (BIS) monitoring. He unexpectedly showed hypertension, went into a coma, and even loss his light reflexes due to CSFP elevation. Read More

    Long-Term Effectiveness of Direct CT-Guided Aspiration and Fenestration of Symptomatic Lumbar Facet Synovial Cysts.
    AJNR Am J Neuroradiol 2018 Jan 9;39(1):193-198. Epub 2017 Nov 9.
    From the Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California.
    Background And Purpose: Lumbar facet synovial cysts are commonly seen in facet degenerative arthropathy and may be symptomatic when narrowing the spinal canal or compressing nerve roots. The purpose of this study was to analyze the safety, effectiveness, and long-term outcomes of direct CT-guided lumbar facet synovial cyst aspiration and fenestration for symptom relief and for obviating an operation.

    Materials And Methods: We retrospectively reviewed the medical records and imaging studies of 64 consecutive patients between 2006 and 2016 who underwent 85 CT-guided lumbar facet synovial cyst fenestration procedures in our department. Read More

    Evaluation of Problem- and Simulator-Based Learning in Lumbar Puncture in Adult Neurology Residency Training.
    World Neurosurg 2018 Jan 26;109:e807-e811. Epub 2017 Oct 26.
    Department of Neurology, PLA Navy General Hospital, Beijing, China.
    Background: Lumbar puncture (LP) is an essential part of adult neurology residency training. Technologic as well as nontechnologic training is needed. However, current assessment tools mostly focus on the technologic aspects of LP. Read More

    Central nervous system Aquaporin4 autoimmunity revealed by a single pseudotumoral encephalic lesion.
    Metab Brain Dis 2018 Feb 31;33(1):353-355. Epub 2017 Oct 31.
    Department of Neurology, Fondation Ophtalmogique Adolphe de Rothschild, 25 rue Manin, 75019, Paris, France.
    The radiological spectrum of neuromyelitis optica has become broader since the detection of aquaporin4 antibodies. We report a case of neuromyelitis optica patient with pseudotumoral encephalic lesion. A 66 year-old woman presented with sudden left lateral homonymous hemianopsia. Read More

    Retrospective analysis of obstetric and anesthetic management of patients with placenta accreta spectrum disorders.
    Int J Gynaecol Obstet 2017 Oct 28. Epub 2017 Oct 28.
    Department of Anesthesiology, University of Colorado School of Medicine, Aurora, CO, USA.
    Objective: To assess the management and maternal outcomes of placenta accreta spectrum (PAS) disorders.

    Methods: A retrospective chart review was conducted of patients diagnosed with PAS disorders (placenta creta, increta, or percreta) who were treated at a US tertiary care center between February 1, 2011, and January 31, 2016. Obstetric management, anesthetic management, and maternal outcomes were analyzed. Read More

    Efficiency of spinal anesthesia versus general anesthesia for lumbar spinal surgery: a retrospective analysis of 544 patients.
    Local Reg Anesth 2017 10;10:91-98. Epub 2017 Oct 10.
    Department of Neurosurgery.
    Background: Previous studies have shown varying results in selected outcomes when directly comparing spinal anesthesia to general in lumbar surgery. Some studies have shown reduced surgical time, postoperative pain, time in the postanesthesia care unit (PACU), incidence of urinary retention, postoperative nausea, and more favorable cost-effectiveness with spinal anesthesia. Despite these results, the current literature has also shown contradictory results in between-group comparisons. Read More

    Brown-Séquard syndrome and cervical post-traumatic subarachnoid hematoma.
    Neurocirugia (Astur) 2017 Oct 20. Epub 2017 Oct 20.
    Department of Neurosurgery, San Carlos University Hospital, Madrid, Spain.
    Cervical Traumatic SSH are very rare in literature. They are usually caused by cardiopulmonary diseases that increase vascular pressure causing spinal vessels rupture. In thoracolumbar spine, the spinal puncture is the most common cause. Read More

