Managing life with neurological symptoms
|
|
|
- Eustace Porter
- 5 years ago
- Views:
Transcription
1 Managing life with neurological symptoms Petra M Klinge Professor of Neurosurgery Director, Division of Pediatric Neurosurgery Director, CSF center of the brain and Spine Rhode Island Hospital and Hasbro Childrens Hospital Warren Alpert Medical School of Brown University
2 Overview _ the neurosurgeon s perspective q Understand diagnosis of neurological manifestations prevalent in EDS q Symptoms and SIGNS and Radiological Diagnosis q Pathology in EDS (MRI limited biomarker), SUGGESTIONS and RED FLAGS! q Discuss the OPTIONS and management! q Surgical options and techniques ( What to ask the Surgeon, Short- and Long-term Outcome and Recovery) q Non-surgical options (Monitoring and interdisciplinary Management of Symptoms ) q Personal experience: Manage your physician/surgeon and discuss research_ Case examples how patients changed my practice!
3
4 Neuro MANIFESTATIONS q Idiopathic intracranial hypertension (IIH) q Intracranial hypotension q Chiari and Low lying tonsils q Craniocervical anomalies and instability q Tethered cord and Syringomyelia
5 Diagnosis: IIH HEADACHES VISION LOSS (Papilledema) OBESITY (80%) MR Venogram +contrast > 25 mmhg
6 IIH in EDS ( collapsible venous sinuses ) Ø Nonpositional headaches Ø Episodes of vision loss or blurry vision Invasive ANGIOGRAM with transverse sinus pressure measurements : Sinus pressure supine: 5 to 10 mmhg Gradient between jugular bulb and transverse sinus: 1 to 3 mmhg (normal), IF > 8mmHg ABNORMAL
7 Diagnosis: Intracranial hypotension Headaches: Orthostatic MRMyelogram DSA Myelogram MRI brain with contrast
8 Intracranial Hypotentsion In EDS 20-34% connective tissue disorder: ECM fibrillin I defect Ø 20% of Leaks are not seen on imaging (probably more in EDS) Ø Consider also IIH with CSF pooling and not just leaking! q Mimics POTS Ø Headaches with shaking! Ø Headaches later in the day
9 Arachnoid prolapses in EDS: Example
10 Diagnosis: Chiari and LLT Myth of VALSALVA
11 Chiari and LLT in EDS Ø You have it! Ø Non-classical Signs and Symptoms Loose Myodural bridges in EDS! UPRIGHT MRI CTE was found in 5.7 % and 5.3 % in the recumbent and upright non-trauma grous vs. 9.8% and 23.3% in the recumbent and upright trauma whiplahs injury groups (p<0.01). Freeman et al. Brain Injury, 2010: 24(7-8):
12 Diagnosis: Craniocervical anomalies and instability DYSAUTONOMIA
13 Cranicervical anomalies and instability in EDS EX- FLEX Upright MRI more sensitive! Ø Distortion of the cervicomedullary junction and Dysautonomia in EDS (Henderson et al. 2013)
14 TRIAD: Diagnosis: Tethered cord Bladder/Bowel dysfunction (URO) LE symptoms and signs (NEURO) Spinal and Leg deformities (ORHTO) Ø LOW LYING CONUS ( Endplate L2 or L2/3 = borderline low) THICKENED FILUM > 2mm FAT in FILUM A stretch induced functional disorder leading to ischemia and oxidative stress Neurosurgical Focus Pathophysiology of Tethered Cord Syndrome: Correlation With Symptomatology Shokei Yamada, M.D., Ph.D.; Daniel J. Won, M.D.; Shoko M. Yamada, M.D., D.M.Sci.
15 Tethered cord in EDS Occult tethered cord Ø Ø Ø Ø Bladder symptoms! Progressive leg weakness (i.e. 6 months) SPINE and Joint deformities/ subluxation Provide your PEDIATRIC HISTORY Ø IMPORTANCE of URODYNAMIC TESTING! Why high prevalence of tethered cord in EDS? EM HISTOLOGY shows CORKSCRREW Collagen and disintegrated and disorganized collagen : FILUM_DEFECTIVE SHOCK ABSORBER!
16 Dr. Janice Santos-Cortes Urology, Rhode Island Hospital
17 Overview _ the neurosurgeon s perspective q Understand diagnosis of neurological manifestations prevalent in EDS q Symptoms and SIGNS and Radiological Diagnosis q Pathology in EDS (MRI limited biomarker), SUGGESTIONS and RED FLAGS! q Discuss the OPTIONS and management! q Surgical options and techniques ( What to ask the Surgeon, Short- and Long-term Outcome and Recovery) q Non-surgical options (Monitoring and interdisciplinary Management of Symptoms ) q Personal experience: Manage your physician/surgeon and discuss research_ Case examples how patients changed my practice!
