Microsurgical treatment of cervical spinal hemangioblastoma.

CONCLUSION: Preoperative magnetic resonance imaging (MRI) and computed tomography angiography (CTA) can be used for diagnosis of CSHB. Finding and blocking the nutrient arteries during surgery is necessary reduce bleeding. Total tumor resection requires accurately identifying and separating the proliferative area around the tumor. PMID: 31953074 [PubMed - as supplied by publisher]
Source: Neuro-Chirurgie - Category: Neurosurgery Authors: Tags: Neurochirurgie Source Type: research

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CONCLUSIONS: To our knowledge, this is the first documented case of gastropharyngeal anastomotic leak related to TKI use. A causal relationship is highly plausible given the previously stable anastomosis and the suspicious advent of complications within months of initiation of this new drug. While previously limited to cases of intraabdominal bowel dehiscence, this report now suggests that wound dehiscence must be considered a known side effect of TKIs throughout the gastrointestinal tract, including the gastropharynx. As such, the risk of anastomotic dehiscence should be discussed with the patient prior to starting a TKI....
Source: The Annals of Otology, Rhinology, and Laryngology - Category: ENT & OMF Authors: Tags: Ann Otol Rhinol Laryngol Source Type: research
BACKGROUND Spinal surgery is usually performed in the prone position using a posterior approach. However, the prone position may cause venous engorgement in the back and thus increase surgical bleeding with interruption of surgery. The prone position also affects cardiac output since large vessels are compressed decreasing venous return to the heart. OBJECTIVE We hypothesised that deep neuromuscular blockade would be associated with less surgical bleeding during spinal surgery in the prone position. DESIGN Randomised, single blinded trial. SETTING University teaching hospital. PARTICIPANTS Eighty-eight patien...
Source: European Journal of Anaesthesiology - Category: Anesthesiology Tags: Neuromuscular blockade Source Type: research
CONCLUSION: Spontaneous rupture of solid neuroendocrine neoplasms of the pancreas can cause acute abdomen with potentially devastating effects. KEY WORDS: Abdominal pain, acute abdomen, Hemorrhagic shock, Pancreatic neuroendocrine tumor. PMID: 32020903 [PubMed - in process]
Source: Annali Italiani di Chirurgia - Category: Surgery Tags: Ann Ital Chir Source Type: research
This study aims to evaluate the effectiveness of early position change postcardiac catheterization on reducing patients' pain and discomfort.SettingsThe study was conducted at two cardiac units in a university hospital in Jordan.ParticipantsA total of 120 patients were used in the study, 60 patients in each of the two groups —control and intervention.MethodsThe randomized controlled trial design was used. Data were initially collected 1 hour after sheath removal postcardiac catheterization. After that, the protocol was applied to the interventional group.ResultsEarly position change 1 hour after sheath removal after ...
Source: Nursing Forum - Category: Nursing Authors: Tags: ORIGINAL ARTICLE Source Type: research
ConclusionsRevision of a failed TDR is clinically beneficial in about half of the patients. No clear benefits for additional TDR removal as compared to posterolateral instrumented fusion alone could be identified. Particularly, when considering the substantial risks and complications, great caution is warranted with removal of the TDR.Graphic abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
auml; M Abstract Inferior vena cava atresia (IVCA) is a rare vascular condition that may be treated by venous stenting. The authors report on the microsurgical removal of an intraspinally misplaced stent causing nerve root compression and neurological deficits.A 42-year-old patient with IVCA and painful cutaneous collaterals had been scheduled for treatment by stenting of the iliocaval confluence and associated venous collaterals. Initial stenting of the right iliac vein was successful; however, during recanalization of the left paravertebral plexus, the stent entered the spinal canal via extraspinal-to-intraspina...
Source: Journal of Neurosurgery.Spine - Category: Neurosurgery Authors: Tags: J Neurosurg Spine Source Type: research
Publication date: Available online 13 January 2020Source: Urology Case ReportsAuthor(s): Meng-Tian Liang, Chao Wang, Fa Zhang, Feng-Hai ZhouAbstractA 48-year-old man was presented in the local hospitalized where he lived because of lower back pain one month ago. Then he came to our hospital for kidney stones on the right side within horseshoe kidneys and hydronephrosis diagnosed by imaging and abdominal ultrasound. After we proceeded single standard percutaneous nephrolithotomy with holmium laser combined EMS, his stones were totally removed with little intraoperative bleeding. No eventful post-operative complications occu...
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
 Trauma eventually comes for all of us.  It isn’t just stereotypical things like war or assault that are traumatic, there is also the everyday realities of things like illness or job loss. As painful as it is, trauma can be an invitation to a process of growth and change. Join us as today’s guest, Dr. James Gordon, explains some of the techniques of trauma healing, including some surprising ones, like laughter and spending time with animals. Dr. Gordon also shares with us how he personally handles his own trauma and the programs most often used by the Center for Mind-Body Medicine. SUBSCRIBE &REVIE...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: General Interview Mental Health and Wellness The Psych Central Show Trauma Source Type: blogs
A 59-year-old female was brought to our emergency department with hypovolemic shock caused by massive bleeding from neck stab wounds inflicted by herself in a committed suicide. The patient complained of comparatively strong pain on her lower back and ther...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Economics of Injury and Safety, PTSD, Injury Outcomes Source Type: news
ConclusionRetroperitoneal hematoma may occur after PELD due to segmental artery perforation. The spinal needle should be manipulated carefully. Even for large hematomas, conservative treatment is possible in select patients.
Source: Interdisciplinary Neurosurgery - Category: Neurosurgery Source Type: research
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