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intercostal neuralgia

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https://www.readbyqxmd.com/read/27368025/social-isolation-and-cancer-management-after-the-2011-triple-disaster-in-fukushima-japan-a-case-report-of-breast-cancer-with-patient-and-provider-delay
#1
Akihiko Ozaki, Claire Leppold, Masaharu Tsubokura, Tetsuya Tanimoto, Shigehira Saji, Shigeaki Kato, Masahiro Kami, Manabu Tsukada, Hiromichi Ohira
Breast cancer patients may present with patient delay or experience provider delay-2 factors which can lead to a late-stage diagnosis and poor prognosis. Mass disasters drastically change social structures, and have the potential to contribute to these delays. However, there is little information available on patient and provider delay related to cancer after disasters. In March 2011, an earthquake, followed by a tsunami and nuclear accident struck Fukushima, Japan. In July 2014, a 59 year-old Japanese widow, living alone, presented to our hospital with a lump and pain in her right breast, which had originally appeared in April 2011 and continuously deteriorated for 3 years and 3 months...
June 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27094801/modulation-of-serum-bdnf-levels-in-postherpetic-neuralgia-following-pulsed-radiofrequency-of-intercostal-nerve-and-pregabalin
#2
Ashok Kumar Saxena, Kavitha Lakshman, Tusha Sharma, Neha Gupta, Basu Dev Banerjee, Archana Singal
AIM: To study the modulation of serum BDNF levels following integrated multimodal intervention in postherpetic neuralgia (PHN). MATERIALS & METHODS: A randomized, double-blind controlled study was undertaken among patients of thoracic PHN where 30 patients received pregabalin with pulsed radiofrequency and 30 controls received pregabalin with sham treatment. RESULTS: Pain intensity (visual analog scale) was reduced earlier in intervention group (15...
2016: Pain Management
https://www.readbyqxmd.com/read/27070257/-spinal-cord-stimulation-in-the-treatment-of-chronic-pain-syndromes
#3
N P Denisova, D Yu Rogov, D A Rzaev, E A Khabarova, A B Dmitriev
AIM: The study objective was to estimate the efficacy of chronic epidural spinal cord stimulation in the treatment of patients with neuropathic pain syndrome. MATERIAL AND METHODS: A system for chronic spinal cord stimulation (St. Jude) was implanted to 75 patients with neuropathic pain syndrome. Fifty three (70.7%) patients were diagnosed with failed back surgery syndrome (FBSS); 9 (12.0%) patients had complex regional pain syndrome type II; 4 (5.3%) patients had diabetic polyneuropathy of the lower limbs; 3 (4...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/26980938/the-uncommon-localization-of-herpes-zoster
#4
Vesna Cukic
INTRODUCTION: Herpes zoster is an acute, cutaneous viral infection caused by the reactivation of varicella-zoster virus (VZV) that is the cause of varicella. It is an acute neurological disease which can often lead to serious postherpetic neuralgia (PHN). Different nerves can be included with the skin rash in the area of its enervation especially cranial nerves (CV) and intercostal nerves. CASE REPORT: In this report we present a patient with herpes zoster which involved ulnar nerve with skin rash in the region of ulnar innervations in women with no disease previously diagnosed...
February 2016: Medical Archives
https://www.readbyqxmd.com/read/26600776/an-autopsied-case-of-malignant-sarcomatoid-pleural-mesothelioma-in-which-chest-pain-developed-several-months-earlier-without-abnormality-on-imaging
#5
Daizo Yaguchi, Motoshi Ichikawa, Noriko Inoue, Daisuke Kobayashi, Akinobu Matsuura, Masato Shizu, Naoyuki Imai, Kazuko Watanabe
The patient experienced chest pain for about 7 months, but a diagnosis could not be made until after death. He was diagnosed with malignant sarcomatoid pleural mesothelioma on autopsy. In this case report, difficult aspects of the diagnosis are discussed. The 70-year-old Japanese man was a driver who transported ceramic-related products. Right chest pain developed in July 2013, but no abnormality was detected on a chest computed tomography (CT) performed in September 2013, and the pain was managed as right intercostal neuralgia...