18 Management: IIH Surgical/Interventional Non-surgical
19 Management: Intracranial Hypotension Non-surgical qepidural blood patching (95% initial response, 80% cure rate) qpercutaneous glue placement (40% cure rate)
20 Management: Chiari and LLT Surgical/Interventional Non-surgical Medication (Diamox, Migraine therapy) PHYSICAL THERAPY
21 Management: Craniocervical anomalies and instability Surgical Non-surgical External stabilization Physical therapy
22 Management: Tethered cord Surgical Non-surgical MONITORING! NORMAL T2 MRI conus position L1-2 or L2-3 Laminotomy PYSICAL THERAPY! NUTRITION!
23 REtethering Conus does not need to move Can occur with Arachnoiditis or Pseudomeningocele! Does the level of filum resection matter?
24 Overview _ the neurosurgeon s perspective q Understand diagnosis of neurological manifestations prevalent in EDS q Symptoms and SIGNS and Radiological Diagnosis q Pathology in EDS (MRI limited biomarker), SUGGESTIONS and RED FLAGS! q Discuss the OPTIONS and management! q Surgical options and techniques ( What to ask the Surgeon, Short- and Long-term Outcome and Recovery) q Non-surgical options (Monitoring and interdisciplinary Management of Symptoms ) q Personal experience: Manage your physician/surgeon and discuss research_ Case examples how patients changed my practice!
25 Can you please look at the mastcells in my filum! FILUM is NOT the BIOPSY FOR MACS! TOLUIDIN CD 117
26 I am telling you my dura is _ so please watch out for this! Valsalva maneuver might not apply to EDS! Now, I do fat grafts, if need from a donor site!
27 Urology, GI, Gynecology NeuroPathology Orthotics Nutrition Anesthesia Neurosurgery Internal Medicine Neuroimagi ng Orthopedic surgery, Plastic surgery (Cardiology, Allergology, Endocrinology) Genetics Neurology/Pediatrici ans Psychology Rheumatolo gy Social work Pain management Nursing care Physical therapy
28 YOU ARE the _Physician s Partners Promoters Protectors
Chiari bridges review Chiari Treatments & Potential Pitfalls
Chiari bridges review Chiari Treatments & Potential Pitfalls Once diagnosed, you will usually be referred to a specialist (not a Chiari Specialist, but an everyday, run-of-the-mill neurologist or neurosurgeon).
The Ehlers Danlos syndromes (EDS) are a mixed group of. Neurological and Spinal Manifestations of the Ehlers-Danlos Syndromes FOR NON-EXPERTS
The Ehlers-Danlos Society P.O. Box 87463 Montgomery Village, MD 20886 USA Phone: +1 410-670-7577 The Ehlers-Danlos Society - Europe Office 7 35-37 Ludgate Hill London EC4M 7JN UK Phone: +44 203 887 6132
NEURO QUIZ 45 EHLERS DANLOS SYNDROME
NEURO QUIZ 45 EHLERS DANLOS SYNDROME Verghese Cherian, MD, FFARCSI Penn State Hershey Medical Center, Hershey Quiz Team Shobana Rajan, M.D Suneeta Gollapudy, M.D Angele Marie Theard, M.D START 1. Regarding
Intracranial hypotension secondary to spinal CSF leak: diagnosis
Intracranial hypotension secondary to spinal CSF leak: diagnosis Spinal cerebrospinal fluid (CSF) leak is an important and underdiagnosed cause of new onset headache that is treatable. Cerebrospinal fluid
What Every Spine Surgeon Should Know About Neurosurgical Issues
What Every Spine Surgeon Should Know About Neurosurgical Issues Amer Samdani, MD Chief of Surgery Shriners Hospitals for Children Philadelphia, PA Objectives Main intraspinal lesions Chiari malformation
Spontaneous intracranial hypotension syndrome with extracranial vein dilatation
Spontaneous intracranial hypotension syndrome with extracranial vein dilatation C. Heine 1, H. Altinova 1, T. Pietilä 1, LC Stavrinou 1 1. Department of Neurosurgery, Evangelical Hospital Bielefeld, Germany
University Journal of Surgery and Surgical Specialties
University Journal of Surgery and Surgical Specialties ISSN 2455-2860 Volume 2 Issue 1 2016 Profile of paediatric patients with split cord malformation MANORANJITHAKUMARI M Department of Neuro Surgery,
Intracranial Hypotension: The Duke Experience
Intracranial Hypotension: The Duke Experience SATURDAY, MARCH 23, 2019 7:30 A.M. TO 12:15 P.M. RENAISSANCE RALEIGH NORTH HILLS HOTEL Course Director: Linda Gray Leithe, MD Space is limited, and registration
Neurosurgery. Neurosurgery
Neurosurgery Neurosurgery Neurosurgery Telephone Numbers: Appointment: 202-476-3020 Fax: 202-476-3091 Administration: 202-476-3020 Evenings and Weekends: 202-476-5000 Robert Keating, MD, Chief The Division
National Hospital for Neurology and Neurosurgery
National Hospital for Neurology and Neurosurgery Venous sinus stents (for the treatment of venous sinus stenosis and idiopathic intracranial hypertension) Lysholm Department of Neuroradiology If you would
Introduction to Neurosurgical Subspecialties:
