The Nerve最新文献_第8页

Subarachnoid Hemorrhage from Ruptured Aneurysm in the Middle Cerebral Artery and Anterior Cerebral Artery Trunk: A Single-Center Study 大脑中动脉和大脑前动脉干破裂动脉瘤所致的蛛网膜下腔出血:一项单中心研究

The Nerve Pub Date : 2021-10-31 DOI: 10.21129/nerve.2021.7.2.49

Woowon Oh, Yeongu Chung, Jebeom Hong, Y. Won, P. Chung, M. Rho

{"title":"Subarachnoid Hemorrhage from Ruptured Aneurysm in the Middle Cerebral Artery and Anterior Cerebral Artery Trunk: A Single-Center Study","authors":"Woowon Oh, Yeongu Chung, Jebeom Hong, Y. Won, P. Chung, M. Rho","doi":"10.21129/nerve.2021.7.2.49","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.49","url":null,"abstract":"Objective: Ruptured anterior cerebral artery (ACA) trunk aneurysms and middle cerebral artery (MCA) trunk aneurysms are rare, and little is known about them. This study was conducted to determine the difference between these and other types of aneurysms.Methods: We performed a retrospective review of patients diagnosed with subarachnoid hemorrhage over an 8-year period at a single institution. We analyzed the characteristics, clinical factors, and radiological components of aneurysms at the trunk portion of A-1 and M-1. Descriptive analysis and univariate analysis for factors were performed to determine the differences of ACA A-1 portion trunk and MCA M-1 portion trunk aneurysms from other ACA and MCA aneurysms, respectively.Results: Univariate logistic regression modeling showed that trunk aneurysms in MCA M-1 had a smaller dome size (p=0.026) and dome/neck ratio (p=0.048) than other MCA aneurysms. Likewise, through univariate logistic regression modeling, the ACA group showed differences in dome size including age (p=0.001) as well as dome size (p=0.038) and dome neck ratio (p=0.041) in the A1 region.Conclusion: MCA M-1 and ACA A-1 trunk aneurysms are likely to have several different characteristics such as small in size and a lower dome/neck ratio. Also, due to their close locations to the perforator arteries, there is a high possibility of perforator artery injury when treating these aneurysms. Thus, careful attention is required when setting the treatment methods, and further studies about these aneurysms are needed.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131057414","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

Different Pathology of Peripheral Nerve Sheath Tumor in Neurofibromatosis Type 1: 3 Cases 1型神经纤维瘤病周围神经鞘肿瘤的病理差异:3例

The Nerve Pub Date : 2021-10-31 DOI: 10.21129/nerve.2021.7.2.92

Gi Jeong Park, Sang Hoon Kim, K. Kim, Dae-Hyun Kim

引用次数: 0

Cauda Equina Syndrome from Subdural Hematoma after Caudal Epidural Injection 尾侧硬膜外注射后硬膜下血肿引起的马尾综合征

The Nerve Pub Date : 2021-10-31 DOI: 10.21129/nerve.2021.7.2.96

Jung Jae Oh, Jong-Hyeok Park, Jong Tae Kim

{"title":"Cauda Equina Syndrome from Subdural Hematoma after Caudal Epidural Injection","authors":"Jung Jae Oh, Jong-Hyeok Park, Jong Tae Kim","doi":"10.21129/nerve.2021.7.2.96","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.96","url":null,"abstract":"Caudal epidural injection (CEI) is commonly used to manage patients with low back or leg pain, but cauda equine syndrome (CES) rarely results from epidural and/or subdural hematoma occurred after the procedure. A 71-year-old man presented at our outpatient department with voiding difficulty and radiating pain in both legs 8 days ago after CEI. The patient also complained pain and numbness of saddle area, CES. He had taken clopidogrel for 8 years after cardiac stent insertion. Lumbar magnetic resonance imaging (MRI) revealed subdural hematoma at the L5-S1-S2 level. The patient underwent urgent surgical treatment for hematoma evacuation. We finally recognized that subdural hematoma in lumbar MRI was found to subdural-extra arachnoid hematoma as considering intraoperative findings. To the best of our knowledge, few cases of this complication have been reported after CEI. Subdural hematoma often is concomitant with subarachnoid hematoma. Subdural and subarachnoid hematoma is associated with poor clinical outcomes due to severe edema of nerve rootlets. However, no evidence of edema and swelling of nerve rootlets was observed during surgery in our case. As a result, the patient achieved full recovery more than we expected unlike the case of subdural and subarachnoid hematoma.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131110910","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

Role of Supine and Standing Radiography in Vertebroplasty for Osteoporotic Compression Fractures" 仰卧位和站立位摄影在骨质疏松性压缩性骨折椎体成形术中的作用

