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Epidural blood patch treatment for headache caused by a ruptured Tarlov cyst

Source: Canadian Journal of Anesthesia - Category: Anesthesiology Source Type: research

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(Can J Anaesth. 2017;64(9):983–984) There are limited data on the management of Tarlov cysts, which are cerebrospinal fluid–containing nerve root cysts located between the endoneurium and perineurium. Patients with Tarlov cysts may be asymptomatic.
Source: Obstetric Anesthesia Digest - Category: Anesthesiology Tags: Case Reports Source Type: research
CONCLUSION: A similar TNS incidence was seen in the results of this study as has been reported in the literature. A greater number of attempts, the lithotomy position, and co-morbidities such as ASHD and DM increase the incidence of TNS. PMID: 29738058 [PubMed - in process]
Source: Agri Dergisi - Category: Anesthesiology Tags: Agri Source Type: research
AbstractPurpose of ReviewWe performed a systematic review to elucidate the current guidelines on weaning patients from opioids in the post-operative ambulatory surgery setting, and how pain management intraoperatively can impact this process.DesignThe review highlights the most up-to-date research from clinical trials, patient reports, and retrospective studies regarding both the current guidelines and weaning of opioid analgesia in ambulatory surgery setting.Recent FindingsA striking paucity of convincing evidence exists on ambulatory postoperative pain management discontinuation or weaning of pain medications. However, r...
Source: Current Pain and Headache Reports - Category: Neurology Source Type: research
It is not uncommon to see air in the ventricular system and the subarachnoid space after resection of vestibular schwannoma in the semisitting position. It resolves spontaneously within 1 –2 weeks. Sometimes, it causes headache. In severe cases of air collection (tension pneumocephalus), the patients show delayed inadequate recovery from the anesthesia. In these cases, after confirmation of the presence of the tension pneumocephalus with postoperative computed tomography, we usual ly release the entrapped air, especially if it affects the conscious level of the patient by a burr hole.
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Letter to the Editor Source Type: research
Born in Oldcastle, County Meath, Ireland, Charles Graham Halpine (1825 to 1868) emigrated to the United States in 1851. He worked as a journalist and editor in Boston, Washington, D.C., and then New York City, before joining the Union ’s 69th New York Volunteer Infantry. During the Civil War, he penned poetry and prose for periodicals and eventually books under the pseudonym of “Miles O’Reilly,” a hapless Irish private in the “47th Regiment New York Volunteers.” Progressively reassigned and promoted through the ranks, Halpine was photographed (above) as a lieutenant colonel. By the time ...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
J Neurol Surg B DOI: 10.1055/s-0038-1641752 Objectives To determine the incidence of prolonged postoperative systemic corticosteroid therapy after surgery for acoustic neuroma as well as the indications and associated risk factors that could lead to prolonged steroid administration, and the incidence of steroid-related adverse effects. Study Designs Retrospective chart review. Methods Retrospective chart review of patients undergoing resection of acoustic neuroma between 2010 and 2017 at two tertiary care medical centers. Patient and tumor characteristics, operative approach, hospital length of stay...
Source: Journal of Neurological Surgery Part B: Skull Base - Category: Neurosurgery Authors: Tags: Original Article Source Type: research
The objective of the current study is to elucidate the potential role of surgery in the treatment of nummular headache.
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - Category: Cosmetic Surgery Authors: Source Type: research
Case Report:27 year old female without any previous co-morbidity and not on any medications was diagnosed with hydatidiform mole. Evacuation was done under spinal anesthesia. The next day following the procedure, she developed headache, which was only present on sitting on standing and was relieved on attaining supine position. After 2 days , she developed worsening of the headache which now became continuous and  she also developed right sided focal seizures in upper limb. Initial clinical diagnosis in the background of a hypercoagulable state (hydatiform mole), headache and seizures was cerebral venous thrombosis. H...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs
AbstractTo evaluate the distribution of complications of chronic otitis media, dilemma of how soon to operate a seriously ill patient with CSOM and treatment outcomes. A retrospective study was done in a tertiary care centre. Clinical data from 2013 to 2015 was compiled, surgical management with outcome was analysed. A total of 425 patients with chronic otitis media were evaluated. Single/multiple complications were seen in 147 (34.5%) patients. Majority of the complications were seen in active squamosal type of chronic otitis media i.e. 137 (59.5%) cases out of the 147. Meningitis (3.3%) was the most common intracranial c...
Source: Indian Journal of Otolaryngology and Head and Neck Surgery - Category: ENT & OMF Source Type: research
Migraine headaches make up a significant proportion of emergency department visits. There are multiple pharmacologic treatment modalities for migraine abortive therapy; however, these treatments are rarely targeted to the precise area of pain and thus elicit multiple systemic effects. It has been well established in the anesthesia pain literature that occipital nerve blocks can provide not only immediate pain relief from occipital migraines, but can also result in a long-term resolution of occipital migraines.
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
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