Introduction to Neurosurgical Subspecialties: Pediatric Neurosurgery Brian L. Hoh, MD 1 and Gregory J. Zipfel, MD 2 1 University of Florida, 2 Washington University Pediatric Neurosurgery Pediatric neurosurgeons
A Retrospective Analysis of Clinical Profile and Surgical Outcome in Patients with Spinal Dysraphism at Tertiary Care Center
Original Research Article A Retrospective Analysis of Clinical Profile and Surgical Outcome in Patients with Spinal Dysraphism at Tertiary Care Center Premlal KV * Assistant Professor, Department of Neurosurgery,
Surgical Outcome of Tethered Cord Syndrome Nazar Hussain, Wakeel Ahmad Haral, Muhammad Akmal Hussain, Inam Ullah Asghar, Tariq Ahmad
Original Article Surgical Outcome of Tethered Cord Syndrome Nazar Hussain, Wakeel Ahmad Haral, Muhammad Akmal Hussain, Inam Ullah Asghar, Tariq Ahmad ABSTRACT Objective: Surgical Outcome of tethered cord
Mechanisms of Headache in Intracranial Hypotension
Mechanisms of Headache in Intracranial Hypotension Stephen D Silberstein, MD Jefferson Headache Center Thomas Jefferson University Hospital Philadelphia, PA Stephen D. Silberstein, MD, FACP Director, Jefferson
Khalil Zahra, M.D Neuro-interventional radiology
Khalil Zahra, M.D Neuro-interventional radiology 1 Disclosure None 2 Outline Etiology and pathogensis Imaging techniques and Features Literature review Treatment modalities Endovascular techniques Long
Spontaneous Intracranial Hypotension Diagnosis and Treatment
Spontaneous Intracranial Hypotension Diagnosis and Treatment John W. Engstrom MD, Philip R. Weinstein MD, and William P. Dillon M.D. University of California, San Francisco Spontaneous Intracranial Hypotension
Sudden Headache and visual disturbances in a young woman
Sudden Headache and visual disturbances in a young woman A. Soupart, MD, PhD Department of Internal Medicine BSIM, December 12, 2014 48 years old woman with Sudden Headache 7/2014 * Admitted for Headache
disclosure Pediatric Tethered cord Syndrome Learning Objectives overview definiton Hoffman 1976 Pediatrics Grand Rounds 26 June 2015
disclosure Pediatric Tethered cord Syndrome None Izabela, Tarasiewicz, MD,FRCS(C), has no relationships with commercial companies to disclose. Izabela Tarasiewicz MD. FRCS(C) Pediatric Neurosurgery overview
Typical idiopathic intracranial hypertension Optic nerve appearance and brain MRI findings. Jonathan A. Micieli, MD Valérie Biousse, MD
Typical idiopathic intracranial hypertension Optic nerve appearance and brain MRI findings Jonathan A. Micieli, MD Valérie Biousse, MD A 24 year old African American woman is referred for bilateral optic
ETG Analyzer Report. Your Practice # Episodes. Mkt Share Mkt Volume WHIO Dermatology 575 Acne 746 $508 1,698 $
ETG Analyzer Report Practice: Practice Group: Badger County Severity: Level 1 Payers: Commercial Episode Types: Complete Claims: Full Claims Outliers: No Outliers DMV6 Created: April 1, 2010 March 31,
Purpose: To discuss the fatty filum terminale which is incidentally demonstrated on MRI concerning the causes of TCS
ISPUB.COM The Internet Journal of Spine Surgery Volume 3 Number 1 T Iizuka Citation T Iizuka.. The Internet Journal of Spine Surgery. 2006 Volume 3 Number 1. Abstract Background: Fatty filum terminale
Long segment composite split cord malformation with double bony spur
Long segment composite split cord malformation with double bony spur Anand Sharma, Achal Sharma, R.S. Mittal SMS Medical College, Jaipur, India Abstract: A composite type of SCM is very rare and only a
PA SYLLABUS. Syllabus for students of the FACULTY OF MEDICINE No.2
Approved At the meeting of the Faculty Council Medicine No. of Approved At the meeting of the chair of Neurosurgery No. of Dean of the Faculty Medicine No.2 PhD, associate professor M. Betiu Head of the
SPECIALTY CPT CODES DESCRIPTION
Primary Care Physicians: Internal Medicine, Family Practice, Pediatrics 71010, 71020, 71021, 71022, 71030, 71100, 71101, 71110, 72010, 72020, 72040, 72050, 72052, 72070, 72080, 72100, 72110, 72114, 72170,
Pediatric and adult Chiari malformation Type I surgical series : a review of demographics, operative treatment, and outcomes
PEDIATRICS literature review Pediatric and adult Chiari malformation Type I surgical series 1965 2013: a review of demographics, operative treatment, and outcomes aska arnautovic, bsc, 1 bruno splavski,
Spine Center. at Stamford Hospital s Orthopedic Institute
Spine Center at Stamford Hospital s Orthopedic Institute Back pain related to spinal deformity and injury or congenital conditions is a common health complaint, which can be very debilitating. At Stamford
