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https://read.qxmd.com/read/37140642/correction-to-treatment-of-acute-traumatic-central-cord-syndrome-a-score%C3%A2-based-approach-based-on-the-literature
#21
A Aravin Kumar, Joey Ying Hao Wong, Robin Pillay, Colum Patrick Nolan, Ji Min Ling
No abstract text is available yet for this article.
May 4, 2023: European Spine Journal
https://read.qxmd.com/read/37125447/variability-in-early-surgery-for-acute-cervical-spinal-cord-injury-patients-an-opportunity-for-enhanced-care-delivery
#22
JOURNAL ARTICLE
Chris J Neal, Beatrice Ugiliweneza, Elizabeth G Toups, Muhammad Abd-El-Barr, George Jimsheleishvili, Shekar N Kurpad, Bizhan Aarabi, James Shields Harrop, Christopher Shaffrey, Michael G Fehlings, Charles Tator, Robert Grossman, James Guest
Data supporting the benefits of early surgical intervention in acute spinal cord injury (SCI) is growing. For early surgery to be accomplished, understanding the causes of variabilities that effect the timing of surgery is needed to achieve this goal. The purpose of this analysis is to determine factors that affect the timing of surgery for acute cervical SCI within the North American Clinical Trials Network (NACTN) for SCI registry. Patients in the NACTN SCI registry from 2005 to 2019 with a cervical SCI, excluding Acute Traumatic Central Cord Syndrome, were analyzed for time elapsed from injury to arrival to the hospital, and time to surgery...
April 26, 2023: Journal of Neurotrauma
https://read.qxmd.com/read/37074391/adopting-and-adapting-clinical-practice-guidelines-for-timing-of-decompressive-surgery-in-acute-spinal-cord-injury-from-a-developed-world-context-to-a-developing-region
#23
REVIEW
Seyed Farzad Maroufi, Sina Azadnajafabad, Ahmad Pour-Rashidi, Seyed Behnam Jazayeri, Zahra Ghodsi, Heshmatollah Ghawami, Maryam Kheyri, Farzin Farahbakhsh, Amir Azarhomayoun, Maryam Bahreini, Jalil Arab Kheradmand, Morteza Faghih Jouibari, Mohammad Zareh, Michael G Fehlings, Vafa Rahimi-Movaghar
PURPOSE: The proper application of high-quality clinical practice guidelines improves trauma patients' care and outcomes. This study aimed to adopt and adapt guidelines on the timing of decompressive surgery in acute spinal cord injury (SCI) in Iranian clinical settings. METHODS: This study followed a systematic search and review of the literature to enter them into the selection process. The source guidelines' clinical suggestions were converted into clinical scenarios for clinical questions on the timing of decompressive surgery...
June 2023: Acta Neurochirurgica
https://read.qxmd.com/read/36912986/treatment-of-acute-traumatic-central-cord-syndrome-a-score-based-approach-based-on-the-literature
#24
REVIEW
A Aravin Kumar, Joey Ying Hao Wong, Robin Pillay, Colum Patrick Nolan, Ji Min Ling
PURPOSE: Acute traumatic central cord syndrome (ATCCS) accounts for up to 70% of incomplete spinal cord injuries, and modern improvements in surgical and anaesthetic techniques have given surgeons more treatment options for the ATCCS patient. We present a literature review of ATCCS, with the aim of elucidating the best treatment option for the varying ATCCS patient characteristics and profiles. We aim to synthesise the available literature into a simple-to-use format to aid in the decision-making process...
May 2023: European Spine Journal
https://read.qxmd.com/read/36448585/the-evolving-profile-of-acute-spinal-cord-injury-demographics-outcomes-and-surgical-treatment-in-north-america-analysis-of-a-prospective-multicenter-dataset-of-989-patients
#25
JOURNAL ARTICLE
Aditya Vedantam, Beatrice Ugiliweneza, Theresa Williamson, James Guest, James Shields Harrop, Charles Tator, Bizhan Aarabi, Michael G Fehlings, Shekar N Kurpad, Christopher J Neal
Changes in demography and injury patterns have altered the profile and outcome of acute SCI over time. This study sought to describe recent trends in epidemiology and early clinical outcomes using the multi-center North American Clinical Trial Network (NACTN) for Spinal Cord Injury Registry. All participants with blunt acute traumatic SCI (n=782) were grouped into three 5-year time intervals from 2005 to 2019 (2005-2009, 2010-2014 and 2015-2019). Baseline demographics, clinical scores, medical co-morbidities, as well as early clinical outcomes were extracted...
