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Cervicothoracic

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https://www.readbyqxmd.com/read/27906739/posterior-vertebral-column-resection-with-intraoperative-manual-retraction-for-the-treatment-of-posttubercular-kyphosis-in-upper-thoracic-spine-or-cervicothoracic-junction
#1
Yuqiao Chen, Guohua Lü, Bing Wang, Lei Li, Lei Kuang
STUDY DESIGN: This is a case-series. OBJECTIVE: To evaluate the clinical and radiologic outcomes of posterior vertebral column resection (PVCR) for treatment of posttubercular kyphosis in upper thoracic spine and cervicothoracic junction (CTJ). SUMMARY OF BACKGROUND DATA: Surgical management of severe posttubercular kyphosis in upper thoracic spine or CTJ is challenging. A new technique that combines PVCR and intraoperative manual traction in a single procedure, was developed to maximize the correction rate and minimize the risk of dural buckling and spinal cord injury...
November 30, 2016: Clinical Spine Surgery
https://www.readbyqxmd.com/read/27894577/pre-expanded-prefabricated-monoblock-perforator-flap-for-total-facial-resurfacing
#2
REVIEW
Tao Zan, Yashan Gao, Haizhou Li, Bin Gu, Feng Xie, Qingfeng Li
In this article, we present the pre-expanded, prefabricated supercharged cervicothoracic monoblock perforator flap for total or subtotal facial resurfacing. This technique can be a reliable reconstruction option for extensive facial skin defect with undamaged muscles and deep structures, which could provide excellent aesthetic and functional outcomes with acceptable complications. Our approach may replace a conventional "skin-only" face allotransplantation in selected patients.
January 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/27866248/microanatomy-of-the-brachial-plexus-roots-and-its-clinical-significance
#3
Li-Yuan Zhong, Ai-Ping Wang, Li Hong, Sheng-Hua Chen, Xian-Qin Wang, Yun-Cheng Lv, Tian-Hong Peng
PURPOSE: To provide the anatomical basis of brachial plexus roots for the diagnosis and treatment of brachial plexus root avulsion injury. METHODS: The morphological features of brachial plexus roots were observed and measured on 15 cervicothoracic spine of adult cadavers. The relationship of brachial plexus nerve roots and the surrounding tissues also were observed, as well as the blood supply of anterior and posterior roots of the brachial plexus. RESULTS: Origination of the nerve roots in the dorsal-ventral direction from the midline was fine-tuned at each level along the spinal cord...
November 19, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27834549/differential-strength-and-endurance-parameters-of-the-craniocervical-and-cervicothoracic-extensors-and-flexors-in-healthy-individuals
#4
Shaun O Leary, Charlotte Loraas Fagermoen, Hiroyuki Hasegawa, Ann-Sofi Slettevold Thorsen, Luke Van Wyk
This study examined isometric strength (maximal voluntary contraction (MVC)) and endurance of cervical flexor and extensor muscles in healthy individuals at the craniocervical (CC) and cervicothoracic (CT) axes. MVC and endurance measures (time to task failure in seconds (s)) at 50% MVC were recorded in 4 directions (CC flexion, CC extension, CT flexion and CT extension) in 20 males and 20 females and six strength and endurance ratios were calculated. The findings showed that the cervical extensor muscles are not only much stronger than the flexors (1...
November 11, 2016: Journal of Applied Biomechanics
https://www.readbyqxmd.com/read/27822765/syringomyelia-caused-by-an-arachnoid-web-in-a-patient-with-shunted-dandy-walker-malformation
#5
Hee Chang Lee, Jung Won Choi, Ji Yeoun Lee, Ji Hoon Phi, Seung-Ki Kim, Byung-Kyu Cho, Kyu-Chang Wang
INTRODUCTION: Dandy-Walker malformation (DWM) is a congenital brain anomaly characterized by dysgenesis of the cerebellar vermis and the presence of a posterior fossa cyst. The association of syringomyelia with DWM is extremely rare. CASE REPORT: A 10-year-old patient who was diagnosed with DWM in infancy presented with progressive scoliosis and fecal incontinence. He had been treated with cystoventriculoperitoneal shunting with a Y-connection during infancy, which was followed by a revision 6 years later...