A review of the disagreements in the prevalence and treatment of the tethered cord syndromes with chiari 1 malformations
SNI: Spine OPEN ACCESS For entire Editorial Board visit : http://www.surgicalneurologyint.com Editor: Nancy E. Epstein, MD Winthrop Hospital, Mineola, NY, USA Review Article A review of the disagreements
Spontaneous intracranial hypotension The first 1111 patients: A practical approach
Spontaneous intracranial hypotension The first 1111 patients: A practical approach WOUTER I. SCHIEVINK, M.D. Professor of Neurosurgery Department of Neurosurgery, Cedars-Sinai Medical Center Los Angeles,
Cranio-cervical decompression. Information for patients Neurosurgery
Cranio-cervical decompression Information for patients Neurosurgery page 2 of 12 What is a cranio-cervical decompression? A cranio-cervical decompression is an operation involving the back of the head
Prevalence of venous sinus stenosis in Pseudotumor cerebri(ptc) using digital subtraction angiography (DSA)
Prevalence of venous sinus stenosis in Pseudotumor cerebri(ptc) using digital subtraction angiography (DSA) Dr.Mohamed hamdy ibrahim MBBC,MSc,MD, PhD Neurology Degree Kings lake university (USA). Fellow
Disclosures None. Common Neurosurgical Problems Seen in Office Encounters. Macrocephaly Low Back Pain Sacral Dimple Concussion Chiari Malformation
Common Neurosurgical Problems Seen in Office Encounters When to Manage, When to Refer Andrew Jea MD FAAP Professor and Chief of Pediatric Neurosurgery Riley Hospital for Children Indiana University School
Coexistence of migraine and idiopathic intracranial hypertension without papilledema
/ GX'~C1~.. Coexistence of migraine and idiopathic intracranial hypertension without papilledema Ninan T. Mathew, MD; K. Ravishankar, MD; and Luis C. Sanin, MD!
Ian Carroll MD, MS https://med.stanford.edu/profiles/ian-carroll CarrollCSFleak@gmail.com SIH and/or POTS? Disclosures No Conflicts of Interest This work is supported by the Considine CSF Leaks Fund Thank
Introduction to Neurosurgical Subspecialties:
Introduction to Neurosurgical Subspecialties: Spine Neurosurgery Brian L. Hoh, MD 1 and Gregory J. Zipfel, MD 2 1 University of Florida, 2 Washington University Spine Neurosurgery Spine neurosurgeons treat
Fifteen-minute consultation: incidental findings on brain and spine imaging
BEST PRACTICE Editor s choice Scan to access more free content Department of Neurosurgery, Birmingham Children s Hospital, Birmingham, UK Correspondence to Chirag Patel, Department of Neurosurgery, Birmingham
Surgery for Spinal Cord Lipomas
39 Original Article Surgery for Spinal Cord Lipomas Manish K. Kasliwal and Ashok K. Mahapatra Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India
NON MALIGNANT BRAIN TUMOURS Facilitator. Ros Taylor Advanced Neurosurgical Nurse Practitioner Southmead Hospital Bristol
NON MALIGNANT BRAIN TUMOURS Facilitator Ros Taylor Advanced Neurosurgical Nurse Practitioner Southmead Hospital Bristol Neurosurgery What will be covered? Meningioma Vestibular schwannoma (acoustic neuroma)
What is IIH? Idiopathic Intracranial Hypertension (IIH)
What is IIH? Idiopathic Intracranial Hypertension (IIH) What is Idiopathic Intracranial Hypertension? Idiopathic intracranial hypertension (IIH), also known as benign intracranial hypertension or pseudotumour
Idiopathic Intracranial Hypertension
Idiopathic Intracranial Hypertension Dr. Mar'n Su+onBrown MD. FRCPC Neuro-Ophthalmology, Neurology Div of Neurology, Island Health Clinical Assistant Professor, Div of Neurology, UBC Stroke Rapid Assessment
Pediatric Spinal Anomalies
Department of Radiology University of California San Diego Pediatric Spinal Anomalies John R. Hesselink, M.D. Spine Embryogenesis 1. Primitive streak 2. Proliferation of cells at primitive pit (Hensen's
EDNF Center for Clinical Care & Research at GBMC PHYSICIANS CONFERENCE September 15, 2014
EDNF Center for Clinical Care & Research at GBMC 2014 PHYSICIANS CONFERENCE September 15, 2014 Pain in Ehlers-Danlos Syndrome Clair A. Francomano, M.D. Director, EDNF Center for Clinical Care and Research
Chiari malformations. A fact sheet for patients and carers
A fact sheet for patients and carers Chiari malformations This fact sheet provides information on Chiari malformations. It focuses on Chiari malformations in adults. Our fact sheets are designed as general
Tethered spinal cord syndrome: a developmental overview
International Journal of Sciences & Applied Research www.ijsar.in Tethered spinal cord syndrome: a developmental overview Anushi Singh 1 *, Rekha Kumari 2 1 CHN Department, School of Nursing Science and
Remembering Donald J. Dalessio, MD The Headache Clinic Featuring the Baylor Scott & White Headache Clinic in Temple, Texas.