The Nerve Pub Date : 2021-10-31 DOI: 10.21129/nerve.2021.7.2.41

Jae Hyun Park, Sang Hyun Kim, Noh Sung Hyun, P. Cho

{"title":"Role of Supine and Standing Radiography in Vertebroplasty for Osteoporotic Compression Fractures\"","authors":"Jae Hyun Park, Sang Hyun Kim, Noh Sung Hyun, P. Cho","doi":"10.21129/nerve.2021.7.2.41","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.41","url":null,"abstract":"Objective: To confirm the benefits of vertebroplasty (VP) in selected patients with acute vertebral compression fracture (VCF) and analyze whether the study of a weight dynamic plain lateral radiograph would help in making decisions to perform VP. Using retrospective analysis, we aimed to determine the radiological characteristics of patients benefiting from VP.Methods: Data were collected from 54 patients (age, 56-97 years) diagnosed with osteoporosis and compression fractures between December 2013 and January 2018. Each patient was hospitalized with ≥2 weeks of absolute bed rest (ABR) and treated for osteoporosis. Plain lateral supine radiography of the fractured spine was performed prior to diagnosis, and both supine and standing spinal radiographs were taken 1 and 2 weeks after ABR. Patients were categorized into the VP and non-VP groups 2 weeks after ABR.Results: Although patients with worse pain and functional progress were selected to undergo VP, patients in the VP group presented better outcomes in the fourth week of evaluation than those in the non-VP group. In a retrospective analysis of the radiographic study, changes in the compression rate between supine and standing (weight-bearing) X-rays (ΔCR), showed a statistically significant correlation with the patient’s outcome in the second week.Conclusion: VP was found to be an effective management option for patients with VCF. A weightbearing radiographic study of VCFs provided valuable information on patient selection for VP. Therefore, patient selection based on subjective surveys and radiological studies to determine the benefits of VP could be a beneficial management strategy.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"167 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123298437","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

Gorham-Stout Disease in a Middle-Aged Patient Treated by Posterior Lateral Fusion: A Case Report and Literature Review 后路融合术治疗中年Gorham-Stout病1例报告及文献复习

The Nerve Pub Date : 2021-10-31 DOI: 10.21129/nerve.2021.7.2.106

G. Jang, S. Noh

引用次数: 0

Superficial Peroneal Nerve Entrapment Causing Chronic Pain in the Foot: A Case Report 腓浅神经压迫引起足部慢性疼痛1例报告

The Nerve Pub Date : 2021-10-31 DOI: 10.21129/nerve.2021.7.2.126

Jaehwan Kim, Changik Lee, B. Son

引用次数: 0

Ulnar Neuropathy due to Cubital Tunnel Syndrome Caused by Anconeus Epitrochlearis: A Case Report 上睑下垂所致肘管综合征并发尺神经病变1例

The Nerve Pub Date : 2021-04-30 DOI: 10.21129/NERVE.2021.7.1.20

Jessie Choi, B. Son

{"title":"Ulnar Neuropathy due to Cubital Tunnel Syndrome Caused by Anconeus Epitrochlearis: A Case Report","authors":"Jessie Choi, B. Son","doi":"10.21129/NERVE.2021.7.1.20","DOIUrl":"https://doi.org/10.21129/NERVE.2021.7.1.20","url":null,"abstract":"Corresponding author: Byung-chul Son, MD, PhD Department of Neurosurgery, Seoul St. Mary’s Hospital, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea Tel: +82-2-2258-6122 Fax: +82-2-594-4248 E-mail: sbc@catholic.ac.kr A 24-year-old, right-handed male patient presented with a 1-month history of continuous tingling paresthesia involving left medial hand and fingers accompanied by clumsiness of left hand and fingers. Thepain onset was sudden and marked by a severe aching pain in the medial elbow and medial scapular areas, without any prior cause. Two weeks of excruciating pain led to clumsiness of the left hand and fingers gradually occurred. Magnetic resonance imaging (MRI) of the left elbow revealed a swollen ulnar nerve with perineural enhancement involving anconeus epitrochlearis (AE) muscle within the cubital tunnel. The operation revealed adhesion of the AE muscle to the left ulnar nerve. Open in-situ decompression of the ulnar nerve without transposition eventually alleviated the pain and weakness associated with ulnar neuropathy. The patient slowly recovered 6 months after surgery. The AE muscle is a common anatomic variation, with a prevalence of up to 34%. However, the prevalence of ulnar neuropathy associated with the AE muscle is unknown. It is a congenital accessory muscle between the medial humeral epicondyle and the olecranon covering the posterior aspect of the cubital tunnel. It is usually diagnosed intraoperatively and not preoperatively in the absence of no imaging studies. The clinical presentation of ulnar neuropathy caused by the AE usually differs from idiopathic disease, including younger age at onset, rapid progression with a short duration of symptoms, and edema of the AE muscle on the MRI.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131884798","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: 1