November 7, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27822764/hemimetameric-shift-in-spina-bifida-three-case-reports
#6
Huseyin Canaz, Gokhan Canaz, Bekir Yavuz Ucar, Ibrahim Alatas
PURPOSE: Hemivertebrae is the most frequent reason of congenital scoliosis, and hemimetameric shift is a finding, which is characterized by two hemivertebraes located contralateral, with at least one normal vertebra between them. Embryologically, hemivertebrae is caused by delay in somite movements and as a result, a total vertebral shift occurs because of mismatches in the following segments. Hemimetameric shift accompanying spina bifida is described as extremely rare. There are only two case series of hemimetameric shift in literature but no spina bifida patient was reported in these series...
November 7, 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/27818821/disseminated-cerebrospinal-embryonal-tumor-in-the-adult
#7
Alessandro Caporlingua, Daniele Armocida, Federico Caporlingua, Gennaro Lapadula, Grazia Maria Elefante, Manila Antonelli, Maurizio Salvati
Introduction. According to the 2016 World Health Organization classification of Tumors of the Central Nervous System, the term Primitive Neuroectodermal Tumor has been replaced by the term Embryonal Tumor (ET). We present a case of disseminated cerebrospinal ET presenting in an adult patient. Illustrative Case. A 49-year-old male presenting with low back pain, dysuria, and hypoesthesia of the lower extremities referred to our emergency department. Brain and whole spine contrast-enhanced MRI documented a diffusively disseminated heterogeneous neoplasm with intradural extra- and intramedullary involvement of the cervicothoracic tract and cauda equina...
2016: Case Reports in Pathology
https://www.readbyqxmd.com/read/27813458/a-systematic-review-of-overall-survival-in-pediatric-primary-glioblastoma-multiforme-of-the-spinal-cord
#8
Subhas K Konar, Shyamal C Bir, Tanmoy K Maiti, Anil Nanda
OBJECTIVE The incidence of primary spinal cord glioblastoma multiforme (GBM) in the pediatric age group is very rare. Only a few case series and case reports have been published in the literature; therefore, overall survival (OS) outcome and the as-yet poorly defined management options are not discussed in detail. The authors performed a cumulative survival analysis of all reported cases of pediatric spinal cord GBM to identify the predictive factors related to final survival outcome. METHODS A comprehensive search for relevant articles was performed on PubMed's electronic database MEDLINE for the period from 1950 to 2015 using the search words "malignant spinal cord tumor" and "spinal glioblastoma multiforme...
November 4, 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/27800000/spontaneous-spinal-epidural-hematoma-coexisting-guillan-barr%C3%A3-syndrome-in-a-child-a-case-report
#9
Chi Hyung Lee, Geun Sung Song, Young Ha Kim, Dong Wuk Son, Sang Weon Lee
Spontaneous spinal epidural hematoma (SSEH) has been reported as a rare cause of spinal cord compression, especially in children. Clinical features are usually nonspecific, although cervicothoracic location of hematoma could be presented with progressive paraplegia. Guillian-Barré syndrome (GBS) is clinically defined as an acute peripheral neuropathy causing progressive limb weakness. Because SSEH and GBS have very similar signs and symptoms, SSEH could be misdiagnosed as GBS. Nevertheless, they can be presented together...
September 2016: Korean Journal of Spine
https://www.readbyqxmd.com/read/27780743/the-prevalence-and-effect-of-problematic-spasticity-following-traumatic-spinal-cord-injury
#10
Kaila A Holtz, Rachel Lipson, Vanessa K Noonan, Brian K Kwon, Patricia B Mills
OBJECTIVE: To evaluate the prevalence and impact of spasticity following traumatic spinal cord injury (SCI). DESIGN: Prospective cohort study of the Rick Hansen Spinal Cord Injury Registry (RHSCIR) and retrospective review of inpatient medical charts. SETTING: Quaternary trauma centre, rehabilitation centre, and community settings in British Columbia, Canada. PARTICIPANTS: Individuals with a traumatic SCI between 2005 and 2014 prospectively enrolled in the Vancouver site RHSCIR were eligible for inclusion...