Spinal Cerebrospinal Fluid Leak An Under-recognized Cause of Headache More common than expected, why is this type of headache so often misdiagnosed or the diagnosis is delayed? Challenging the One Size
Findings from the 2015 HRS Expert Consensus Document on Postural Tachycardia Syndrome (POTS) and Inappropriate Sinus Tachycardia (IST)
Findings from the 2015 HRS Expert Consensus Document on Postural Tachycardia Syndrome (POTS) and Inappropriate Sinus Tachycardia (IST) Ahmad Hersi, MBBS, MSc, FRCPC Professor of Cardiac Sciences Consultant
Intracranial hypertension and headache. Daniel Tibussek, MD
Intracranial hypertension and headache. Daniel Tibussek, MD none Disclosures Overview Case Clinical presentation of pediatric PTC Nomenclature, Definition What is intracranial hypertension? Diagnostic
For more information about how to cite these materials visit
Author(s): Louis D Alecy, 2009 License: Unless otherwise noted, this material is made available under the terms of the Creative Commons Attribution Non-commercial Share Alike 3.0 License: http://creativecommons.org/licenses/by-nc-sa/3.0/
Pituitary Apoplexy. Updated: April 22, 2018 CLINICAL RECOGNITION
Pituitary Apoplexy Zeina C Hannoush, MD. Assistant Professor of Clinical Medicine. Division of Endocrinology, Diabetes and Metabolism. University of Miami, Miller School of Medicine. Roy E Weiss, MD, PhD,
The View through the Nose: ENT considerations for Pituitary/Skull Base Surgery
The View through the Nose: ENT considerations for Pituitary/Skull Base Surgery Edsel Kim, M.D. Otolaryngology-Head and Neck Surgery The Oregon Clinic Providence Brain and Spine Institute Pituitary, Thyroid
Surgical treatments in severe IIH
Surgical treatments in severe IIH You will have been told by your Doctor that you need to have a surgical procedure for Idiopathic Intracranial Hypertension. This may be because all the other treatments
Idiopathic cervical syringomyelia can be associated. Pediatric Chiari malformation Type 0: a 12-year institutional experience.
J Neurosurg J Neurosurg Pediatrics Pediatrics 8:000 000, 8:1 5, 2011 Pediatric Chiari malformation Type 0: a 12-year institutional experience Clinical article Joshua J. Chern, M.D., Ph.D., Amber J. Gordon,
Neurosurgery (Orthopaedic PGY-1) Goals. Objectives
Neurosurgery (Orthopaedic PGY-1) Length: 1 month of PGY-1 (Orthopaedic Designated Residents) or 1 month of PGY-2, -3, or -4 year Location: The Queen's Medical Center Primary Supervisor: William Obana,
The Chiari malformation I (CM I) is a disorder that has been
DOI: 10.5137/1019-5149.JTN.18349-16.1 Received: 31.05.2016 / Accepted: 01.07.2016 Published Online: 22.08.2016 Original Investigation Are Herniated Cerebellar Tonsils the Main Culprit of Chiari Malformation
Can I send this headache patient home? Dr Nicola Giffin Consultant Neurologist Bath, Nov 2017
Can I send this headache patient home? Dr Nicola Giffin Consultant Neurologist Bath, Nov 2017 SAH v benign thunderclap headaches Other pathologies not apparent on CT Severe primary headaches: management
Differential Diagnosis of Orthostatic Headache
Differential Diagnosis of Orthostatic Headache MORRIS LEVIN, MD PROFESSOR OF NEUROLOGY CHIEF, DIVISION OF HEADACHE MEDICINE, UCSF Disclosures Consulting for Amgen, Lilly, Allergan, Supernus, Pernix No
You Spin Me Right Round, Baby
You Spin Me Right Round, Baby Teena Hadvani, MD Amrita Singh, MD Baylor College of Medicine Texas Children s Hospital Disclosure of Financial Relationships No financial relationships to disclose relating
2nd Annual Cedars-Sinai Intracranial Hypotension Symposium
2nd Annual Cedars-Sinai Intracranial Hypotension Symposium SATURDAY, OCTOBER 13, 2018 7:30 A.M. TO 5:30 P.M. MARINA DEL REY MARRIOTT This symposium has a Professional track and a Patient/Caregiver track.