September 2015: Case Reports in Oncology
https://www.readbyqxmd.com/read/26273365/subxyphoid-single-incision-thoracoscopic-pulmonary-metastasectomy
#6
Chia-Chuan Liu, Bing-Yen Wang, Chih-Shiun Shih, Wei-Cheng Lin
Single-incision thoracoscopic surgery has increasingly attracted public interest and been applied in numerous thoracic procedures. However, single-incision thoracoscopic surgery is associated with requiring subsequent procedures, such as intercostal neuralgia. Herein, we extend the single-port technique of pulmonary metastasectomy through a single subxiphoid approach, and report the first two cases of this procedure to date.
March 2015: Thoracic Cancer
https://www.readbyqxmd.com/read/26206758/surgical-efficacy-of-minimally-invasive-thoracic-discectomy
#7
REVIEW
Ali M Elhadi, Aqib H Zehri, Hasan A Zaidi, Kaith K Almefty, Mark C Preul, Nicholas Theodore, Curtis A Dickman
We aimed to determine the clinical indications and surgical outcomes for thoracoscopic discectomy. Thoracic disc disease is a rare degenerative process. Thoracoscopic approaches serve to minimize tissue injury during the approach, but critics argue that this comes at the cost of surgical efficacy. Current reports in the literature are limited to small institutional patient series. We systematically identified all English language articles on thoracoscopic discectomy with at least two patients, published from 1994 to 2013 on MEDLINE, Science Direct, and Google Scholar...
November 2015: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/26139654/intercostal-neuralgia-as-a-symptom-of-an-osteoblastoma-in-thoracic-spine
#8
Hiroshi Kobayashi, Yusuke Shinoda, Takahiro Ohki, Hirotaka Kawano
An osteoblastoma is a benign bone lesion most commonly affecting the spine; it is frequently found in the posterior elements of the vertebra. When an osteoblastoma originates in the spine, it usually causes dull and localised dorsal pain, but the period between symptom development and diagnosis can be long. MRI shows intense peritumoural oedema accompanying the osteoblastoma. We present a case of a 15-year-old boy with osteoblastoma at the level of the T8-9 left laminae causing intercostal neuralgia without direct invasion to the intercostal nerve...
July 2, 2015: BMJ Case Reports
https://www.readbyqxmd.com/read/25887961/incidence-of-abdominal-pain-due-to-the-anterior-cutaneous-nerve-entrapment-syndrome-in-an-emergency-department
#9
Tijmen van Assen, Jill A G M Brouns, Marc R Scheltinga, Rudi M Roumen
BACKGROUND: Patients with chronic abdominal pain occasionally suffer from the anterior cutaneous nerve entrapment syndrome (ACNES). A substantial number of patients report previous visits to an emergency department (ED) with acute pain. Aim of this study was to obtain the incidence of ACNES in patients presenting with abdominal pain in the ED of a Dutch teaching hospital. METHODS: In this observational study, data sets of all patients visiting Máxima Medical Center's (MMC) ED in 2011-2012 were searched for key terms 'ACNES', 'intercostal neuralgia' or 'abdominal wall pain'...
2015: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://www.readbyqxmd.com/read/25867235/technical-modifications-and-decision-making-to-reduce-morbidity-in-thoracic-disc-surgery-an-institutional-experience-and-treatment-algorithm
#10
Russell G Strom, Vin Mathur, Heather Givans, Douglas S Kondziolka, Noel I Perin
BACKGROUND: Symptomatic thoracic disc herniation (TDH) is an uncommon condition with significant treatment risks. OBJECTIVE: To evaluate strategies to avoid and manage complications from thoracic disc surgery. METHODS: All TDH cases by the senior author were retrospectively reviewed from 2000 to 2012. Complications were recorded, together with avoidance and management strategies. To reduce access-related morbidity, a thoracoscopic-tubular retractor approach was developed later in the series...