October 22, 2016: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/27771111/ziconotide-intrathecal-delivery-as-treatment-for-secondary-therapeutic-failure-of-motor-cortex-stimulation-after-6%C3%A2-years
#11
J Voirin, I Darie, D Fischer, A Simon, I Rohmer-Heitz, F Proust
INTRODUCTION: Motor cortex stimulation is a well-known treatment modality for refractory neuropathic pain. Nevertheless, some cases of therapeutic failure have been described but alternative therapies for these cases are rarely reported. CASE REPORT: The patient presented with neuropathic pain in his right arm due to a cervical syrinx which was surgically treated by a shunt in 2003 with no clinical improvement. As alternative therapy, after an evaluation by repetitive magnetic transcranial stimulation with significant benefit, motor cortex stimulation was successfully implanted in 2004...
October 19, 2016: Neuro-Chirurgie
https://www.readbyqxmd.com/read/27765110/-fourth-branchial-cleft-deformity-with-skin-orifice-a-series-of-10-cases
#12
S L Huang, B Zhang, L S Chen, L Liang, X N Luo, Z M Lu, S Y Zhang
Objective: To report rare cases of congenital neck cutaneous sinus with an orifice near the sternoclavicular joint and to investigate their origins and managements. Methods: A total of ten patients with congenital neck cutaneous sinus having an orifice near the sternoclavicular joint treated in the Guangdong General Hospital from January 2010 to June 2015 were retrospectively analyzed. Results: There four boys and six girls, aging from 11 months to 96 months with an average of 33.4 months, and they had a common feature showing a congenital cutaneous sinus with an orifice near sternoclavicular joint...
October 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27707395/transverse-myelitis-like-presentation-of-methanol-intoxication-a-case-report-and-review-of-the-literature
#13
Hussein Algahtani, Bader Shirah, Raafat Ahmad, Hind Abobaker, Mohammed Hmoud
CONTEXT: Methanol is the simplest member of alcohol family. However, it is an extremely toxic substance to humans upon exposure with severe and detrimental effects that range from visual loss to death. Spinal cord involvement in methanol intoxication is a rare occurrence. FINDINGS: In this article, we are reporting a case of methanol intoxication with extensive spinal cord involvement possibly due to necrosis. A literature review yielded only two cases of spinal cord involvement due to methanol intoxication...
October 6, 2016: Journal of Spinal Cord Medicine
https://www.readbyqxmd.com/read/27690836/advancements-in-imaging-technology-do-they-or-will-they-equate-to-advancements-in-our-knowledge-of-recovery-in-whiplash
#14
James M Elliott, Sudarshan Dayanidhi, Charles Hazle, Mark A Hoggarth, Jacob McPherson, Cheryl L Sparks, Kenneth A Weber
Synopsis It is generally accepted that up to 50% of those with a whiplash injury following a motor vehicle collision will fail to fully recover. Twenty-five percent of these patients will demonstrate a markedly complex clinical picture that includes severe pain-related disability, sensory and motor disturbances, and psychological distress. A number of psychosocial factors have shown prognostic value for recovery following whiplash from a motor vehicle collision. To date, no management approach (eg, physical therapies, education, psychological interventions, or interdisciplinary strategies) for acute whiplash has positively influenced recovery rates...
October 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27680415/magnetic-resonance-imaging-features-of-intramedullary-schwannomas
#15
Lu Gao, Bing Sun, Fang Han, Yingying Jin, Jiawen Zhang
OBJECTIVE: To identify the magnetic resonance imaging features of intramedullary spinal schwannomas. METHODS: Clinical and magnetic resonance imaging findings of 8 patients with pathologically confirmed intramedullary schwannomas were reviewed. RESULTS: There were 6 male and 2 female patients (mean age, 49 years). Tumors were located in the cervical cord (2), the thoracic cord (5), and the cervicothoracic cord (1). Most were in the dorsolateral spinal cord and limited to one side...
