keyword
MENU ▼
Read by QxMD icon Read
search

Myelotomy

keyword
https://www.readbyqxmd.com/read/27777155/shunting-of-syringomyelic-cavities-by-using-a-myringotomy-tube-technical-note-and-long-term-results
#1
Dorota Tassigny, Basel Abu-Serieh, Daniella Tsague Fofe, Jacques Born, Germain Milbouw
BACKGROUND AND IMPORTANCE: Syringomyelia is a progressive cerebrospinal fluid disorder which can lead to irreversible spinal cord injury. To date, the optimal management of syringomyelic cavities remains controversial. Multiple studies have emphasized the importance of the cranio-cervical decompression or shunting procedures. However, excepted for syrinx related to Arnold Chiari malformation, nearly half of patients need to be re-operated. The purpose of the present study was to describe a simple and efficient surgical technique and to report the long-term radio-clinical outcomes...
October 21, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27713065/using-intraoperative-ultrasound-for-spinal-cord-tumour-surgery-a-technical-note
#2
Marcel Ivanov, Alexandru Budu, Hugh Sims-Williams, Ion Poeata
BACKGROUND: Our aim was to evaluate the utility of modern intraoperative ultrasound in the resection of a wide variety of spinal intradural pathological entities. MATERIALS AND METHODS: The authors evaluated patients with spinal cord pathology treated between January 2006 and September 2015. Intraoperative standard B-mode images were acquired using a 3.5-12 MHz US probes (linear and curvilinear) on various ultrasound machines. The benefits and disadvantages of intraoperative ultrasound (iUS) were assessed for each case...
October 3, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27621952/neurological-outcomes-after-human-umbilical-cord-patch-for-in-utero-spina-bifida-repair-in-a-sheep-model
#3
Ramesha Papanna, Lovepreet K Mann, Saul Snowise, Yisel Morales, Sanjay P Prabhu, Scheffer C G Tseng, Raymond Grill, Stephen Fletcher, Kenneth J Moise
OBJECTIVES: The objective of our study was to test the hypothesis that in utero repair of surgically created spina bifida in a sheep model using cryopreserved human umbilical cord (HUC) patch improves neurological outcome. METHODS: Spina bifida with myelotomy was surgically created in timed pregnant ewes at gestational day (GD) 75. The fetuses were randomly assigned to unrepaired versus HUC and treated at GD 95 and then delivered at GD 140. Neurological evaluation was performed using the Texas Spinal Cord Injury Scale (TSCIS), bladder control using ultrasound, and the hindbrain herniation...
July 2016: American Journal of Perinatology Reports
https://www.readbyqxmd.com/read/27309344/first-human-implantation-of-a-bioresorbable-polymer-scaffold-for-acute-traumatic-spinal-cord-injury-a-clinical-pilot-study-for-safety-and-feasibility
#4
Nicholas Theodore, Randall Hlubek, Jill Danielson, Kristin Neff, Lou Vaickus, Thomas R Ulich, Alexander E Ropper
BACKGROUND AND IMPORTANCE: A porous bioresorbable polymer scaffold has previously been tested in preclinical animal models of spinal cord contusion injury to promote appositional healing, spare white matter, decrease posttraumatic cysts, and normalize intraparenchymal tissue pressure. This is the first report of its human implantation in a spinal cord injury patient during a pilot study testing the safety and feasibility of this technique (ClinicalTrials.gov Identifier: NCT02138110). CLINICAL PRESENTATION: A 25-year-old man had a T11-12 fracture dislocation sustained in a motocross accident that resulted in a T11 American Spinal Injury Association Impairment Scale (AIS) grade A traumatic spinal cord injury...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/26776665/intramedullary-hemangioblastoma-microsurgical-resection-technique
#5
M Messerer, G Cossu, E Pralong, R T Daniel
Spinal hemangioblastomas are benign and highly vascular tumors accounting for 1-5% of intramedullary spinal tumors in surgical series. Surgery is curative in sporadic cases. We present the description of a surgical technique to safely resect an intramedullary hemangioblastoma. A dorsal midline myelotomy provides an excellent exposure of the tumor and identification of the feeding arteries. Interruption of these arteries and precise dissection of the tumor from the cord tissue followed by division of the venous drainage allow the in toto excision of the tumor...
January 6, 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/26557165/acute-onset-of-postoperative-syringohydromyelia
#6
K Santosh Mohan Rao, Chidambaram Balasubramaniam, K Subramaniam
Syringohydromyelia is a frequent finding in cases of tethered cord syndrome. The classical teaching is that the development and progression of a syrinx is a chronic process. We present a case report of an acute onset syringomyelia in an infant, who underwent an excision of a lumbosacral transitional lipoma and detethering of the cord. Immediately after recovery, the infant was found to have flaccid paraplegia. An emergency magnetic resonance imaging revealed a large acute onset syringomyelia for which he underwent an emergency midline myelotomy and release of fluid from the syrinx...
