Durable Effects of Acupuncture for Knee Osteoarthritis: A Systematic Review and Meta-analysis
AbstractPurpose of ReviewKnee osteoarthritis (KOA) is a degenerative joint disease which can result in chronic pain and disability. The current interventions available for KOA often fail to provide long-lasting effects, highlighting the need for new treatment options that can offer durable benefits. Previous studies have suggested the efficacy of acupuncture for knee osteoarthritis (KOA) with its durability remaining uncertain. In this review, we aimed to investigate the durability of the efficacy after completion of treatment.Recent FindingsWe performed thorough searches of PubMed, EMBASE, Web of Science, and Cochrane Cen...
Source: Current Pain and Headache Reports - April 18, 2024 Category: Neurology Source Type: research

Sudden unexpected death in a middle-aged woman
Clinical presentation The patient was a woman in her 50s with a history of migraine and Raynaud’s disease. She had episodes of severe migraine that only partially responded to triptans, and worsened during pregnancy approximately 14 years prior, and also during the perimenopausal period approximately 2 years ago. After menopause, her migraines improved, occurred once a month, and responded well to triptans. She had elevated cholesterol. She had no known history of hypertension, diabetes mellitus, coronary artery disease, myocardial infarction, stroke, autoimmune disease or connective tissue disease. She was not on ho...
Source: Journal of Clinical Pathology - April 18, 2024 Category: Pathology Authors: Casimero, F. V. C., Patalas, E. D., Stone, J. R. Tags: Grand rounds Source Type: research

Rare vermian pilocytic astrocytoma with recurrent spontaneous hemorrhage in the elderly: A case report and review of literature
CONCLUSION: PA in the elderly is a rare disease with distinct histologic and genetic peculiarities. This case review showed one of the oldest cases of cerebellar vermian PA presenting with recurrent spontaneous intratumoral hemorrhage, an extremely rare occurrence in benign glioma. Although complete surgical excision is recommended, partial resection is advocated for morbidly adherent tumors. Overall prognosis is worse in elderly PA.PMID:38628526 | PMC:PMC11021065 | DOI:10.25259/SNI_978_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Campbell Chukwuebuka Francis Kohei Kanaya Kohei Nagamine Tetsuya Goto Tetsuyoshi Horiuchi Samuel Chukwunonyerem Ohaegbulam Source Type: research

Secondary normal pressure hydrocephalus following pituitary apoplexy: A case report
CONCLUSION: This case suggests that sNPH can develop even after a small subarachnoid hemorrhage caused by a pituitary apoplexy in LOVA patients. If the aqueduct of Sylvius is open, sNPH with a LOVA background can be successfully treated with LPS placement.PMID:38628523 | PMC:PMC11021090 | DOI:10.25259/SNI_32_2024 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Yusuke Tomita Shoichi Fukuda Aiko Kobashi Yoshihiro Okada Keigo Makino Naoya Kidani Kenichiro Muraoka Nobuyuki Hirotsune Shigeki Nishino Source Type: research

Spontaneous thrombosis and calcification of giant cavernous carotid artery aneurysm: A rare case and management insights
CONCLUSION: This case highlights the complex interplay between thrombosed giant aneurysms and affected vessels, with unique features such as cross-flow, calcification, and bone erosion. We advocate conservative management for stable cases, supported by literature, emphasizing vigilant follow-up. This expands the spectrum of aneurysm presentations and encourages further research into their dynamics.PMID:38628510 | PMC:PMC11021061 | DOI:10.25259/SNI_805_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Vikas Chandra Jha Rahul Jain Vivek Saran Sinha Nitish Kumar Gaurav Verma Nikhil Dhage Source Type: research

Penetrating head trauma resulting from vigilante street justice
CONCLUSION: Proper handling and rapid transport of patients to the advanced trauma center are crucial for victims of PBI. Timely and skilled interventions could prevent further nervous tissue damage and any related neurological dysfunction.PMID:38628506 | PMC:PMC11021100 | DOI:10.25259/SNI_1031_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Sylvery Mwesige Maxigama Ndossi Nicephorus Rutabasibwa Laurent Lemeri Source Type: research

Rare vermian pilocytic astrocytoma with recurrent spontaneous hemorrhage in the elderly: A case report and review of literature
CONCLUSION: PA in the elderly is a rare disease with distinct histologic and genetic peculiarities. This case review showed one of the oldest cases of cerebellar vermian PA presenting with recurrent spontaneous intratumoral hemorrhage, an extremely rare occurrence in benign glioma. Although complete surgical excision is recommended, partial resection is advocated for morbidly adherent tumors. Overall prognosis is worse in elderly PA.PMID:38628526 | PMC:PMC11021065 | DOI:10.25259/SNI_978_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Campbell Chukwuebuka Francis Kohei Kanaya Kohei Nagamine Tetsuya Goto Tetsuyoshi Horiuchi Samuel Chukwunonyerem Ohaegbulam Source Type: research

Secondary normal pressure hydrocephalus following pituitary apoplexy: A case report
CONCLUSION: This case suggests that sNPH can develop even after a small subarachnoid hemorrhage caused by a pituitary apoplexy in LOVA patients. If the aqueduct of Sylvius is open, sNPH with a LOVA background can be successfully treated with LPS placement.PMID:38628523 | PMC:PMC11021090 | DOI:10.25259/SNI_32_2024 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Yusuke Tomita Shoichi Fukuda Aiko Kobashi Yoshihiro Okada Keigo Makino Naoya Kidani Kenichiro Muraoka Nobuyuki Hirotsune Shigeki Nishino Source Type: research

