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Neuroplasty

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https://www.readbyqxmd.com/read/27890759/transforaminal-percutaneous-endoscopic-lumbar-discectomy-with-percutaneous-epidural-neuroplasty-in-lumbar-disc-herniation-technical-note
#1
Hyeong-Jin Lee, Jin-Sung Kim, Kyeong-Sik Ryu
OBJECTIVE: Percutaneous endoscopic lumbar discectomy and percutaneous epidural neuroplasty is a commonly used minimally invasive spinal surgery in lumbar disc herniation. But to our knowledge, there is no report about the results of percutaneous endoscopic lumbar discectomy with percutaneous epidural neuroplasty. We did this study to evaluate the effect of percutaneous endoscopic lumbar discectomy with percutaneous epidural neuroplasty in lumbar disc herniation. METHODS: We report the series of cases about technics and results of percutaneous endoscopic lumbar discectomy with percutaneous epidural neuroplasty in lumbar disc herniation...
November 24, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27716451/surgical-treatment-of-a-broken-neuroplasty-catheter-in-the-epidural-space-a-case-report
#2
Tae Hyun Kim, Jun Jae Shin, Woo Yong Lee
BACKGROUND: Percutaneous epidural neuroplasty with a Racz catheter is widely used to treat radicular pain caused by spinal stenosis or a herniated intervertebral disc. The breakage or shearing of an epidural catheter, particularly a percutaneous epidural neuroplasty catheter, is reported as a rare complication. There has been a controversy over whether surgical removal of a shorn epidural catheter is needed. Until now, only three cases related to sheared Racz neuroplasty catheters have been reported...
October 6, 2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27676674/contrast-runoff-correlates-with-the-clinical-outcome-of-cervical-epidural-neuroplasty-using-a-racz-catheter
#3
Yun-Joung Han, Myoung No Lee, Min Ji Cho, Hue Jung Park, Dong Eon Moon, Young Hoon Kim
BACKGROUND: Epidural neuroplasty using a Racz catheter has a therapeutic effect. Studies have found no correlation between foraminal stenosis and the outcome of epidural neuroplasty, which is thought to depend on contrast runoff. OBJECTIVE: To examine the correlation between the contrast spread pattern and pain reduction in cervical epidural neuroplasty using a Racz catheter. STUDY DESIGN: Retrospective study. SETTING: An interventional pain-management practice in a university hospital...
September 2016: Pain Physician
https://www.readbyqxmd.com/read/27595746/a-comparison-of-non-endoscopic-and-endoscopic-adhesiolysis-of-epidural-fibrosis
#4
Martina Bellini, Massimo Barbieri
Low back and leg pain may be due to many causes, one of which is scarring in the epidural space. Epidural scarring may provoke this pain for many reasons: nerves may be trapped by scars, while veins in the epidural space press down upon the nerves and become enlarged, putting pressure on the nerves. Endoscopic and percutaneous epidural adhesiolysis allows one to eliminate the deleterious effects of scar formation, which can both physically prevent the direct application of drugs to nerve and provide relief in patients who have not responded to epidurals, physical therapy or medication...
September 6, 2016: Anaesthesiology Intensive Therapy
https://www.readbyqxmd.com/read/27119933/a-novel-surgical-approach-to-chronic-temporal-headaches
#5
Ziv M Peled
The targets for the surgical treatment of temporal headaches are the zygomaticotemporal branch of the trigeminal nerve and the auriculotemporal nerve. The former is often accessed by means of an endoscopic brow approach or potentially by laterally extending a transpalpebral incision. An established surgical approach, the Gillies incision, was modified to access the zygomaticotemporal nerve, as it was felt to combine the advantages of the traditional techniques. Nineteen patients underwent zygomaticotemporal nerve decompression and neuroplasty or neurectomy and muscle implantation using this surgical approach...
May 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/26815248/randomized-controlled-study-of-percutaneous-epidural-neuroplasty-using-racz-catheter-and-epidural-steroid-injection-in-cervical-disc-disease
#6
RANDOMIZED CONTROLLED TRIAL
Guy Yeul Ji, Chang Hyun Oh, Keun Su Won, In Bo Han, Yoon Ha, Dong Ah Shin, Keung Nyun Kim
BACKGROUND: The efficacy of lumbar percutaneous epidural neuroplasty (PEN) as a minimally invasive technique has been relatively well investigated, but the clinical effectiveness of cervical PEN (C-PEN) has yet to be established. OBJECTIVE: The purpose of this study was to compare clinical outcomes between C-PEN and cervical epidural steroid injection (C-ESI). STUDY DESIGN: Randomized control study. SETTING: University hospital center...
