The Nerve最新文献_第3页

Aneurysmal Subarachnoid Hemorrhage in Young Adult Patients: Single Center Reports 年轻成人动脉瘤性蛛网膜下腔出血:单中心报告

The Nerve Pub Date : 2023-10-11 DOI: 10.21129/nerve.2023.00332

Seung-Hoon Ji, Sung-Kyun Hwang

{"title":"Aneurysmal Subarachnoid Hemorrhage in Young Adult Patients: Single Center Reports","authors":"Seung-Hoon Ji, Sung-Kyun Hwang","doi":"10.21129/nerve.2023.00332","DOIUrl":"https://doi.org/10.21129/nerve.2023.00332","url":null,"abstract":"Objective The mechanisms underlying the formation and rupture of intracranial aneurysms in young adults remain a matter of debate. This study aimed to evaluate the clinical characteristics of young adult patients with aneurysmal subarachnoid hemorrhage (SAH) treated with endovascular or clipping techniques at a single center. Methods Seventeen young adult patients (age, 18-40 years; 7 men and 10 women; mean age, 35.7 years) with aneurysmal SAH were treated at our hospital using an endovascular or clip ligation approach between February 2018 and March 2023. The clinical outcomes, complications, and patient characteristics were evaluated. The mean follow-up duration was 13 months (range, 0-44 months). Results The male-to-female ratio was 0.7 (7 vs. 10 patients), and the most common location of aneurysm was the internal carotid artery (7 patients, 41.2%). Two patients (11.8%) presented with a history of hypertension, and six (35.3%) with smoking. The overall favorable outcome rate was 64.7% (Glasgow Outcome Scale [GOS] 4 and 5), while unfavorable outcomes occurred in 35.3% of patients (GOS 1, 2, and 3). None of the patients rebounded after clipping or endovascular treatment. Two (14.3%) patients treated with coil embolization (14 patients) showed an interval change in the residual neck (recanalization). Conclusion Our results suggest that young adults with ruptured intracranial aneurysms exhibit different characteristics. However, well-controlled investigations using larger prospective studies are warranted to further clarify the clinical characteristics of these patients, including the mechanisms of aneurysm formation and rupture. Key words: Endovascular procedures; Clip; Intracranial aneurysm; Young adult","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136059371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thoracic Outlet Syndrome 胸廓出口综合征

The Nerve Pub Date : 2023-04-30 DOI: 10.21129/nerve.2022.00199

Dong Wook Kim, Byeong Ho Oh, Jong Beom Lee

引用次数: 0

Anterior Cage Migration during Transforaminal Lumbar Interbody Fusion: A Case Report and Review of the Literature 经椎间孔腰椎椎体间融合术中的前笼移位:一例报告及文献回顾

The Nerve Pub Date : 2023-04-25 DOI: 10.21129/nerve.2023.00304

Yohan Son, Young-Jin Kim, Sang-koo Lee

引用次数: 0

Neurogenic Thoracic Outlet Syndrome Induced by Subclavius Muscle Hypertrophy: A Case Report 锁骨下肌肥大致神经源性胸廓出口综合征1例

The Nerve Pub Date : 2023-04-25 DOI: 10.21129/nerve.2023.00318

J. Ha, Sangpyung Lee, Jin-Ah Beak, Kyoungsoo Ryou, T. Park, Seonghwan Kim

引用次数: 0

Multiple Spinal Metastases of Anaplastic Meningioma: A Case Report 间变性脑膜瘤多发脊柱转移1例

The Nerve Pub Date : 2023-04-25 DOI: 10.21129/nerve.2023.00269

Jong Hyeok Lee, S. Sung, Bu Kwang Oh, J. Lee, Chi Hyung Lee, C. Hwang, Sang Weon Lee, G. Song

引用次数: 0

Ventriculitis Associated with Invasive Klebsiella Pneumoniae Syndrome: A Case Report 脑室炎合并侵袭性肺炎克雷伯菌综合征1例报告