Introduction to the Tethered Cord Syndrome
1 Introduction to the Tethered Cord Syndrome Shokei Yamada The word tether means to restrain, an example of which is an animal held to the maximal range of motion by a rope. This definition leads to the
5.5. RETROSIGMOID APPROACH
5.5. RETROSIGMOID APPROACH The retrosigmoid approach provides good access to the cerebellopontine angle. It is by far simpler and faster with much less need for bone removal than other more extensive lateral
A Model of Care for Patients with Spina Bifida. Dr C West AM Spina Bifida Service The Children s Hospital at Westmead 2012
A Model of Care for Patients with Spina Bifida Dr C West AM Spina Bifida Service The Children s Hospital at Westmead 2012 Explanation of Model of Care To provide a framework for holistic care of patient
Introduction to Neuroimaging spine. John J. McCormick MD
Introduction to Neuroimaging spine John J. McCormick MD Neuroanatomy Netter drawings Radiographic Anatomy Cervical Spine Cervical Spine Oblique View Cervical Spine Dens View Thoracic Spine Lumbar Spine
LOSS OF CONSCIOUSNESS & ASSESSMENT. Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT
LOSS OF CONSCIOUSNESS & ASSESSMENT Sheba Medical Center Acute Medicine Department MATTHEW WRIGHT OUTLINE Causes Head Injury Clinical Features Complications Rapid Assessment Glasgow Coma Scale Classification
What Is an Arteriovenous malformation (AVM)?
American Society of Neuroradiology What Is an Arteriovenous malformation (AVM)? From the Cerebrovascular Imaging and Intervention Committee of the American Heart Association Cardiovascular Council Randall
Djamila Kafoufi Al Galaa Military Hospital Cairo
Djamila Kafoufi Al Galaa Military Hospital Cairo Herniation cerebellar tonsils below the foramen magnum, Hans Chiari 4 types Chiari I less than 5mm,HDC rare,syringomyelia often present. Chiari II,protrusion
Hybrid Open Access Journals
Wolters Kluwer Health (Medical Research) Limited List of LWW Hybrid and Gold Open Access Journals* Hybrid Open Access Journals Academic Medicine Addictive Disorders & Their Treatment Advanced Emergency
Iatrogenic lumbar Pseudomeningocele: A case report and review of literature
Available online at Available online at: www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 1:153-157 Iatrogenic lumbar Pseudomeningocele: A case report
Meninges and Ventricles
Meninges and Ventricles Irene Yu, class of 2019 LEARNING OBJECTIVES Describe the meningeal layers, the dural infolds, and the spaces they create. Name the contents of the subarachnoid space. Describe the
41 year old female with headache. Elena G. Violari MD and Leo Wolansky MD
41 year old female with headache Elena G. Violari MD and Leo Wolansky MD ? Dural Venous Sinus Thrombosis with Hemorrhagic Venous Infarct Acute intraparenchymal hematoma measuring ~3 cm in diameter centered
Wound healing in trophic ulcers in spina bifida patients
J Neurosurg 82:000 000, 1995 Wound healing in trophic ulcers in spina bifida patients VINOD KUMAR SRIVASTAVA, M.B.B.S, M.CH. Neurosurgical Unit, J. N. Medical College, Aligarh Muslim University, Aligarh,
Lippincott Williams & Wilkins Archive Journal Collection
Lippincott Williams & Wilkins Archive Journal Collection Academic Medicine ACSM'S Health & Fitness Journal Addictive Disorders & Their Treatment Advanced Emergency Nursing Journal Advances in Anatomic
Symptomatic Multiple Level Lateral Meningoceles with Intraspinal Meningocele: A Case Study and Its Surgical Management
THIEME Original Article 15 Symptomatic Multiple Level Lateral Meningoceles with Intraspinal Meningocele: A Case Study and Its Surgical Management Vernon Velho 1 Sachin Guthe 1 Pravin Survashe 1 Poonam
PTA 106 Unit 1 Lecture 3
PTA 106 Unit 1 Lecture 3 The Basics Arteries: Carry blood away from the heart toward tissues. They typically have thicker vessels walls to handle increased pressure. Contain internal and external elastic
Aurora Health Care South Region EMS st Quarter CE Packet
Name: Dept: Date: Aurora Health Care South Region EMS 2010 1 st Quarter CE Packet Meningitis Meningitis is an inflammatory disease of the leptomeninges. Leptomeninges refer to the pia matter and the arachnoid
(Hi-dro-SEF-ah-lus) Hydrocephalus is a build-up of Cerebrospinal Fluid, or CSF within the spaces inside the brain, called ventricles.