June 2015: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/25848173/lung-resection-using-transumbilical-incision-an-animal-survival-study
#11
Shun-Ying Yin, Yen-Chu, Yi-Cheng Wu, Chien-Ying Liu, Ming-Ju Hsieh, Hsu-Chia Yuan, Po-Jen Ko, Yun-Hen Liu
INTRODUCTION: Transumbilical single-port surgery is a potentially less invasive approach to many types of abdominal surgeries and offers better cosmetic outcomes than conventional 3-port laparoscopic surgery. It avoids the complication of intercostal neuralgia and may reduce the risk of pulmonary complications after video-assisted thoracic surgery. This study evaluated the feasibility of transumbilical lung wedge resection. METHODS: Lung resection was performed in 11 beagle dogs weighing 5...
January 2015: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/25742839/resection-of-costal-exostosis-using-piezosurgery-associated-with-uniportal-video-assisted-thoracoscopy
#12
Mario Santini, Alfonso Fiorelli, Mario Santagata, Gian Paolo Tartaro
We report a case of a 35-year-old woman affected by costal exostosis, originating from the posterior arc of the left fifth rib, who complained of a persistent intractable neuralgia in the left T5 dermatome. Both pain and the risk of visceral injury led us to resect exostosis. The procedure was performed using a uniportal videothoracoscopic approach without additional incisions. For bone resection, we used Piezosurgery, a soft tissue-sparing system based on ultrasound vibrations. Piezosurgery allowed the complete resection of exostosis without injuring the intercostal nerve and vessels...
March 2015: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/25583050/incidence-of-herpes-zoster-infections-in-juvenile-idiopathic-arthritis-patients
#13
S Nimmrich, G Horneff
The risk of herpes zoster among patients with juvenile idiopathic arthritis (JIA) exposed to biologics has not been evaluated. We determined incidence rates of herpes zoster among children with JIA in correlation with medication at time of occurrence and total drug exposure. The German biologics register database was used to identify patients with herpes zoster. Crude infection rates and incidence ratios (IRR) were compared to published rates. Demographics and overall exposure and particular exposure time to corticosteroids, immunosuppressive drugs and biologics were analyzed...
March 2015: Rheumatology International
https://www.readbyqxmd.com/read/25479280/treatment-of-postherpetic-neuralgia-using-a-thoracic-transforaminal-epidural-steroid-injection
#14
Priyesh Mehta, Patrick Maher, Jaspal Ricky Singh
A 64-year-old male patient with a history of herpes zoster exposure presented with severe, constant, burning pain in the left T10 dermatome consistent with postherpetic neuralgia. Previous treatment included oral and topical medications as well as an intercostal nerve block; however, these treatment options did not provide significant relief. The patient was treated with a single-level T10 thoracic transforaminal epidural steroid injection for refractory postherpetic neuralgia. He reported complete resolution of his symptoms at 2- and 12-week follow-ups...
April 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/25443006/nonintubated-uniportal-thoracoscopic-surgery-for-peripheral-lung-nodules
#15
Ming-Hui Hung, Ya-Jung Cheng, Kuang-Cheng Chan, Su-Chuan Han, Ke-Cheng Chen, Hsao-Hsun Hsu, Jin-Shing Chen
BACKGROUND: Uniportal video-assisted thoracoscopic surgery (VATS) has recently been introduced for various thoracic diseases. However, management of peripheral lung nodules by uniportal VATS without tracheal intubation has rarely been attempted. We evaluated the feasibility and safety of nonintubated uniportal VATS for peripheral lung nodules. METHODS: From January to March 2014, 32 patients with indeterminate peripheral lung nodules underwent uniportal VATS without tracheal intubation using a combination of intercostal nerve block, intrathoracic vagal block, and target-controlled sedation...