February 2016: Pain Physician
https://www.readbyqxmd.com/read/26171092/cranial-and-cervical-muscular-weakness-in-mitochondrial-myopathy-is-associated-with-resolution-of-migraine-headaches-further-evidence-that-muscular-compression-of-cranial-and-peripheral-nerves-is-a-cause-of-headache-in-a-subset-of-patients-with-migraine
#7
Edward P Miranda
OBJECTIVE: A significant subset of patients with migraine headaches has pain relief after neuroplasty/muscular decompression of select cranial and cervical nerves. In the majority of cases, compression occurs secondary to compression of the nerves by adjacent muscles. Previous studies have shown that both surgical decompression and chemical denervation (eg, botulinum toxin) provide relief of migraine headaches; however, controversy remains. If some migraine headaches are caused by muscular compression, then paresis of the compressing muscles by underlying myopathic/metabolic disease should result in migraine relief in some patients...
2015: Eplasty
https://www.readbyqxmd.com/read/26067549/reverse-takotsubo-cardiomyopathy-following-inadvertent-intrathecal-injection-during-percutaneous-epidural-neuroplasty
#8
Chan-Hee Lee, Jang-Won Son, Ung Kim
Stress induced cardiomyopathy (SIC) is becoming increasingly described as an underdiagnosed complication during common medical procedures. Reverse Takotsubo cardiomyopathy (RTC) is a variant of SIC that involves the basal and mid-ventricular segments and spares the apical segments. The authors present a rare case of RTC, following an inadvertent intrathecal injection during percutaneous epidural neuroplasty. Although the precise mechanism involved remains unclear, the direct neurohumoral effects of the hyperbaric anaesthetics and adhesiolytics appear to have resulted in a catecholamine surge and myocardial stunning that precipitated the SIC...
September 2015: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/25883666/cerebellar-infarction-following-epidural-abscess-after-epidural-neuroplasty
#9
Hyun Yeong Lee, Hui Sun Wang, Seok Won Kim, Chang Il Ju
Epidural neuroplasty is found to be effective in removing fibrous tissue occurring in the epidural space for various reasons. We report a case of cerebellar infarction caused by epidural abscess after epidural neuroplasty. To the best of our knowledge, this is the first report of cerebellar infarction developed as a result of epidural abscess accompanying bacterial meningitis after epidural neuroplasty. We also discuss the etiology, pathogenesis, and prognosis of this rare pathologic entity.
March 2015: Korean Journal of Spine
https://www.readbyqxmd.com/read/25852837/acute-motor-weakness-of-opposite-lower-extremity-after-percutaneous-epidural-neuroplasty
#10
Yong Seok Lim, Ki Tea Jung, Cheon Hee Park, Sang Woo Wee, Sung Sik Sin, Joon Kim
Recently, percutaneous epidural neuroplasty has become widely used to treat radicular pain caused by spinal stenosis or a herniated intervertebral disc. A 19-year-old female patient suffering from left radicular pain caused by an L4-L5 intervertebral disc herniation underwent percutaneous epidural neuroplasty of the left L5 nerve root using a Racz catheter. After the procedure, the patient complained of acute motor weakness in the right lower leg, on the opposite site to where the neuroplasty was conducted...
April 2015: Korean Journal of Pain
https://www.readbyqxmd.com/read/25844142/a-sheared-racz-catheter-in-cervical-epidural-space-for-thirty-months-a-case-report
#11
Jae Hyuk Kang, Hoon Choi, Jin Sung Kim, Min Kyu Lee, Hue Jung Park
Percutaneous epidural neuroplasty may lead to complications such as hematoma, infection, epidural abscess, meningitis, hypotension, respiratory depression, urinary and fecal dysfunction, sexual dysfunction and paresthesia. Other technical complications may include shearing or tearing, misplacement, blockage and migration of the catheter. We report a case of a 41-year-old female patient, who underwent surgical removal of a sheared catheter, which was retained for 30 months after cervical Racz neuroplasty.
April 2015: Korean Journal of Anesthesiology
https://www.readbyqxmd.com/read/25837174/efficacy-of-percutaneous-epidural-neuroplasty-does-not-correlate-with-dural-sac-cross-sectional-area-in-single-level-disc-disease
#12
COMPARATIVE STUDY
Gyu Yeul Ji, Chang Hyun Oh, Bongju Moon, Seung Hyun Choi, Dong Ah Shin, Young Sul Yoon, Keung Nyun Kim
PURPOSE: Percutaneous epidural neuroplasty (PEN) is a minimally invasive treatment. The efficacy of PEN has been relatively well investigated; however, the relationship between the clinical effectiveness of PEN and the severity of spinal canal stenosis by disc material has not yet been established. The purpose of this study was to compare clinical outcomes of PEN according to the dural sac cross-sectional area in single level disc disease. MATERIALS AND METHODS: This study included 363 patients with back pain from single level disc disease with and without radiculopathy...
May 2015: Yonsei Medical Journal
https://www.readbyqxmd.com/read/25794215/assessment-of-clinical-outcomes-of-cervical-epidural-neuroplasty-using-a-racz-catheter-and-predictive-factors-of-efficacy-in-patients-with-cervical-spinal-pain
#13
Dong Eon Moon, Hae Jung Park, Young Hoon Kim
BACKGROUND: Epidural neuroplasty using the Racz catheter has a therapeutic effect in patients with cervical disc herniation and central stenosis who do not respond to fluoroscopically guided epidural injections. OBJECTIVE: To evaluate the clinical outcomes of cervical epidural neuroplasty in patients with posterior neck and upper extremity pain and to demonstrate correlations between predictive factors and unsuccessful results of cervical epidural neuroplasty. STUDY DESIGN: Observational study...