November 30, 2022: Journal of Neurotrauma
https://read.qxmd.com/read/36447348/technical-nuances-of-cervical-laminoplasty-supplemental-manuscript-to-operative-video
#26
JOURNAL ARTICLE
Vardhaan S Ambati, Ramin Morshed, Christine Park, Diana M Salha, Timothy Chryssikos, Praveen V Mummaneni
STUDY DESIGN: Operative video and supplemental manuscript. OBJECTIVE: The technical nuances of open-door laminoplasty are described. Potential complications of open-door laminoplasty and strategies for their minimization are discussed. SUMMARY OF BACKGROUND DATA: Cervical laminoplasty may be indicated in patients with cervical myelopathy due to cervical stenosis in the setting of spondylosis, ossification of the posterior longitudinal ligament, congenital stenosis, and traumatic central cord syndrome...
December 1, 2022: Clinical Spine Surgery
https://read.qxmd.com/read/36400056/acute-traumatic-myelopathy-rethinking-central-cord-syndrome
#27
JOURNAL ARTICLE
Landon R Bulloch, Leo Spector, Alpesh Patel
Central cord syndrome (CCS) is an incomplete spinal cord injury that consists of both sensory and motor changes of the upper and lower extremities. CCS most commonly occurs after trauma to the cervical spine leading to acute neurological changes. Despite being the most common incomplete spinal cord injury with the best outcomes, optimal treatment remains controversial. Although clinical practice has shifted from primarily conservative management to early surgical intervention, many questions remain unanswered and treatment remains varied...
December 1, 2022: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/36383244/early-surgical-intervention-alleviates-sensory-symptoms-following-acute-traumatic-central-cord-syndrome
#28
JOURNAL ARTICLE
Kaiwen Chen, Cong Nie, Huan Song, Yu Zhu, Feizhou Lyu, Jianyuan Jiang, Chaojun Zheng
PURPOSE: To investigate the impact of early versus delayed surgery on sensory abnormalities in acute traumatic central cord syndrome (ATCCS). METHODS: Pressure pain threshold (PPT), temporal summation (TS), conditioned pain modulation (CPM) and pain assessments were performed in 72 ATCCS patients (early vs. delayed surgical treatment: 32 vs. 40) and 72 healthy subjects in this ambispective cohort study. These examinations, along with mechanical detection threshold (MDT) and disabilities of arm, shoulder and hand (DASH), were assessed at 2 years postoperatively...
November 16, 2022: European Spine Journal
https://read.qxmd.com/read/36248153/incidence-of-discoligamentous-injuries-in-patients-with-acute-central-cord-syndrome-and-underlying-degenerative-cervical-spinal-stenosis
#29
JOURNAL ARTICLE
Melanie Barz, Insa K Janssen, Kaywan Aftahy, Sandro M Krieg, Jens Gempt, Chiara Negwer, Bernhard Meyer
Introduction: Surgical treatment for CCS in patients with an underlying cervical stenosis without instability remains controversial. Research question: The aim was to assess the incidence of concomitant discoligamentous injury (DLI) in patients with CCS and underlying degenerative cervical spinal stenosis and to determine the sensitivity of MRI by comparing intraoperative site inspection to preoperative imaging findings. Material and methods: We performed a retrospective analysis of our clinical prospective database...
2022: Brain Spine
https://read.qxmd.com/read/36098568/surgical-efficacy-and-prognostic-factors-for-acute-traumatic-central-cord-syndrome-without-fracture-and-dislocation
#30
JOURNAL ARTICLE
Guozhen Liu, Lei Liu, Yuntao Wang
This study was undertaken to evaluate the effectiveness of surgical treatment of acute traumatic central cord syndrome (ATCCS) without fracture and dislocation and explore surgical timing and factors influencing postoperative recovery of spinal cord function. We retrospectively collected the general and clinical data of 112 patients with ATCCS (American Spinal Injury Association impairment scale grade C or D) without fracture and dislocation who underwent surgical treatment in our hospital from January 2013 to August 2019...