    Risk assessment of morbidly obese parturient in cesarean section delivery: A prospective, cohort, single-center study.
    Medicine (Baltimore) 2017 Oct;96(42):e8265
    aDepartment of Anesthesiology bDepartment of Gynaecology and Obstetrics, International Peace Maternity and Child Health Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, P.R. China.
    Background: Up to 40% of women gain excessive weight during pregnancy. Obesity complications and risks in parturient women undergoing cesarean section (CS) with different anesthetic methods remain unknown. This study aimed to assess the safety and risk of obese women undergoing CS delivery with various perioperative anesthetic methods. Read More

    Virtual Simulation in Enhancing Procedural Training for Fluoroscopy-guided Lumbar Puncture: A Pilot Study.
    Acad Radiol 2017 Oct 9. Epub 2017 Oct 9.
    Department of Radiology, The University of Chicago, Chicago, IL.
    Rationale And Objectives: Fluoroscopy-guided lumbar puncture (FGLP) is a basic procedural component of radiology residency and neuroradiology fellowship training. Performance of the procedure with limited experience is associated with increased patient discomfort as well as increased radiation dose, puncture attempts, and complication rate. Simulation in health care is a developing field that has potential for enhancing procedural training. Read More

    Efficacy and safety of the target puncture technique for treatment of osteoporotic vertebral compression fractures with intravertebral clefts.
    J Neurointerv Surg 2017 Nov 9;9(11):1113-1117. Epub 2016 Nov 9.
    Department of Spinal Surgery, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, People's Republic of China.
    Objective: To compare the efficacy and safety of our target puncture technique with the traditional technique during percutaneous kyphoplasty (PKP) for osteoporotic vertebral compression fractures (OVCFs) with intravertebral clefts (IVCs).

    Methods: 104 patients treated with PKP for single OVCFs with IVCs were retrospectively reviewed. All patients were divided into three groups: cleft filling by the traditional technique (Group A, n=18); interdigitated filling (Group B, n=50); and overfilling by the target technique (Group C, n=36). Read More

    Knotted urethral catheter: an unusual complication in adults.
    BMJ Case Rep 2017 Oct 10;2017. Epub 2017 Oct 10.
    Department of Urology, Frimley Health NHS Foundation Trust, Slough, UK.
    Knotting of feeding tubes or urinary catheters has been reported as a rare complication in paediatrics when draining the bladder. This is caused by inserting thin flexible tubes too far in, allowing it to coil. We present a case of a 70-year-old woman who was catheterised during a routine spinal surgery, and the catheter coiled and balloon failed to deflate requiring a cystostopic approach to puncture the balloon and remove it. Read More

    Lumbar puncture performed promptly or after neuroimaging in adult bacterial meningitis: A prospective national cohort study evaluating different guidelines.
    Clin Infect Dis 2017 Sep 9. Epub 2017 Sep 9.
    Unit of Infectious Diseases, Department of Medicine, Solna, Karolinska Institutet and Department of Infectious Diseases, Karolinska University Hospital, 17176 Stockholm, Sweden.
    Background: Early treatment is pivotal for favourable outcome in acute bacterial meningitis (ABM). Lumbar puncture (LP) is the diagnostic key. The aim was to evaluate the effect on outcome of adherence to European Society of Clinical Microbiology and Infectious Diseases (ESCMID), Infectious Diseases Society of America (IDSA), and Swedish guidelines regarding neuroimaging before LP. Read More

    How well do neurologic symptoms identify individuals with neurosyphilis?
    Clin Infect Dis 2017 Sep 9. Epub 2017 Sep 9.
    Department of Neurology, University of Washington, Seattle, USA.
    Background: Current guidelines recommend lumbar puncture (LP) in patients with syphilis who have neurologic syndromes.