Hydrocephalus in adults What is hydrocephalus? (Hi-dro-SEF-ah-lus) Hydrocephalus is a build-up of Cerebrospinal Fluid, or CSF within the spaces inside the brain, called ventricles. There are 4 ventricles
Lippincott Williams & Wilkins, Inc. OvidSP
1 Academic Medicine --- 10402446 http://ovidsp.ovid.com/ovidweb.cgi?t=js&news=n&csc=y&page=toc&d=ovft&an=00001888-000000000-00000 2.934 (2014) 2 ACADEMIC Physician & Scientist - Backfile --- --- http://ovidsp.ovid.com/ovidweb.cgi?t=js&news=n&csc=y&page=toc&d=ovft&an=00754481-000000000-00000
Imaging of Trauma to the Spine. Orthopedic Diplomate Program University of Bridgeport College of Chiropractic
Imaging of Trauma to the Spine Orthopedic Diplomate Program University of Bridgeport College of Chiropractic Jefferson Fracture Yee, LL: The Jefferson Fracture, Radiology Cases in Pediatric Emergency Medicine.
Laterally positioned hemivertebrae and the resultant. Dorsal midline hemivertebra at the lumbosacral junction: report of 2 cases.
spine case report J Neurosurg Spine 22:84 89, 2015 Dorsal midline hemivertebra at the lumbosacral junction: report of 2 cases Shaheryar F. Ansari, MD, 1 Richard B. Rodgers, MD, 2 and Daniel H. Fulkerson,
)93( COPYRIGHT 2014 BY THE ARCHIVES OF BONE AND JOINT SURGERY RESEARCH ARTICLE
)93( COPYRIGHT 2014 BY THE ARCHIVES OF BONE AND JOINT SURGERY RESEARCH ARTICLE Orthopedic Lesions in Tethered Cord Syndrome: The Importance of Early Diagnosis and Treatment on Patient Outcome Mohammad
Intradural Spinal Vein Enlargement in Craniospinal Hypotension
AJNR Am J Neuroradiol 26:34 38, January 2005 Case Report Intradural Spinal Vein Enlargement in Craniospinal Hypotension M. Todd Burtis, John L. Ulmer, Glenn A. Miller, Alexandru C. Barboli, Scott A. Koss,
SPINE EVALUATION AND CLEARANCE Basic Principles
SPINE EVALUATION AND CLEARANCE Basic Principles General 1. Entire spine is immobilized during primary survey. 2. Radiographic clearance of the spine is not required before emergent surgical procedures.
LV-EBP: Record-setting large volume epidural blood patch
LV-EBP: Record-setting large volume epidural blood patch Michael D. Staudt Department of Clinical Neurological Sciences Schulich School of Medicine, Western University London Health Sciences Centre, London,
Neonatal Spinal Ultrasound Imaging - A Pictorial Review from The Royal Liverpool Children Hospital, Alder Hey, Liverpool
Neonatal Spinal Ultrasound Imaging - A Pictorial Review from The Royal Liverpool Children Hospital, Alder Hey, Liverpool Poster No.: C-0081 Congress: ECR 2012 Type: Educational Exhibit Authors: K. Chetcuti,
Surgery. Conus medullaris and Cauda Equina Syndromes. Anatomy. See online here
Surgery Conus medullaris and Cauda Equina Syndromes See online here Conus medullaris and cauda equina syndromes are spinal cord injuries that involve injury to the lumbosacral segment of the spinal cord.
Neurosurgery Review. Mudit Sharma, MD May 16 th, 2008
Neurosurgery Review Mudit Sharma, MD May 16 th, 2008 Dr. Mudit Sharma, Neurosurgeon Manassas, Fredericksburg, Virginia http://www.virginiaspinespecialists.com Phone: 1-855-SPINE FIX (774-6334) Fundamentals
Kiyoshi Ito, MD, Tatsuro Aoyama, MD, Takuya Nakamura, MD, Yoshiki Hanaoka, MD, Tetsuyoshi Horiuchi, MD, and Kazuhiro Hongo, MD
technical note J Neurosurg Spine 25:620 625, 2016 Novel dural incision and closure procedure for preventing postoperative cerebrospinal fluid leakage during the surgical removal of dumbbell-shaped spinal
Current & Evolving Percutaneous Treatment Approaches: Cedars-Sinai. Interventional Options
10/20/2017 Current & Evolving Percutaneous Treatment Approaches: Cedars-Sinai Charles Luoy and Marcel Maya Cedars Sinai Blood Patch Single level Bilevel Targeted Fibrin Glue Interventional Options 1 10/20/2017
Get back to life. A comprehensive guide to back pain and treatment.