July 2015: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/26552643/brca2-positive-spinal-intramedullary-ovarian-metastatic-disease-case-report
#7
Vijay M Ravindra, Marcus D Mazur, Meghan Driscoll, Sara McEvoy, Meic H Schmidt
BACKGROUND CONTEXT: Ovarian cancer is the fourth leading cause of cancer death in women, but advances in treatment have led to longer survival among these patients. Tied to these advances and increased survival, however, have been new patterns of metastatic spread. PURPOSE: The authors discuss the management and surgical decision making in patients with intramedullary ovarian metastatic disease using a case illustration and relevant literature. STUDY DESIGN/SETTING: A case report was used...
March 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/26380823/intraoperative-neurophysiological-monitoring-in-spinal-surgery
#8
REVIEW
Jong-Hwa Park, Seung-Jae Hyun
Recently, many surgeons have been using intraoperative neurophysiological monitoring (IOM) in spinal surgery to reduce the incidence of postoperative neurological complications, including level of the spinal cord, cauda equina and nerve root. Several established technologies are available and combined motor and somatosensory evoked potentials are considered mandatory for practical and successful IOM. Spinal cord evoked potentials are elicited compound potentials recorded over the spinal cord. Electrical stimulation is provoked on the dorsal spinal cord from an epidural electrode...
September 16, 2015: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/26143129/treatment-of-selected-syringomyelias-with-syringo-pleural-shunt-the-experience-with-a-consecutive-26-cases
#9
Tao Fan, XinGang Zhao, HaiJun Zhao, Cong Liang, YinQian Wang, QiFei Gai, Fangyi Zhang
OF BACKGROUND DATA: It is well established that syringomyelia can cause neurological symptoms and deficit by accumulation of fluid within syrinx cavities that lead to internal compression within the spinal cord. When other intervention treating the underlying etiology failed to yield any improvement, the next option would be a procedure to divert the fluid from the syrinx cavity, such as syringo-subarachnoid, syringo-peritoneal or syringo-pleural shunting. The indications and long term efficacy of these direct shunting procedures are still questionable and controversial...
October 2015: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/25448191/myelotomy-reduces-spinal-cord-edema-and-inhibits-aquaporin-4-and-aquaporin-9-expression-in-rats-with-spinal-cord-injury
#10
A-M Hu, J-J Li, W Sun, D-G Yang, M-L Yang, L-J Du, R Gu, F Gao, J Li, H-Y Chu, X Zhang, L-J Gao
OBJECTIVE: Spinal cord edema contributes to the pathophysiological mechanisms underlying spinal cord injury (SCI) and is associated with functional recovery after SCI. Early myelotomy may be a promising surgical intervention for reducing SCI-induced edema. However, it remains unclear whether myelotomy can reduce SCI-induced edema. In addition, aquaporin-4 (AQP4) and aquaporin-9 (AQP9) have important roles in the regulation of water homeostasis. Here, we aimed to determine the effects of myelotomy on AQP4 and AQP9 expression and spinal cord edema in a rat model of moderate SCI...
February 2015: Spinal Cord
https://www.readbyqxmd.com/read/25240658/dorsal-root-entry-zone-lesion-midline-myelotomy-and-anterolateral-cordotomy
#11
REVIEW
Peter Konrad
This review encompasses the most common spinal cord lesioning procedures used for the treatment of pain: dorsal root entry zone lesioning, open cordotomy, percutaneous cordotomy, and midline myelotomy. A literature review and summary of each technique regarding relevant anatomy, patient selection, surgical technique, outcomes, and complications are discussed. A general review of somatic and visceral pain pathways of the spinal cord is included, as each procedure requires an understanding of the advantages and disadvantages of various approaches to lesioning the spinal cord for pain...
October 2014: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/25177392/intraoperative-ultrasound-in-spinal-tumor-surgery
#12
Francesco Prada, Ignazio G Vetrano, Assunta Filippini, Massimiliano Del Bene, Alessandro Perin, Cecilia Casali, Federico Legnani, Marco Saini, Francesco DiMeco
PURPOSE: Intraoperative ultrasound (ioUS) has become increasingly widespread in brain tumor surgery but it is not yet a standard procedure in spinal surgery. We analyzed intraoperative ultrasonographic findings of different spinal tumors and their influence on the surgical strategy. METHODS: We evaluated patients who underwent surgery for spinal tumor (extradural, intradural extramedullary, intradural intramedullary) removal, with ultrasound (US) guidance. Intraoperative standard B-mode images were acquired using a 3-11 MHz linear US probe...
September 2014: Journal of Ultrasound
https://www.readbyqxmd.com/read/25175587/microsurgical-resection-of-intramedullary-spinal-cord-ependymoma
#13
Paul C McCormick
Ependymomas are the most commonly occurring intramedullary spinal cord tumor in adults. With few exceptions these tumors are histologically benign, although they exhibit some biologic variability with respect to growth rate. While unencapsulated, spinal ependymomas are non-infiltrative and present a clear margin of demarcation from the surrounding spinal cord that serves as an effective dissection plane. This video demonstrates the technique of microsurgical resection of an intramedullary ependymoma through a posterior midline myelotomy...