    Methods: 81 HIV-uninfected individuals and 385 HIV-infected individuals enrolled in a study of cerebrospinal fluid (CSF) abnormalities in syphilis underwent LP and a structured symptom history, including assessment of headache; stiff neck; photophobia; ocular inflammation; vision, hearing or sensory loss; or gait incoordination. Neurosyphilis was defined as a reactive CSF-Venereal Disease Research Laboratory (VDRL) test. Read More

    Safe Use of Low-Molecular-weight Heparin in Pediatric Acute Lymphoblastic Leukemia and Lymphoma Around Lumbar Punctures.
    J Pediatr Hematol Oncol 2017 Nov;39(8):596-601
    *Department of Hematology †Department of Pathology §Department of Biostatistics, St. Jude Children's Research Hospital ‡Division of Epidemiology, Biostatistics, and Environmental Health, The University of Memphis School of Public Health ¶University of Tennessee Health Science Center, Memphis, Memphis, TN.
    Children with acute lymphoblastic leukemia or lymphoma (ALL) undergo multiple lumbar punctures (LPs) and frequently require low-molecular-weight heparin (LMWH) for thromboembolic complications. We evaluated if withholding LMWH 24 hours before and after LPs prevented bleeding complications. Children (n=133) with ALL from who were: (1) treated at St. Read More

    Electron Microscopy of Dural and Arachnoid Disruptions After Subarachnoid Block.
    Reg Anesth Pain Med 2017 Nov/Dec;42(6):709-718
    From the *Department of Clinical Medical Sciences, CEU San Pablo University School of Medicine; and †Department of Anesthesiology, Madrid-Montepríncipe University Hospital, Madrid; ‡Laboratory of Surgical NeuroAnatomy, Human Anatomy and Embryology Unit, Faculty of Medicine, Universitat de Barcelona, Barcelona; and §Antón Borja Primary Care Centre, Terrassa Health Consortium, Rubí, Spain; ∥Department of Anesthesia, Royal Hospital for Women & Prince of Wales & Sydney Children's Hospitals, Randwick & University of New South Wales, Kensington, Sydney, New South Wales, Australia; **Department of Anesthesia Critical care and Pain Management, General University Hospital, Valencia and Department of Surgical Specialties, School of Medicine, Valencia University, Valencia; and ††Laboratory of Surgical NeuroAnatomy, Human Anatomy and Embryology Unit, Faculty of Medicine, Universitat de Barcelona, Barcelona, Spain; and ‡‡Department of Anesthesiology & Perioperative Medicine, The University of Queensland & Royal Brisbane & Women's Hospital, Brisbane, Queensland, Australia.
    Background: It has been customary to attribute postdural puncture headache (PDPH) incidence and severity to size and nature of the dural hole produced during major neuraxial blockade or diagnostic dural puncture. Needle orientation in relation to the direction of dural fibers was thought to be of importance because of the propensity for horizontal bevel placement to cause cutting rather than splitting of the dural fibers.

    Methods: In vitro punctures of stringently quality-controlled human dural sac specimens were obtained with 27-gauge (27G) Whitacre needle (n = 33), with 29G Quincke used parallel to the spinal axis (n = 30), and with 29G Quincke in perpendicular approach (n = 40). Read More

    Subarachnoid Hemorrhage: Updates in Diagnosis and Management.
    Emerg Med Clin North Am 2017 Nov 24;35(4):803-824. Epub 2017 Aug 24.
    Department of Emergency Medicine, Carolinas HealthCare System, Medical Education Building, Third floor, 1000 Blythe Boulevard, Charlotte, NC 28203, USA.
    Subarachnoid hemorrhage (SAH) is a neurologic emergency due to bleeding into the subarachnoid space. Mortality can reach 50%. The clinical presentation is most often in the form of headache, classically defined as maximal at onset and worst of life. Read More

    Cervical epidural analgesia complicated by epidural abscess: A case report and literature review.
    Medicine (Baltimore) 2017 Oct;96(40):e7789
    a903 Hospital, Jiangyou City, Sichuan Province bThe Second Affiliated Hospital, State Key Clinical Specialty in Pain Medicine, Guangzhou Medical University, Guangzhou, Guangdong, P.R. China.
    Rationale: Spinal epidural abscess is an uncommon complication in clinical practice. If the abscess is large enough, the patient will rapidly develop neurologic signs of spinal injury, and urgent neurosurgical intervention may be required.

    Patient Concerns: Rapid and correct diagnosis and treatment is important for spinal epidural abscess complication. Read More

    1 OF 171