Get back to life. A comprehensive guide to back pain and treatment. Is your back acting up? You are not alone. Eighty to 90 percent of people in the United States will suffer from back pain at some time
Pathologic Analysis of CNS Surgical Specimens
2015 Kenneth M. Earle Memorial Neuropathology Review Pathologic Analysis of CNS Surgical Specimens Peter C. Burger, MD Interdisciplinary Quality Control Familiarity with entities Use of diagnostic algorithm
Update on Pediatric Brain Tumors
Update on Pediatric Brain Tumors David I. Sandberg, M.D. Director of Pediatric Neurosurgery & Associate Professor Dr. Marnie Rose Professorship in Pediatric Neurosurgery Pre-talk Questions for Audience
Risk of Spaceflight-Induced Intracranial Hypertension / Vision Alterations
Risk of Spaceflight-Induced Intracranial Hypertension / Vision Alterations Michael A. Williams The Sandra and Malcolm Berman Brain & Spine Institute, Baltimore, MD Adult Hydrocephalus Center Disclosures
Spinal Cord Injury. North American Spine Society Public Education Series
Spinal Cord Injury North American Spine Society Public Education Series What Is a Spinal Cord Injury? A spinal cord injury is a condition that results from damage or trauma to the nerve tissue of the spine.
ORIGINAL PAPER. Mehmet Selçuki & Ahmet Şükrü Umur & Yusuf Kurtulus Duransoy & Seymen Ozdemir & Deniz Selcuki
DOI 10.1007/s00381-012-1713-0 ORIGINAL PAPER Inappropriate surgical interventions for midline fusion defects cause secondary tethered cord symptoms: implications for natural history report of four cases
Minimally invasive subpial tonsillectomy for Chiari I decompression
Acta Neurochir (2016) 158:1807 1811 DOI 10.1007/s00701-016-2877-2 HOW I DO IT - NEUROSURGICAL TECHNIQUES Minimally invasive subpial tonsillectomy for Chiari I decompression Jeffrey S. Beecher 1 Yong Liu
PARADIGM SPINE. Patient Information. Treatment of a Narrow Lumbar Spinal Canal
PARADIGM SPINE Patient Information Treatment of a Narrow Lumbar Spinal Canal Dear Patient, This brochure is intended to inform you of a possible treatment option for narrowing of the spinal canal, often
Case Report Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases
Case Reports in Orthopedics Volume 2015, Article ID 854151, 4 pages http://dx.doi.org/10.1155/2015/854151 Case Report Ipsilateral Hip Dysplasia in Patients with Sacral Hemiagenesis: A Report of Two Cases
Intracranial Hypotension Concurrent Presented with Pseudo-Subarachnoid Hemorrhage and Transverse Sinus Thrombosis: A Case Report
NNQ Intracranial Hypotension Concurrent Presented with Pseudo-Subarachnoid Hemorrhage and Transverse Sinus Thrombosis: A Case Report Chieh-Yang Cheng 1, Che-Chuan Wang 1, Tai-Yuan Chen 2, Jinn-Rung Kuo
VAriation. Orthotics and Me (?surgeons) Greg Etherington Spine Surgeon. Orthopaedic & Neurosurgery backgrounds. Subspeciality training
Orthotics and Me (?surgeons) Greg Etherington Spine Surgeon Orthopaedic & Neurosurgery backgrounds Subspeciality training spine, upper limb, trauma, pelvis. What do you do in spine? Lumbar Cervical Trauma
Chiari FAQ's. 1. What is a Chiari Malformation?
Chiari FAQ's These FAQ's are for informational purposes only and in no way represent an attempt to provide medical advice. This information may or may not apply to your case and anyone with a question
Ovid-Lippincott Journals
A&A Case Reports 2325-7237 http://ovidsp.ovid.com/ovidweb.cgi?t=js&news=n&csc=y&page=toc&d=yrovft&an=01720097-000000000-00000 Academic Medicine 1040-2446 http://ovidsp.ovid.com/ovidweb.cgi?t=js&news=n&csc=y&page=toc&d=yrovft&an=00001888-000000000-00000
Sonography of the Neonatal Spine: Part 2, Spinal Disorders
Neonatal Spine Sonography Pediatric Imaging Pictorial Essay Downloaded from www.ajronline.org by 148.251.232.83 on 04/11/18 from IP address 148.251.232.83. Copyright RRS. For personal use only; all rights