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https://www.readbyqxmd.com/read/29775143/testing-the-effectiveness-and-the-contribution-of-experimental-supercharge-reversed-end-to-side-nerve-transfer
#1
Mustafa Nadi, Sudheesh Ramachandran, Abir Islam, Joanne Forden, Gui Fang Guo, Rajiv Midha
OBJECTIVE Supercharge end-to-side (SETS) transfer, also referred to as reverse end-to-side transfer, distal to severe nerve compression neuropathy or in-continuity nerve injury is gaining clinical popularity despite questions about its effectiveness. Here, the authors examined SETS distal to experimental neuroma in-continuity (NIC) injuries for efficacy in enhancing neuronal regeneration and functional outcome, and, for the first time, they definitively evaluated the degree of contribution of the native and donor motor neuron pools...
May 18, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29765955/pediatric-multiple-endocrine-neoplasia-type-2b-clinicopathological-correlation-of-perilimbal-mucosal-neuromas-and-treatment-of-secondary-open-angle-glaucoma
#2
Ta Chen Chang, Kingsley C Okafor, Kara M Cavuoto, Sander R Dubovy, Carol L Karp
Ocular findings of multiple endocrine neoplasia type 2B (MEN 2B) include prominent corneal nerves, mucosal neuromas of the conjunctiva, glaucoma, and dry eyes. A 15-year-old girl with MEN 2B presents with advanced secondary open-angle glaucoma and bilateral perilimbal masses. High-resolution optical coherence tomography (HR-OCT) of the perilimbal lesions showed normal epithelial thickness and subepithelial lobular areas of mixed reflectivity, which correlates well with histopathologic findings of benign mucosal neuromas...
April 2018: Ocular Oncology and Pathology
https://www.readbyqxmd.com/read/29764030/-neuroendoscopy-assisted-microneurosurgery-for-posterior-cranial-fossa-lesion
#3
J Li, D Zhong, D Lü, H Y Huang, W Du, J Yang, Y T Wu, H J Xia, W Y Tang, X C Sun
Objective: To study the value of neuroendoscopy assisted microneurosurgery technique in the treatment of posterior cranial fossa lesion. Methods: Clinical data of 36 patients with posterior fossa lesions who accepted neuroendoscopy assisted microneurosurgery (NEAM group) in the department of neurosurgery of the First Affiliated Hospital of Chongqing Medical University, from January 2014 to December 2016, were retrospectively enrolled. A total of 113 cases diagnosed with the same lesions and accepted conventional microneurosurgery (non-NEAM group) in the same period were analyzed as control group...
May 8, 2018: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/29730097/ultrasound-diagnosis-of-postoperative-complications-of-nerve-repair
#4
Caterina Fantoni, Carmen Erra, Eduardo Marcos Fernandez Marquez, Andrea Ortensi, Andrea Faiola, Daniele Coraci, Giulia Piccinini, Luca Padua
BACKGROUND: Peripheral nerve injuries often undergo surgical repair, but poor postoperative functional recovery is frequently observed. CASE DESCRIPTION: We describe four cases of traumatic nerve lesions in whom postoperative recovery was prevented by complications such as detachment of nerve sutures or neuroma growth. To the best of our knowledge no similar cases have been reported in literature so far. It is important an early diagnosis of such condition because it prevents recovery and delays re-intervention, which should be performed before complete muscle denervation and atrophy...
May 3, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29715569/acoustic-neuroma-treated-with-stereotactic-radiosurgery-follow-up-of-335-patients
#5
Daniel Rueß, Lea Pöhlmann, Alexandra Hellerbach, Christina Hamisch, Mauritius Hoevels, Harald Treuer, Stefan Grau, Karolina Jablonska, Martin Kocher, Maximilian Ruge
No abstract text is available yet for this article.
April 28, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29709408/multiple-endocrine-neoplasia-type-2b-men2b-in-a-9-year-old-female
#6
Solon T Kao, Christopher J Capua, Rafik A Abdelsayed
Multiple endocrine neoplasia (MEN) is an uncommon genetic syndrome transmitted as an autosomal dominant condition characterized by multiple tumors or hyperplasia of neuroendocrine tissues. MEN type 2b (MEN2B) often has clinical signs of marfanoid facial appearance and mucosal neuromas of the head. This report describes the diagnosis of MEN2B in a previously undiagnosed 9 year old who presented for biopsy of an oral lesion.
