Hysterical conversion paralysis in an adolescent boy with lumbar spondylolysis
We describe a case of recurrent hysterical paralysis triggered by low back pain because of lumbar spondylolysis. A 16-year-old male soccer player was referred to our institution with five previous episodes of acute paralysis triggered by severe low back pain. We performed direct surgical repair of the terminal-stage bilateral spondylolysis at L4 using a hook-rod system. His chronic low back pain was completely resolved, and no further episodes of hysterical paralysis have occurred after surgery. Spine surgeons should be aware of possible hysterical conversion paralysis when there is discrepancy between radiological and neurological findings.
Targeted muscle reinnervation (TMR), originally developed as an experimental technique for prosthetic control, has been shown to be safe and effective for the treatment and prevention of postamputation pain. Targeted muscle reinnervation involves coaptatio...
I’ve been doing RFAs in private practice for 5 years, never any complications. Today, I slipped off the left L4 pedicle a few times, it was challenging. Adjusted the fluoro and was satisfied. No motor, lateral image did not indicate foraminal encroachment. Injected lidocaine prior to ablation. I was firmly in os and I held the probe the entire 2:30. In PACU patient complained of weakness and numbness in the L4 dermatome (FML). I was hoping it could be chalked up to the lidocaine... RFA complication
Hi folks, Does anyone have good recommendations for favorite electives during fellowship? My program has slots for three 2-week rotations -- it is a large tertiary center with a lot of services (i.e. plenty of options). I imagine there are pearls and valuable skills to take away from nearly all available rotations. In your experience, any particularly high-yield to the practice of HPM? I'm thinking addictions, pain, .... spiritual? psych?
This article aimed to investigate effects of exosomes secreted from miRNA-29b-modified bone marrow mesenchymal stem cells (BMSCs) on SCI. Exosomes were extracted from BMSCs transfected with miRNA-29b or negative control (miR NC). SCI rats were injected intravenously with exosomes (control exosomes, miRNA-29b exosomes) and BMSCs (miR NC, miRNA-29b) through the tail vein. The expression of miRNA-29b in spinal cord tissues of SCI rats was detected by qRT-PCR. The hind limb motor function was evaluated by Basso Beattie Bresnahan (BBB) score. The histopathological damage and neuronal regeneration in spinal cord tissues was obse...
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): James Fitton, Alice Cameron, Richie Gill, Serryth Colbert
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Alexander Hills, Brian Bisase, Paul Norris, Karan Kapoor, Mike Shelley, Charles Nduka, Ruben Kannan
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): James Webster, Alice Cameron, Serryth Colbert
Publication date: December 2019Source: British Journal of Oral and Maxillofacial Surgery, Volume 57, Issue 10Author(s): Hanna Strang, Salim Miskry, Kathleen Fan
Conditions: Hyperalgesia; Chronic Pain Syndrome; Chronic Pain, Psychogenic; Fear of Pain Interventions: Behavioral: Threat manipulation (control, no threat); Behavioral: Threat manipulation; Behavioral: Conditioning of moderate pain; Behavioral: Conditioning of high pain; Behavioral: Extinction Sponsors: Leiden University Medical Center; Universiteit Leiden; KU Leuven; Maastricht University Recruiting
The objectives of this study were to define the role for surgery in the treatment of chronic low back pain (cLBP) and to develop a new classification of cLBP based on the pattern of injury.HypothesisSurgery may benefit patients with cLBP, and a new classification based on the injury pattern may be of interest.MethodA systematic literature review was performed by searching Medline, the Cochrane Library, the French public health database (Banque de Données en Santé Publique), Science Direct, and the National Guideline Clearinghouse. The main search terms were “back pain” OR “lumbar” OR &...