September 13, 2022: Orthopedics
https://read.qxmd.com/read/35915704/bilateral-upper-limb-complex-regional-pain-syndrome-type-2-in-cervical-spinal-cord-injury-a-case-report
#31
Soo Ting Kong, Dexter Yeo, Edmund J Neo, Dominic Chen
Complex regional pain syndrome (CRPS) is a poorly understood pain disorder presenting with predominantly neuropathic features. It is often, though not always, associated with an injury to the central or peripheral nervous systems, and in such cases may aggravate the prevailing disability. We describe a unique case of bilateral CRPS arising in a patient following traumatic spinal cord injury.
June 2022: Curēus
https://read.qxmd.com/read/35708116/incomplete-spinal-cord-syndromes-current-incidence-and-quantifiable-criteria-for-classification
#32
JOURNAL ARTICLE
Einat Engel-Haber, Amanda Botticello, Brittany Snider, Steven Kirshblum
The demographics of acute traumatic spinal cord injury (SCI) have changed over the last few decades, with a significant increase in age at the time of injury, a higher percentage of injuries caused by falls, and incomplete tetraplegia becoming the most common type of neurological impairment. Incomplete SCI syndromes, most specifically central cord syndrome (CCS), anterior cord syndrome (ACS) and Brown-Sequard syndrome (BSS), constitute a substantial proportion of incomplete tetraplegia and SCI overall. Nevertheless, the updated incidence of these syndromes is not well known, and their estimates vary considerably, largely because of methodological inconsistencies across previous studies...
December 2022: Journal of Neurotrauma
https://read.qxmd.com/read/35685581/comparison-of-anterior-and-posterior-approaches-for-acute-traumatic-central-spinal-cord-syndrome-with-multilevel-cervical-canal-stenosis-without-cervical-fracture-or-dislocation
#33
JOURNAL ARTICLE
Quan Zhou, Junxin Zhang, Hao Liu, Xinfeng Zhou, Wei He, Zheyu Jin, Huilin Yang, Tao Liu
Introduction: This is a retrospective comparative study that aims to compare the benefits of different surgical approaches for patients with multilevel cervical canal stenosis (CCS) without cervical fracture or dislocation of acute traumatic central cord syndrome (ATCCS). Methods: From January 2015 to December 2018, 59 patients were included in the study. Among them, 35 patients (Group A) received anterior surgery and 24 patients (Group B) received posterior surgery...
2022: International Journal of Clinical Practice
https://read.qxmd.com/read/35527580/physical-exercise-for-people-with-mild-traumatic-brain-injury-a-systematic-review-of-randomized-controlled-trials
#34
REVIEW
Sally Vuu, Christopher J Barr, Maggie Killington, Garner Jill, Maayken E L van den Berg
BACKGROUND: Recent research recommends physical exercise rather than rest following a mild traumatic brain injury (mTBI). OBJECTIVE: To determine the effect of physical exercise on persistent symptoms in people with mTBI. METHODS: A search of randomized controlled trials was conducted in CINAHL, Cochrane Library, EMBASE, MEDLINE, SportDiscus and Web of Science, from 2010 to January 2021. Studies were included if they described the effects of a physical exercise intervention in people with mTBI on persistent symptoms...
May 6, 2022: NeuroRehabilitation
https://read.qxmd.com/read/35468707/diagnosis-of-abusive-head-trauma-neurosurgical-perspective
#35
JOURNAL ARTICLE
Young Ho Kwak
Abusive head trauma (AHT) is the most severe form of physical abuse in children. Such injury involves traumatic damage to the head and/or spine of infants and young children. The term AHT was introduced to include a wider range of injury mechanisms, such as intentional direct blow, throw, and even penetrating trauma by perpetuator(s). Currently, it is recommended to replace the former term, shaken baby syndrome, which implicates shaking as the only mechanism, with AHT to include diverse clinical and radiological manifestations...