The Nerve Pub Date : 2023-04-24 DOI: 10.21129/nerve.2023.00262

Chai Yoon Kim, J. Hur, Jeong Gyun Kim, Jong Won Lee, I. Yun, Hyun Koo Lee

引用次数: 0

Lumbar Calcifying Pseudoneoplasm as a Rare Cause of Cauda Equina Syndrome: A Case Report 腰椎钙化性假瘤是马尾综合征的罕见病因:1例报告

The Nerve Pub Date : 2023-04-20 DOI: 10.21129/nerve.2022.00255

C. De Bonis, B. Chaurasia

引用次数: 0

Advantages of Posterior Indirect Decompression Surgery in Thoracolumbar Burst Fractures with Neurologic Symptoms 后路间接减压手术治疗有神经症状的胸腰椎爆裂骨折的优势

The Nerve Pub Date : 2023-04-20 DOI: 10.21129/nerve.2022.00227

Jung‐won Lim, Jin-Hoon Park, H. Shin, Jeong Kyun Joo, Jung Jae Lee

{"title":"Advantages of Posterior Indirect Decompression Surgery in Thoracolumbar Burst Fractures with Neurologic Symptoms","authors":"Jung‐won Lim, Jin-Hoon Park, H. Shin, Jeong Kyun Joo, Jung Jae Lee","doi":"10.21129/nerve.2022.00227","DOIUrl":"https://doi.org/10.21129/nerve.2022.00227","url":null,"abstract":"Objective: Approximately 90% of spinal fractures occur at the thoracolumbar (T-L) junction and may be accompanied by neurological symptoms, in which decompression and post-fixation are generally performed. However, decompression surgery can aggravate patients’ symptoms due to adverse incidents, such as developing postoperative hematomas or iatrogenic spinal cord injury. This study compared the surgical and radiographic outcomes of patients with T-L junction burst fractures and neurological deficits who underwent direct or indirect decompression. Methods: We retrospectively reviewed all patients who had undergone posterior surgical treatment for T-L junction burst fractures with neurologic deficits. Patients were classified according to the procedure: indirect decompression (group 1) or spinal decompression through laminectomy and facetectomy (group 2). Clinical results and radiologic findings were compared between the two groups for 2 years. Results: Among 57 patients who met the inclusion criteria, 29 were categorized into group 1, and 28 were categorized into group 2. Group 1 had a statistically significantly lower Oswestry Disability Index score than group 2 at the final follow-up visit (p=0.03). In group 1, both the T-L junction angle and wedge angle of the injured vertebrae improved significantly, both immediately after surgery (p=0.02 and p=0.01, respectively) and at the final follow-up visit (p=0.01 and p=0.01, respectively). In group 2, the difference between the pelvic incidence and lumbar lordosis was significantly greater than in group 1 at the final follow-up visit (p=0.02). Conclusion: This study confirmed that symptoms could be sufficiently improved with indirect decompression, which should be kept in mind for cases where it is difficult to perform direct decompression,","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"132 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134275818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Paresthesia and Pain in Both Arms when Shampooing One’s Hair: Symptoms of Neurogenic Thoracic Outlet Syndrome 洗头时双臂感觉异常和疼痛:神经性胸廓出口综合征的症状

The Nerve Pub Date : 2023-04-19 DOI: 10.21129/nerve.2022.00220

Jiyeon Kim, B. Son

引用次数: 0

Spontaneous Shrinkage of a Dumbbell-Shaped Schwannoma in the Cervical Spine: A Case Report 颈椎哑铃形神经鞘瘤自发性萎缩1例报告

The Nerve Pub Date : 2023-04-19 DOI: 10.21129/nerve.2022.00241

Sang Yoon Lee, K. Kim, Jeong-Yoon Park, D. Chin, Keun-Su Kim, Yong-Eun Cho, H. Jang

引用次数: 0