December 2014: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/25430812/pregabalin-reduces-post-surgical-pain-after-thoracotomy-a-prospective-randomized-controlled-trial
#16
RANDOMIZED CONTROLLED TRIAL
Noriyuki Matsutani, Hitoshi Dejima, Yusuke Takahashi, Masafumi Kawamura
PURPOSE: A new perioperative management method was explored by assessing the safety and the efficacy of pregabalin for the treatment of intercostal neuralgia after thoracotomy. METHODS: The study was conducted on 68 adult patients scheduled to undergo thoracotomy. Patients were randomly divided into two groups; a NSAIDs group, where 34 patients were orally administered loxoprofen three times daily and a pregabalin group, where 34 patients were orally administered 75 mg of pregabalin twice daily, starting on the day of surgery and continuing for 2 weeks...
November 2015: Surgery Today
https://www.readbyqxmd.com/read/25262512/curative-effect-research-on-curing-intercostal-neuralgia-through-paravertebral-nerve-block-combined-with-pregabalin
#17
Peng Xiao, Xu Zhu, Xuejian Wu
This paper aimed to discuss the curative effect and safety of curing intercostal neuralgia through paravertebral nerve block combined with pregabalin. 90 cases of patients diagnosed as intercostal neuralgia were taken as research object. Random number method was used to divide the patients that is conforming to the inclusion criteria and exclusion criteria into 3 groups. 30 cases was in group A (oral lyrica), 30 cases was in group B (paravertebral block only) and 30 cases was in group C (paravertebral block combined with pregabalin)...
September 2014: Pakistan Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/25011969/-surgical-correction-of-post-traumatic-thoracolumbar-kyphotic-deformity-with-posterior-transpedicular-limited-osteotomy-technique
#18
Jinsong Li, Shijie Chen, Weiguo Wang, Song Wu, Chaoyue Zhang, Xiaofang Zang
OBJECTIVE: To evaluate the clinical outcome of surgical management for post-traumatic thoracolumbar kyphotic deformity with single-stage posterior transpedicularlimited osteotomies. METHODS: From March 2007 to May 2010, 17 patients with post-traumatic thoracolumbar kyphotic deformity treated with posterior limited transpedicular osteotomy were admitted. The preoperative Cobb angle was 41°-62°(52.5° ±6.4°). Sagittal balance was evaluated by the standing lateral films measuring the C7 plumb line distance (C7 PLD) from the posterior superior corner of S1...
June 2014: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/24719039/short-apical-rib-resections-thoracoplasty-compared-to-conventional-thoracoplasty-in-adolescent-idiopathic-scoliosis-surgery
#19
Jae Hyuk Yang, Amit Wasudeo Bhandarkar, Hitesh N Modi, Si Young Park, Jae Min Cha, Jae Young Hong, Seung Woo Suh
PURPOSE: To introduce a modified technique of thoracoplasty (short apical rib resection thoracoplasty (SARRT)) and compare its clinical, functional radiological outcomes and postoperative lung functions with conventional thoracoplasty (CT) in scoliosis surgery. METHODS: Retrospectively review of adolescent idiopathic scoliosis patients who underwent corrective surgery with thoracoplasty from 2006 to 2010 was performed. Thoracoplasty was performed in 58 patients (CT in 31 and SARRT in 27 patients)...
December 2014: European Spine Journal
https://www.readbyqxmd.com/read/24712862/recombinant-human-growth-hormone-improves-cognitive-capacity-in-a-pain-patient-exposed-to-chronic-opioids
#20
A Rhodin, M von Ehren, B Skottheim, A Grönbladh, F Ortiz-Nieto, R Raininko, T Gordh, F Nyberg
During recent decades, the increasing use of opioids for chronic non-cancer pain has raised concerns regarding tolerance, addiction, and importantly cognitive dysfunction. Current research suggests that the somatotrophic axis could play an important role in cognitive function. Administration of growth hormone (GH) to GH-deficient humans and experimental animals has been shown to result in significant improvements in cognitive capacity. In this report, a patient with cognitive disabilities resulting from chronic treatment with opioids for neuropathic pain received recombinant human growth hormone (rhGH) replacement therapy...
July 2014: Acta Anaesthesiologica Scandinavica
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