Penetrating head trauma resulting from vigilante street justice
CONCLUSION: Proper handling and rapid transport of patients to the advanced trauma center are crucial for victims of PBI. Timely and skilled interventions could prevent further nervous tissue damage and any related neurological dysfunction.PMID:38628506 | PMC:PMC11021100 | DOI:10.25259/SNI_1031_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Sylvery Mwesige Maxigama Ndossi Nicephorus Rutabasibwa Laurent Lemeri Source Type: research

Spontaneous thrombosis and calcification of giant cavernous carotid artery aneurysm: A rare case and management insights
CONCLUSION: This case highlights the complex interplay between thrombosed giant aneurysms and affected vessels, with unique features such as cross-flow, calcification, and bone erosion. We advocate conservative management for stable cases, supported by literature, emphasizing vigilant follow-up. This expands the spectrum of aneurysm presentations and encourages further research into their dynamics.PMID:38628510 | PMC:PMC11021061 | DOI:10.25259/SNI_805_2023 (Source: Surgical Neurology International)
Source: Surgical Neurology International - April 17, 2024 Category: Neurosurgery Authors: Vikas Chandra Jha Rahul Jain Vivek Saran Sinha Nitish Kumar Gaurav Verma Nikhil Dhage Source Type: research

Extranodal Rosai-Dorfman disease manifesting as Sj ögren's syndrome combined with panuveitis and hypertrophic pachymeningitis: a case report and review of literature
We present the case of a 28-year-old woman who presented with recurrent blurred vision in her right eye for 3 months. She developed blindness and atrophy in her left eye a decade prior to presentation. She subsequently developed headache, fever, and impaired mental status. Cranial magnetic resonance imaging indicated hypertrophic pachymeningitis (HP), and 18F-fluoro-2-deoxy-2-d-glucose (FDG) positron emission tomography/computed tomography revealed significant FDG uptake in the left dura mater. Autoimmune testing revealed elevated anti-nuclear, anti-SS-A, and anti-SS-B antibody levels. Incisional biopsy of the atrophic eye...
Source: Cell Research - April 17, 2024 Category: Cytology Authors: Jing Xu Meihua Huang Binsong Dong Min Jian Jinyu Chen Naiyuan Zhang Chunlian Ou Yongming Wu Dongmei Wang Source Type: research

NonInvasive Vagus Nerve Stimulation in Spontaneous Subarachnoid Hemorrhage (VANQUISH): a Randomized Safety and Feasibility Study
Spontaneous subarachnoid hemorrhage (SAH) typically presents with severe thunderclap headache, often described as the “worst headache of life”. The vast majority of patients (90%) have persistent severe headache while in the intensive care unit [1] and more than a third continue to have this headache for years following cerebral insult, which adversely affects their quality of life [2]. Currently, there is lack of effective treatments or guidelines, and the data evaluating the efficacy of analgesic medications for these patients is scarce. (Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation)
Source: BRAIN STIMULATION: Basic, Translational, and Clinical Research in Neuromodulation - April 17, 2024 Category: Neurology Authors: Tania Rebeiz, Tagir Sabirov, Timothy G. White, David Ledoux, Jung-min Kim, Donna Kerner, Betsy Moclair, Amanda Lin, Shahab Khazanehdari, Aashish Patel, Heustein Sy, Marc S. Ayoub, Bensam Benziger, Kenia Samuel, Krista Lim-hing, Celine Rahman DeMatteo, Ric Source Type: research

Effects of PDE-3 inhibition in persistent post-traumatic headache: evidence of cAMP-dependent signaling
ConclusionsOur results provide novel evidence showing that PDE-3 inhibition can elicit migraine-like headache in persons with PPTH. Given that PDE-3 inhibition increases intracellular cAMP levels, our findings allude to the potential therapeutic value of targeting cAMP-dependent signaling pathways in the management of PPTH. Further investigations are imperative to substantiate these insights and delineate the importance of cAMP-dependent signaling pathways in the neurobiologic mechanisms underlying PPTH.ClinicalTrials.gov IdentifierNCT05595993. (Source: The Journal of Headache and Pain)
Source: The Journal of Headache and Pain - April 17, 2024 Category: Neurology Source Type: research

Changes in retinal nerve fiber layer thickness may be the cause of post-COVID-19 headaches
CONCLUSION: In this study, a correlation between headache and changes in RNLF after COVID-19 infection was found. It may have wider ramifications to look into the COVID-19-associated headache phenotype of people with a history of migraines, contributing to a more comprehensive understanding of migraine pathogenesis. This relationship can provide further insight into this infection.PMID:38625389 | DOI:10.1080/01616412.2024.2340875 (Source: Neurological Research)
Source: Neurological Research - April 16, 2024 Category: Neurology Authors: Mehmet Selim Gel Ayhan Kanat Demet Seker Hakan Koc Iskender Samet Daltaban Huseyin Findik Omer Lutfi Gundogdu Source Type: research

Acute Treatment Patterns, Migraine Burden, and Healthcare Resource Use in People With Migraine: Results From the OVERCOME (EU) Observational Study
CONCLUSION: High migraine-related burden levels were reported, despite use of acute medication. Although triptans are recommended for moderate to severe migraine attacks in Spanish and German guidelines, less than half of participants were using triptans; treatment satisfaction in those using triptans was generally poor. New tailored treatment options may help address unmet needs in current acute treatment.PMID:38625512 | DOI:10.1007/s40122-024-00589-3 (Source: Pain Physician)
Source: Pain Physician - April 16, 2024 Category: Anesthesiology Authors: Stefan Evers Grazia Dell'Agnello Diego Novick H Saygin Gonderten Tommaso Panni Julio Pascual Source Type: research