Log in to search using one of your social media accounts:

 

Lumbar laminotomy and replantation for the treatment of adult spinal epidermoid cyst: A case report

In this study, we presented a brief report of an adult lumbar epidermoid cyst and introduced another surgical approach.Patient concerns:This 28-year-old woman has been complaining of the severe right buttock pain and right thigh radiating pain for half a year. She had been diagnosed as sacroiliitis, spinal arthritis, and lumbar disc herniation at 3 different hospitals before coming to our hospital. And she received a variety of conservative treatments, including non-steroidal anti-inflammatory drugs, aspirin, acetaminophen, glucocorticoids, acupuncture, physical therapy, and so on. However, her pain did not diminish at all. Finally, we find a space-occupying lesion in her lumbar magnetic resonance images (MRI). The lesion was slightly low, equal, and uneven equal-low signals on T1WI. T2WI showed slightly higher, equal, and uneven equal-high signals. And a thin-rim enhancement was observed on Gd-DTPA-enhanced MRI.Diagnoses:Adult spinal epidermoid cyst.Interventions:The patient underwent a surgery of lumbar laminectomy, tumor excision, and spinous process-vertebral plate in situ replantation.Outcomes:Postoperative pathology prompted that the tumor was cystoid. The patient's symptoms were completely removed 1 week after surgery. Three-month postoperative MRI confirmed that the spinal epidermoid cyst had been completely removed and three-dimensional CT prompted lumbar lamina in situ. Bony fusion occurred at 6 months after the surgery.Lessons:Lumbar laminotomy and replantation pro...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research

Related Links:

More and more people are suffering from lowback pain worldwide - an issue that is being made worse by the widespread prevalence of inappropriate treatment methods. This is the conclusion of a series of new scientific papers published by The Lancet, which have reviewed evidence from high and low-income countries, finding that this is a global problem that can only be solved through better adherence to best practice treatment guidelines. A global problem exacerbated by ineffective care The first of these new reviews revealed that low backpain is now the leading cause of disability on a global basis, with the issue becoming m...
Source: Arthritis Research UK - Category: Rheumatology Source Type: news
Neurostimulation has the capacity to stop pain signals from traveling up to the brain, but to mask the pain effectively and for long periods of time clinicians have turned to implants. That is because conventional TENS (Transcutaneous Electrical Nerv...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Medicine Orthopedic Surgery Pain Management Source Type: blogs
Subject to inappropriate and costly tests and treatments; best practice guidance ignored Related items fromOnMedica Paracetamol 'does not help back pain or arthritis' Exercise better for back pain than acupuncture say experts Nurofen TV ad is banned for being ‘misleading’ NSAIDs no better than placebo for spinal pain
Source: OnMedica Latest News - Category: UK Health Source Type: news
“A bear, however hard he tries, grows tubby without exercise.” – A. A. Milne You don’t need to knock yourself out at the gym each day to reap the many health benefits of daily exercise. With simple planning and a determination to engage in a healthier lifestyle, you can add easy stints of exercise to your schedule without breaking too much of a sweat. Best of all, you may realize some of these 10 health benefits of daily exercise. Exercise elevates your mood When you are physically active, it stimulates brain chemicals that make you feel better and lifts your mood. Some experts say that exercise of ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Habits Health-related LifeHelper Self-Help Source Type: blogs
Conclusion Screening criteria for IBD in patients with SpA, and vice versa, have been developed. These criteria will be useful for early detection of both diseases.
Source: Reumatologia Clinica - Category: Rheumatology Source Type: research
Authors: Terenzi R, Monti S, Tesei G, Carli L Abstract The term spondyloarthritis (SpA) represents a condition characterised by a broad spectrum of clinical manifestations, laboratory abnormalities and imaging features; in particular, SpA is an inflammatory condition in which both peripheral and axial joints might be affected. The majority of people with this disease have either psoriatic arthritis or axial spondyloarthritis, which includes ankylosing spondylitis. Less common subgroups are enteropathic SpA, which is associated with inflammatory bowel diseases (Crohn's disease and ulcerative colitis), reactive arth...
Source: Clinical and Experimental Rheumatology - Category: Rheumatology Tags: Clin Exp Rheumatol Source Type: research
This study accessed the patients information on demographic characteristics, physical signs and symptoms. Study population This is a cross-sectional and observational study carried out in Brazil during DENV and ZIKV epidemic occurred in 2016. Patients were assisted at the Healthy Unit UPA Coronel Antonino in Campo Grande, MS, Brazil from February to March of 2016. During the study 134 suspected arboviral infection cases were included and submitted to investigation. Patients presenting fever, rash during acute phase of infection (up to the 7th day after disease onset) followed by at least two of the following signals a...
Source: PLOS Currents Outbreaks - Category: Epidemiology Authors: Source Type: research
ConclusionThe identified associations between inflammatory MRI findings and pain characteristics indicate that axial inflammation to some degree induces a specific pain pattern. Thus, the results add to knowledge of axial inflammatory processes. However, all identified associations were weak, which compromises the use of IBP as a marker of axial inflammation.
Source: Arthritis Care and Research - Category: Rheumatology Authors: Tags: Original Article Source Type: research
In this study, we estimated the prevalence of IBP and the subtypes of SpA in a tertiary hospital in Bangladesh. MethodsThis 1 year cross‐sectional study was conducted among 240 CLBP patients in a rheumatology outpatient clinic. Assessment of Spondyloarthritis International Society classification criteria of IBP and predefined recognized classification criteria were followed to define different subtypes of SpA. Means and standard deviations were reported for continuous variables. Descriptive and bi‐variate analyses were accordingly performed. ResultsOf 240 CLBP patients, 60 (25%) had IBP and 180 (75%) had mechanical bac...
Source: APLAR Journal of Rheumatology - Category: Rheumatology Authors: Tags: Original Article Source Type: research
Abstract Biomarkers are biological characteristics that can be used to indicate health or disease. This paper reviews studies on biomarkers of low back pain (LBP) in human subjects. LBP is the leading cause of disability, caused by various spine‐related disorders, including intervertebral disc degeneration, disc herniation, spinal stenosis, and facet arthritis. The focus of these studies is inflammatory mediators, because inflammation contributes to the pathogenesis of disc degeneration and associated pain mechanisms. Increasingly, studies suggest that the presence of inflammatory mediators can be measured systemically i...
Source: Annals of the New York Academy of Sciences - Category: Science Authors: Tags: REVIEW Source Type: research
More News: Acetaminophen | Acupuncture | Arthritis | Aspirin | Back Pain | Hospitals | Internal Medicine | Laminectomy | Lessons | Lortab | Low Back Pain | Pain | Pathology | Physical Therapy | Rheumatology | Study