September 2014: Neurosurgical Focus
https://www.readbyqxmd.com/read/25161001/resection-of-large-cervical-intramedullary-spinal-cord-ependymomas-techniques-to-maximize-safety-and-extent-of-resection-3-dimensional-operative-video
#14
https://www.readbyqxmd.com/read/25101209/surgical-treatment-of-idiopathic-syringomyelia-silastic-wedge-syringosubarachnoid-shunting-technique
#15
Teck M Soo, Lee Sandquist, Doris Tong, Ryan Barrett
BACKGROUND: The underlying pathophysiology leading to syringomyelia is elusive with multiple flow-related theories constituting our current limited understanding of the disease process. Syringomyelia is associated with pathologies related to the disturbance of cerebral spinal fluid flow found in conditions such as Chiari I malformations, spinal malignancy, spinal cord tethering, trauma, or arachnoid adhesions. Our aim is to describe a unique surgical shunting technique used to treat refractory cases of idiopathic syringomyelia...
2014: Surgical Neurology International
https://www.readbyqxmd.com/read/25029412/hemorrhagic-intramedullary-hemangioblastoma-of-the-cervical-spinal-cord-presenting-with-acute-onset-quadriparesis-case-report-and-review-of-the-literature
#16
REVIEW
Wayne M Gluf, Andrew T Dailey
CONTEXT: Hemangioblastomas of the spinal cord are uncommon vascular tumors. Patients commonly present with subtle neurologic findings that are thought to represent growth of the lesion over time. Hemorrhage of an intramedullary hemangioblastoma presenting as acute neurologic deficit is an extremely rare occurrence. Although the cervical spine is the most common location for hemangioblastoma of the spinal cord, there have been no previously published cases in the literature of intramedullary hemorrhage from such a lesion...
November 2014: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/24931480/treatment-of-medically-refractory-cancer-pain-with-a-combination-of-intrathecal-neuromodulation-and-neurosurgical-ablation-case-series-and-literature-review
#17
REVIEW
J Nicole Bentley, Ashwin Viswanathan, William S Rosenberg, Parag G Patil
OBJECTIVE: Up to 90% of patients with advanced cancer experience intractable pain. For these patients, oral analgesics are the mainstay of therapy, often augmented with intrathecal drug delivery. Neurosurgical ablative procedures have become less commonly used, though their efficacy has been well-established. Unfortunately, little is known about the safety of ablation in the context of previous neuromodulation. Therefore, the aim of this study is to present the results from a case series in which patients were treated successfully with a combination of intrathecal neuromodulation and neurosurgical ablation...
September 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/24891897/infected-lumbar-dermoid-cyst-mimicking-intramedullary-spinal-cord-tumor-observations-and-outcomes
#18
Sudhakar Vadivelu, Sohum K Desai, Anna Illner, Thomas G Luerssen, Andrew Jea
We report two unusual cases of a 17-month-old boy with a previously undiagnosed lumbar dermal sinus tract terminating in an intradural dermoid cyst and holocord edema or syrinx, presenting with paraparesis and sphincter dysfunction secondary to an intramedullary abscess and a 26-month-old boy with a previously undiagnosed lumbar dermal sinus tract terminating in an infected dermoid cyst and intramedullary abscess, presenting with recurrent episodes of meningitis and hydrocephalus. Pre-operative magnetic resonance imaging (MRI) studies in these patients were initially confused for an intramedullary spinal cord tumor; however, the presence of an associated dermal sinus tract made this diagnosis of neoplasm less likely...
January 2014: Journal of Pediatric Neurosciences
https://www.readbyqxmd.com/read/24839036/limits-of-the-surgically-induced-model-of-myelomeningocele-in-the-fetal-sheep
#19
L Guilbaud, C Garabedian, F Di Rocco, C Fallet-Bianco, S Friszer, M Zerah, J M Jouannic
PURPOSE: The prevention of Chiari type II malformation (CM) is commonly used as a primary outcome for the evaluation of techniques of fetal myelomeningocele (MMC) surgery in the fetal lamb. The aim of our study was to investigate the frequency of the associated CM in the MMC fetal sheep model and to investigate the contribution of prenatal ultrasound evaluation of CM at the time of prenatal repair. METHODS: A MMC-like lesion was surgically created at 75 days of gestation in 21 fetuses performing a L1-L5 laminectomy followed by an excision of the exposed dura and a midline myelotomy...
August 2014: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/24470811/holocord-abscess-in-association-with-congenital-dermal-sinus
#20
Vengalathur Ganesan Ramesh, Kavindapadi Veerasamy Karthikeyan, Srinivasan Kitchanan, Balakrishnan Sriraman
Intramedullary spinal cord abscess in children is rare and holocord abscess is rarer. An 18-month-old girl presented with rapidly progressive paraplegia with fever for 2 months. The patient had complete flaccid paraplegia with absent sensation below D4 level. There was very small dermal sinus discharging pus in the lower lumbar region. Magnetic resonance imaging showed evidence of extensive multiloculated intramedullary abscess extending from D4 to L5 with cord edema upto cervical level. Laminotomy, excision of the dermal sinus and myelotomy, and evacuation of intramedullary abscess was performed...
September 2013: Journal of Pediatric Neurosciences
keyword
keyword
7994
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"