Idiopathic hypertrophic pachymeningitis

    Dumont AS, Clark AWm Sevick RJ, Myles ST. Idiopathic hypertrophic pachymeningitis:  A report of two cases and review of the literature.   Background-- Authors note entity was described by Charcot and Joffroy, and that there are three forms:  spinal, intracranial and craniospinal (latter is rarer).    Past cases were often attributed to specific etiologies but most recent cases are idiopathic after investigation.  Authors case 1 underwent 2 surgeries for biopsy/decompression , had persistent pain and numbness, but was non progressive for 15 years after one early relapse.  The second one received steroids after biopsy with resolution of symptoms and MRI changes.  Authors argue based on above that the condition is not autoimmune.    Literature review suggested a worse prognosis for patients with "inflammatory signs" (fever, high sed rate, CRP, or elevated WBC).    Associations include infections: syphilis, TB, HTLV-1, fungi; may be presenting sign of adjacent ear or sinus infection.  Autoimmune associations include RA, orbital pseudotumor, multifocal fibrosclerosis, MCTD, Wegener's granulomatosis.    The 23 reports run the gamut from marked to slight improvement to deterioration and late recurrence or surgical death.    For interest, Charcot's clinical descriptors divided the spinal form into distinct stages: first intermittent radicular pain tha...
Source: neurologyminutiae - Category: Neurology Source Type: blogs

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Authors: Ertel KA, Hallam JE, Hillman AR Abstract BACKGROUND: Individuals participating in exercise beyond their level of fitness may be at higher risk for exercise-induced muscle damage, however the impact of training status on muscle damage development is not well understood. The purpose of this study was to measure skeletal muscle damage and soreness after five days of high and low intensity exercise in previously trained and untrained individuals. METHODS: Eighteen males and females (9 trained and 9 untrained) completed five consecutive days of high intensity (HI) exercise and five consecutive days of low i...
Source: Journal of Sports Medicine and Physical Fitness - Category: Sports Medicine Tags: J Sports Med Phys Fitness Source Type: research
I haven't used Stimwave since fellowship. Anyone using their technology for peripheral nerve stim? Results? Pros/Cons and feedback from patients? If I were going to use it, it would probably be for suprascapular neuralgia, genicular nerualgia, and/or SI joint pain vs cluneal neuralgia, when other options have failed (i.e. RF).
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
How bad of an idea is it to be pregnant with adequate lead coverage during early months of pregnancy? I had a fellow resident who was pregnant who changed her rotations around to avoid any exposure, however it's my understanding that overall the exposure with adequate coverage is ultimately fine. I know most of you are men - not sure if there are any female pain docs who could chime in? Sigh.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
Dear Dr. Ducttape, Beginning in 2020, our Board will offer its longitudinal assessment technology to diplomates of other medical specialties to maintain their Pain Medicine certification. Until now, diplomates of our co-sponsoring boards – American Boards of Physical Medicine and Rehabilitation (ABPMR), Psychiatry and Neurology (ABPN), and Radiology (ABR) – with current certificates in Pain Medicine took a high-stakes recertification exam every 10 years. Our Pain Medicine-certified... New for Pain Recertification- re PMR
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums
(Houston Methodist) Surgeons at Houston Methodist Hospital are stemming the tide of addiction to prescription opioids by managing patients' pain after surgery.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
(Columbia University Irving Medical Center) A new study from researchers at Columbia University Vagelos College of Physicians and Surgeons found that non-medical cannabis use -- including frequent or problematic use -- is significantly more common in adults with pain than in those without pain.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
Publication date: March 2020Source: Epilepsy &Behavior, Volume 104, Part AAuthor(s): J. Eric Piña-Garza, William Rosenfeld, Kazunori Saeki, Vicente Villanueva, Harumi Yoshinaga, Anna Patten, Betsy Williams, Manoj MalhotraAbstractObjectiveThis post hoc analysis of six randomized, double-blind, Phase II and III studies evaluated efficacy and safety of adjunctive perampanel (2–12 mg/day) in adolescent patients (aged ≥ 12 to ≤ 17 years) with uncontrolled partial-onset seizures, with or without secondarily generalized (SG) seizures, or primary generalized tonic–clonic (PGTC) seizures.M...
Source: Epilepsy and Behavior - Category: Neurology Source Type: research
Publication date: Available online 20 January 2020Source: Materials Today: ProceedingsAuthor(s): Hullash Chauhan, Suchismita Satapathy, Ashok K. Sahoo, Debesh MishraAbstractFarmers typically utilize their hands in the vegetables picking activities which bring about mental and physical shortcoming, hardship, misuse and pain. As alleviating measures, the commercially available gloves protect hands from cuts, injuries, skin hardness and abrasions, by enhancing the working efficiency of farmers. Therefore, an endeavor was made in this study to investigate the ergonomic risks in carrying out the picking tasks in agricultural se...
Source: Materials Today: Proceedings - Category: Materials Science Source Type: research
One of the largest problems in our ER, it seems, is that there is a subset of patients who visit us on a routine basis. Commonly known as“the regulars,” these familiar faces are sprinkled throughout our day between all our other patient visits. Whether it be for chronic pain, for chronic illness, for companionship, […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician chronic pain Emergency Medicine Source Type: blogs
ConclusionCST mapping allowed safe advancement of the cordotomy probe and exploration of the meningocele sac with untethering of the anterior-lateral aspect of the cord respectively, resulting in postoperative preservation or improvement of motor strength from the pre-operative baseline. Stimulus thresholds varied likely with the distance between the stimulating probe and the CST as well as with the baseline motor strength in the mapped myotomes.
Source: Journal of Clinical Neuroscience - Category: Neuroscience Source Type: research
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