March 2015: Pain Physician
https://www.readbyqxmd.com/read/25427003/treatment-for-thoracic-outlet-syndrome
#14
REVIEW
Bo Povlsen, Thomas Hansson, Sebastian D Povlsen
BACKGROUND: Thoracic outlet syndrome (TOS) is one of the most controversial diagnoses in clinical medicine. Despite many reports of operative and non-operative interventions, rigorous scientific investigation of this syndrome leading to evidence-based management is lacking. This is the first update of a review first published in 2010. OBJECTIVES: To evaluate the beneficial and adverse effects of the available operative and non-operative interventions for the treatment of TOS a minimum of six months after the intervention...
November 26, 2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25247909/the-catheter-tip-position-and-effects-of-percutaneous-epidural-neuroplasty-in-patients-with-lumbar-disc-disease-during-6-months-of-follow-up
#15
Chang Hyun Oh, Guy Yeul Ji, Pyung Goo Cho, Won-Seok Choi, Dong Ah Shin, Keung Nyun Kim, Hyun-Ah Kang
BACKGROUND: Percutaneous epidural neuroplasty (PEN) is a minimally invasive intervention designed to treat neck, back, and low back pain. The efficacy of lumbar PEN has been relatively well investigated, but clinical effectiveness according to catheter position has not yet been established. OBJECTIVE: The purpose of this study was to compare clinical outcomes between the ventral and dorsal positions of the catheter tip during lumbar PEN procedures using a retrospective review series...
September 2014: Pain Physician
https://www.readbyqxmd.com/read/25098135/-racz-spring-guide-catheter-epidural-lysis-of-adhesions-and-percutaneous-neuroplasty
#16
Tomikichi Matsumoto
In recent years, failed back neck surgery syndrome (FBNSS) has been increasing as the number of spinal surgeries rises. In particular, the frequencies of surgeries for intervertebral disk herniation and spinal stenosis are high, and FBNSS is commonly attributable to these procedures. FBNSS is a challenging disease for us pain clinicians, and its causes and treatment methods are diverse. FBNSS resulting from epidural adhesive radiculopathy often cannot be resolved by conventional conservative therapies. Treatments using spinal cord stimulation and epiduroscopy are performed in Japan...
July 2014: Masui. the Japanese Journal of Anesthesiology
https://www.readbyqxmd.com/read/24851156/unintended-complication-of-intracranial-subdural-hematoma-after-percutaneous-epidural-neuroplasty
#17
Sung Bum Kim, Min Ki Kim, Kee D Kim, Young Jin Lim
Percutaneous epidural neuroplasty (PEN) is a known interventional technique for the management of spinal pain. As with any procedures, PEN is associated with complications ranging from mild to more serious ones. We present a case of intracranial subdural hematoma after PEN requiring surgical evacuation. We review the relevant literature and discuss possible complications of PEN and patholophysiology of intracranial subdural hematoma after PEN.
March 2014: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/24750546/does-improvement-in-epidurography-following-percutaneous-epidural-neuroplasty-correspond-to-patient-outcome
#18
Jae Hun Kim, Hee Jin Jung, Francis Sahngun Nahm, Pyung Bok Lee
OBJECTIVE: The positive effects of percutaneous epidural neuroplasty (PEN) likely result from elimination of fibrous tissue. However, a direct link between epidural adhesions and pain symptoms is debatable. We tested the hypothesis that epidurographic improvements correspond to improved patient outcome. METHODS: In this prospective study, patients with a filling defect on initial epidurography underwent PEN. Two weeks later, contrast agent distribution around the target area was assessed with repeat epidurography...
June 2015: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/24466517/efficacy-of-epidural-neuroplasty-versus-transforaminal-epidural-steroid-injection-for-the-radiating-pain-caused-by-a-herniated-lumbar-disc
#19
Hae Jong Kim, Byeong Cheol Rim, Jeong-Wook Lim, Noh Kyoung Park, Tae-Wook Kang, Min Kyun Sohn, Jaewon Beom, Sangkuk Kang
OBJECTIVE: To compare the treatment effects of epidural neuroplasty (NP) and transforaminal epidural steroid injection (TFESI) for the radiating pain caused by herniated lumbar disc. METHODS: Thirty-two patients diagnosed with herniated lumbar disc through magnetic resonance imaging or computed tomography were included in this study. Fourteen patients received an epidural NP and eighteen patients had a TFESI. The visual analogue scale (VAS) and functional rating index (FRI) were measured before the treatment, and at 2 weeks, 4 weeks and 8 weeks after the treatment...
December 2013: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/24155997/a-new-approach-to-neuroplasty
#20
Jin Woo Shin
No abstract text is available yet for this article.
October 2013: Korean Journal of Pain
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