April 7, 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29707445/treatment-of-painful-nerves-in-the-abdominal-wall-using-processed-nerve-allografts
#7
Andrew Bi, Eugene Park, Gregory A Dumanian
Neuromas can be a debilitating cause of pain and often negatively affect patients' quality of life. One effective method of treatment involves surgical resection of the painful neuroma and use of a processed nerve allograft to repair the injured nerve segment. Giving the nerve "somewhere to go and something to do" has been shown to effectively alleviate pain in upper and lower extremities. We present the first report of this concept to treat a painful neuroma of the abdominal wall that developed following a laparoscopic gastric bypass...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29688804/are-patients-with-spontaneous-csf-otorrhea-and-superior-canal-dehiscence-congenitally-predisposed-to-their-disorders
#8
Shawn M Stevens, Kiefer Hock, Ravi N Samy, Myles L Pensak
Objectives (1) Compare lateral skull base (LSB) height/thickness in patients with spontaneous cerebrospinal fluid otorrhea (CSF), superior canal dehiscence (SCD), acoustic neuromas (AN), and otosclerosis (OTO). (2) Perform correlations between age, body mass index (BMI), sex, and LSB height/thickness. Study Design Case series with chart review. Setting Tertiary referral center. Subjects and Methods Patients with CSF, SCD, AN, and OTO diagnosed from 2006 to 2016 were included if they had high-definition temporal bone computed tomography (CT) and absence of trauma, radiation, chronic ear disease, and/or congenital anomaly...
April 1, 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29685562/superficial-peroneal-nerve-to-deep-peroneal-nerve-transfer-with-allograft-conduit-for-neuroma-in-continuity
#9
Christopher Bibbo, Edgardo Rodrigues-Colazzo, Adam G Finzen
The anterior approach to the ankle for surgery can result in injury to the superficial peroneal nerve, resulting in a painful neuroma and significant patient morbidity. A paucity of data is available evaluating the role of the superficial peroneal nerve to deep peroneal nerve transfer as a method of treatment of neuromas in continuity after ankle arthrodesis. We describe 11 patients who underwent nerve transfer with nerve allograft and conduit repair to treat recalcitrant painful neuromas after ankle arthrodesis...
May 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29682051/meningioma-in-fourth-ventricle-of-brain-a-case-report-and-literature-review
#10
Firooz Salehpour, Javad Aghazadeh, Amir Mohammad Bazzazi, Farhad Mirzaei, Amir Taha Eftekhar Saadat, Seyed Ahmad Naseri Alavi
Meningiomas are benign tumors origin from central nervous system. They usually involve cephalic, paravertebral soft tissues, skin and in rare cases in the ear, temporal bone, mandible, foot, lung, and mediastinum. In this case, we report an unusual case of meningioma which placed in the fourth ventricle. A 14-year-old man with seizure and headache referred to our ward. The magnetic resonance imaging reported bilateral acoustic neuroma and fourth ventricle meningioma. The patient was scheduled for total tumor resection and the histopathology revealed psammomatous type of meningioma...
April 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29666696/solitary-circumscribed-neuroma-dermoscopic-clues-to-facilitate-diagnosis
#11
Pablo Fernández-Crehuet, Ricardo Ruiz-Villaverde
No abstract text is available yet for this article.
February 2018: Sultan Qaboos University Medical Journal
https://www.readbyqxmd.com/read/29656878/postoperative-headache-following-treatment-of-vestibular-schwannoma-a-literature-review
#12
REVIEW
Ahad Sabab, Jaspreet Sandhu, Stephen Bacchi, Alistair Jukes, Andrew Zacest
Vestibular schwannoma (VS) is a brain tumour arising from Schwann cells that is typically closely associated with the vestibulocochlear nerve. Post-operative headaches (POH) are a potentially common complication of surgery for VS. Greatly differing rates of POH have previously been reported, particularly with different surgical approaches. The aim of this review is to identify and summarise the available peer-reviewed evidence on rates of POH following operative (or radiosurgery) treatment for VS, in addition to information about the treatment and prognosis of POH in these patients...
April 12, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29656327/analysis-of-regeneration-and-myelination-associated-proteins-in-human-neuroma-in-continuity-and-discontinuity
#13
Patrick Dömer, Bettina Kewitz, Christian P G Heinen, Ulrike Janssen-Bienhold, Thomas Kretschmer
BACKGROUND: Neuromas are pathologic nerve distensions caused by a nerve's response to trauma, resulting in a dysfunctional to non-functional nerve. Depending on the severance of the affected nerve, the resulting neuroma can be differentiated into continuous and stump neuroma. While neuroma formation has been investigated in animal models with enormous regenerative capacity, the search for differences in human response to nerve trauma on a molecular level ultimately seeks to identify reasons for functionally successful versus unsuccessful regeneration after peripheral nerve trauma in man...
April 14, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29627280/bilateral-nonsynchronous-pacinian-corpuscle-neuroma
#14
Isidro Jiménez, Alberto Marcos-García, Gustavo Muratore, José Medina
Pacinian corpuscles are rapidly adapting mechanoreceptors distributed in the dermis of the fingers and palm of the hand. A neuroma of the pacinian corpuscle is rare and extremely painful, with only a few cases reported in the literature. A 71-year-old man with pain and swelling on his left index finger, initially diagnosed as tenosynovitis resistant to nonsurgical treatment, was referred to our center. During surgery, a cluster of spherical, gray lesions close to the digital nerve was found and excised. The pathological diagnosis was neuroma of the pacinian corpuscles...