September 27, 2016: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/27670441/a-giant-cervicothoracic-cord-lipoma-an-uncommon-finding
#16
Hossein Organji, Sahebeh Rajabkhah, Farzad Fatehi
No abstract text is available yet for this article.
September 26, 2016: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/27666976/levodopa-enhances-immobility-induced-by-spinal-cord-electromagnetic-stimulation-in-rats
#17
Paulo M G Sales, Loraine M S de Andrade, Meagan R Pitcher, Francisco H Rola, Francisco de A A Gondim
BACKGROUND: The repetitive ElectroMagnetic Stimulation (rEMS) is an innocuous method applied to modulate neurocircuits in real-time to study the physiology of the central nervous system and treat neuropsychiatric conditions. Preliminary data suggest that spinal rEMS induces behavioral changes in awake rats. However, the mechanisms behind this phenomenon remain largely unknown. METHODS: Twenty-five male Wistar rats were divided into five subgroups of five animals each: one subgroup was drug-free, two subgroups received Levodopa+Benserazide 250+25mg/kg for two or seven days, and the remaining two subgroups received Haloperidol 0...
October 28, 2016: Neuroscience Letters
https://www.readbyqxmd.com/read/27612900/surgical-outcome-of-intradural-spinal-tumors
#18
M K Ahsan, N Sakeb, M Y Ali, M A Awwal, S I Khan, M M Goni, M B Mia, M B Alam, N Zaman, S N Jannat
Results of 63 surgically treated intradural spinal tumors between the period of October 2003 and December 2014 at Bangabandhu Sheikh Mujib Medical University (BSMMU) and in our private settings, Dhaka, were analyzed retrospectively. There were 33 males, 30 females with an average age of 52.4 years (13-70 years) and followed up for at least a year. The preoperative symptom with duration, tumors location and intradural space occupancy and the histopathological diagnosis were analyzed. Pain was evaluated by the visual analogue scale (VAS) and the neurologic function was assessed by Nurick's grade...
July 2016: Mymensingh Medical Journal: MMJ
https://www.readbyqxmd.com/read/27609979/prevalence-and-patient-characteristics-of-mayer-rokitansky-k%C3%A3-ster-hauser-syndrome-a-nationwide-registry-based-study
#19
Morten Herlin, Anne-Mette Bay Bjørn, Maria Rasmussen, Birgitta Trolle, Michael Bjørn Petersen
STUDY QUESTION: What is the prevalence of Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome? SUMMARY ANSWER: The prevalence of MRKH syndrome in Denmark is 1 in 4982 (95% confidence interval (CI): 4216-5887) live female births. WHAT IS KNOWN ALREADY: The prevalence of MRKH syndrome has been estimated to be around 1 in 4000-5000 females. However, population-based prevalence studies of MRKH syndrome are sparse. Moreover, population-based data on patient characteristics are lacking...
October 2016: Human Reproduction
https://www.readbyqxmd.com/read/27588121/large-cervicothoracic-myxoinflammatory-fibroblastic-sarcoma-with-brachial-plexus-invasion-a-case-report-and-literature-review
#20
Xiaotian Jia, Jianyun Yang, Lin Chen, Cong Yu
Myxoinflammatory fibroblastic sarcoma is a rare sarcoma that develops in patients of all ages, which usually presents as a slow-growing painless mass in the distal extremities. To date, myxoinflammatory fibroblastic sarcoma with invasion of the brachial plexus has rarely been reported in the literature. In this study, a case of large cervicothoracic sarcoma, which invaded the brachial plexus, is presented. The patient reported no sensory disturbance or dyskinesia. The tumor was completely resected without injury of the brachial plexus...
September 2016: Oncology Letters
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