May 2022: Journal of Korean Neurosurgical Society
https://read.qxmd.com/read/35383139/two-case-presentations-of-scapulothoracic-dissociation-with-a-range-of-features-and-approaches-to-management-a-26-year-old-woman-injured-in-a-car-accident-and-a-52-year-old-woman-injured-while-cycling
#36
JOURNAL ARTICLE
Christos Vlachos, Eftychios Papagrigorakis, Elias Vasiliadis, Vasileios Marougklianis, Athanasios Galanis, Dimitrios Zachariou, Michail Vavourakis, Spiros Pneumaticos
BACKGROUND Scapulothoracic dissociation (SD) is caused by a high-energy trauma that results in disruption of the scapulothoracic articulation, scapula and clavicular fracture, and severe neurovascular injury. This report describes 2 cases of traumatic SD with a range of features and approaches to management, a 26-year-old woman injured in a car accident and a 52-year-old woman injured while cycling. CASE REPORT Case 1. A 26-year-old woman sustained an SD due to a car accident. A high index of suspicion led to the diagnosis, since there was a subtle clinical presentation...
April 6, 2022: American Journal of Case Reports
https://read.qxmd.com/read/35367973/post-traumatic-headaches-and-vision-a-review
#37
REVIEW
Patrick T Quaid, Eric L Singman
BACKGROUND: Post-traumatic headache is the most common sequela of brain injury and can last months or years after the damaging event. Many headache types are associated with visual concerns also known to stem from concussion. OBJECTIVES: To describe the various headache types seen after head injury and demonstrate how they impact or are impacted by the visual system. METHODS: We will mirror the International Classification of Headache Disorders (ICHD) format to demonstrate the variety of headaches following brain injury and relate correlates to the visual pathways...
2022: NeuroRehabilitation
https://read.qxmd.com/read/35311725/vestibulo-ocular-dysfunction-in-mtbi-utility-of-the-voms-for-evaluation-and-management-a-review
#38
REVIEW
Cristen Kaae, Kristin Cadigan, Katherine Lai, Jacqueline Theis
BACKGROUND: Individuals who have suffered a concussion/mild traumatic brain injury (mTBI) frequently report symptoms associated with vestibular and/or oculomotor dysfunction (VOD) like dizziness, nausea, fatigue, brain fog, headache, gait and neurocognitive impairments which are associated with the development of chronic symptoms. The Vestibular/Ocular Motor Screening (VOMS) tool has been established as a reliable and clinically relevant complement to use alongside a battery of post-concussion tests to improve screening and referral for further evaluation and treatment of VOD...
2022: NeuroRehabilitation
https://read.qxmd.com/read/34879350/-cervical-spine-and-spinal-cord-injury-keys-for-diagnosis-and-treatment
#39
JOURNAL ARTICLE
Masahiko Akiyama
Spinal cord injuries are not rare in neurosurgical practice. As cervical spine injuries are frequently associated with head injuries, neurosurgeons have critical roles of immediate evaluation and treatment in an emergency room in Japan. It is crucial to make a correct initial diagnosis and provide appropriate treatment for cervical spine injuries because missed injuries or delayed diagnosis might result in unwarranted neurological sequelae. This paper focuses on tips regarding 1)screening for cervical spine injury in head injury patients, 2)diagnosis and treatment of cranio-vertebral junction injuries, and 3)diagnosis and treatment of acute traumatic central cord syndrome because these conditions are most likely encountered by neurosurgery residents and fellows in their practice...
November 2021: No Shinkei Geka. Neurological Surgery
https://read.qxmd.com/read/34788867/acute-parkinsonism-in-a-patient-with-spinal-cord-injury-a-case-report
#40
JOURNAL ARTICLE
Francesco Perrotta, Marco Paolo Perrini, Lea Pia Cantatore
Parkinson's disease (PD) is the most common cause of parkinsonism, a clinical syndrome that includes bradykinesia, tremor, and postural instability. Secondary causes of parkinsonism include chronic traumatic encephalopathy. However, clear physiopathologic association between spinal cord injury (SCI) and PD has not been well described yet. We describe a rare/unusual case of a patient with C7-D1 fracture/listhesis who, 12 days after the trauma, developed a progressive cognitive impairment together with mandibular tremor...
May 2022: Journal of Neurological Surgery. Part A, Central European Neurosurgery
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