April 4, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29605954/development-of-targeted-muscle-reinnervation-model-in-hind-limb-amputated-rats
#15
Rohit Garg, Safak Uygur, Joanna Cwykiel, Maria Siemionow
BACKGROUND:  Targeted muscle reinnervation (TMR) is a novel approach to postamputation neuroma pain; however, this has not been explicitly studied. The purpose of this study was to develop a TMR model in hind limb amputated rats. METHODS:  Ten hind limbs from 5 Sprague Dawley cadaver rats were used. Sciatic nerve, main branches of the sciatic nerve (common peroneal, tibial, sural), motor branches from the sciatic nerve to the biceps femoris and cauda femoris, gluteal nerve and its motor branches to the semimembranosus, and biceps femoris and femoral nerve were dissected to look for consistent nerve anatomy that can be used for TMR in the rat hind limb amputation model...
April 1, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29604530/double-cross-finger-flaps-from-the-middle-to-the-index-or-ring-finger-a-case-series-of-4-patients-with-an-emphasis-on-donor-finger-morbidity
#16
Omar M Al-Qattan, Abdulaziz A Almobarak, Mohammad M Al-Qattan
INTRODUCTION: The use of two cross finger flaps from one digit has not been previously reported and the technique raises concerns regarding donor finger morbidity. In this paper, the authors report on a case series of double cross fingers flaps harvested from the middle finger to reconstruct large defects in the adjacent index or ring finger; with an emphasis on documenting morbidity in the donor middle finger. METHODS: A total of four cases of double cross finger flaps were retrospectively reviewed...
March 26, 2018: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29596088/a-systematic-review-of-prognostic-factors-for-sensory-recovery-after-digital-nerve-reconstruction
#17
Jennifer S Kim, Nana-Yaw Bonsu, Hyuma A Leland, Joseph N Carey, Ketan M Patel, Mitchel Seruya
BACKGROUND: Successful digital nerve repair is crucial in preventing painful neuroma formation and restoring sensory function after traumatic hand injury. The purpose of this study is to identify prognostic factors affecting sensory recovery following digital nerve reconstruction. METHODS: A systematic review was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines including studies reporting patients 18 years and older, greater than 10 reconstructed digital nerves, and greater than or equal to 3 months follow-up...
March 29, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29595737/surgical-approach-to-injuries-of-the-cervical-plexus-and-its-peripheral-nerve-branches
#18
David L Brown, A Lee Dellon
BACKGROUND: Located in the neck beneath the sternocleidomastoid muscle, the cervical plexus comprises a coalition of nerves originating from C1 through C4, which provide input to four cutaneous, seven motor, and three cranial nerves and the sympathetic trunk. Sporadic instances of injury to these superficial nerves have been reported. Nevertheless, this specific anatomical cause of neurogenic pain remains incompletely described and underrecognized. METHODS: Twelve patients presented with pain and were diagnosed with various combinations of injury to the lesser occipital, great auricular, transverse cervical, and supraclavicular nerves...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29581685/incidental-findings-in-routine-histopathological-examination-of-appendectomy-specimens-retrospective-analysis-of-1970-patients
#19
Oğuzhan Dincel, Mustafa Göksu, Bilge Aydın Türk, Burçin Pehlivanoğlu, Serap İşler
Diseases and tumors of the appendix vermiformis are very rare, except for acute appendicitis. This study aimed to examine rare findings in the histopathologic examinations of specimens of patients undergoing appendectomy due to the diagnosis of acute appendicitis. The files of 1970 patients undergoing appendectomy due to the diagnosis of acute appendicitis between March 2012 and March 2016 were retrospectively investigated. Rare findings were found in 59 (3 %) patients, and these were evaluated in detail. Patients' age, gender, pathology reports, and postoperation follow-ups were recorded...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29564143/gastric-schwannoma-a-rare-benign-mimic-of-gastrointestinal-stromal-tumor
#20
Tagore Sunkara, Eric Omar Then, Madhavi Reddy, Vinaya Gaduputi
Schwannomas most commonly manifest as acoustic neuromas in the vestibulo-cochlear nerve (CN VIII). These may occur unilaterally as primary tumors, or bilaterally secondary to neurofibromatosis type 2. More rarely, they present in extra-cranial sites, including the gastrointestinal tract. Gastrointestinal schwannomas are believed to arise from Auerbach's plexus in the muscularis propria, and are classified as mesenchymal tumors. Here, we report a rare case of a 49-year-old woman who had surgical resection of a gastric mass which was eventually diagnosed as gastric schwannoma...
March 2018: Oxford Medical Case Reports
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