Sciatic Nerve Entrapment (Deep Gluteal Syndrome) as a Cause of Failed Back Surgery Syndrome: A Case Report 坐骨神经卡压(臀深综合征)是导致背部手术综合征失败的原因:1例报告

The Nerve Pub Date : 2020-10-28 DOI: 10.21129/nerve.2020.6.2.114

Yunoh Hwang, B. Son

{"title":"Sciatic Nerve Entrapment (Deep Gluteal Syndrome) as a Cause of Failed Back Surgery Syndrome: A Case Report","authors":"Yunoh Hwang, B. Son","doi":"10.21129/nerve.2020.6.2.114","DOIUrl":"https://doi.org/10.21129/nerve.2020.6.2.114","url":null,"abstract":"Sciatic nerve entrapment, which is a cause of non-discogenic extraspinal sciatica is characterized by buttock pain and sitting intolerance. If significant asymptomatic lumbar stenosis in the lower lumbar spine is found in patients with buttock pain and sciatica, caused by sciatic nerve entrapment, it is possible that needless spinal surgery may have been recommended. A 72-year-old male presented with a 2-year history of severe buttock and sole pain in his right lower extremity. His pain did not improve after decompression and fusion surgery for severe lumbar stenosis. A pelvic magnetic resonance imaging (MRI) used to evaluate the failed back surgery syndrome revealed a type II variation between the sciatic nerve and piriformis muscle. Transgluteal decompression of the sciatic nerve completely eliminated chronic disability associated with right buttock and sole pain. The patient's pain was improved by sciatic nerve decompression through a transgluteal approach. Although vascular claudication, hip joint pathology, and peripheral neuropathy have been suggested in the differential diagnosis of lumbar stenosis, sciatic nerve entrapment involving the gluteal region should be suspected in patients presenting with buttock pain associated with sciatica, combined with severe lumbar stenosis based on MRI.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126891676","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: 2

Ruptured Aneurysm of Recurrent Artery of Heubner: A Case Report Heubner复发动脉瘤破裂1例

The Nerve Pub Date : 2019-10-28 DOI: 10.21129/nerve.2019.5.2.94

C. Hong, Yeongu Chung, Y. Won, P. Chung, M. Rho

引用次数: 1

Shunt Revision to Ventriculoatrial Shunt Due to Long-Term Abdominal Distension Complicated by Neonatal Necrotizing Enterocolitis and Cerebrospinal Fluid Overproduction after Ventriculoperitoneal Shunt for the Management of Post-Hemorrhagic Hydrocephalus: A Case Report 脑室-腹膜分流术治疗出血性脑积水1例报告:由于长期腹胀合并新生儿坏死性小肠结肠炎和脑脊液过量而对脑室-心房分流术的改进型

The Nerve Pub Date : 2019-10-28 DOI: 10.21129/nerve.2019.5.2.90

Kyoung Jae Park, Y. Lim, S. Yoon

{"title":"Shunt Revision to Ventriculoatrial Shunt Due to Long-Term Abdominal Distension Complicated by Neonatal Necrotizing Enterocolitis and Cerebrospinal Fluid Overproduction after Ventriculoperitoneal Shunt for the Management of Post-Hemorrhagic Hydrocephalus: A Case Report","authors":"Kyoung Jae Park, Y. Lim, S. Yoon","doi":"10.21129/nerve.2019.5.2.90","DOIUrl":"https://doi.org/10.21129/nerve.2019.5.2.90","url":null,"abstract":"Corresponding author: Soo Han Yoon Department of Neurosurgery, Ajou University Medical Center, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon 16499, Republic of Korea Tel: +82-31-219-5233 Fax: +82-31-219-5238 E-mail: ee80@hanmail.net A cerebrospinal fluid (CSF) shunt is the most common treatment known to date in the treatment of hydrocephalus. A ventriculoperitoneal (VP) shunt is one of the most commonly favored procedures for CSF diversion. We present a case of shunt revision from a VP shunt to a ventriculoatrial (VA) shunt. The patient was diagnosed with germinal matrix hemorrhage with intraventricular hemorrhage shortly after birth with a history of ileostomy surgery for neonatal necrotizing enterocolitis 10 days after birth. The patient began to develop hydrocephalus around 7 weeks after birth and she had VP shunt surgery at 6 months old for post-hemorrhagic hydrocephalus. After the VP shunt surgery, the patient experienced several months of vomiting and constipation along with worsening of the abdominal distension. Distal abdominal catheter externalization was temporarily performed, and 20 to 30 mL/kg of CSF was drained daily. Abdominal distension was still not resolved after 2 weeks and VA shunting was performed. The patient was discharged with improved abdominal distension and was followed for 3 years without any complications. We report a relatively rare case of a shunt revision to VA shunt due to long-term abdominal distension complicated by neonatal necrotizing enterocolitis and CSF overproduction after VP shunting.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130416874","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: 1