• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Spontaneous vertebral artery dissection: Posterior circulation stroke
Manoj Deshmukh, Anju Wadhwa, Ravi RajdeoJournal of Craniovertebral Junction and Spine 2015 6(4):206-208Spontaneous vertebral artery dissection (VAD) is relatively rare but an important cause of posterior circulation stroke. A 46-year-male complaining of sudden onset headache, neck pain with right-sided neuro deficit in the form of hemiparesis was evaluated by contrast magnetic resonance imaging and dual-energy computed tomography (CT) and brain neck angiography which revealed a short segment extracranial left-sided VAD, associated with acute infarct in the left occipital region. The patient was managed conservatively and f...
Source: Journal of Craniovertebral Junction and Spine - October 21, 2015 Category: Orthopaedics Authors: Manoj DeshmukhAnju WadhwaRavi Rajdeo Source Type: research

Imaging analysis of ischemic strokes due to blunt cerebrovascular injury
CONCLUSION With universal screening, CTA evidence of BCVI is common among blunt trauma patients. Although acute stroke is also relatively common in this population, two thirds of strokes are already evident on admission. One third of BCVI-related strokes occur after admission and often relatively early, necessitating rapid commencement of preventative treatment. Further studies are required to demonstrate the value of antithrombotic administration in preventing stroke in BCVI patients. LEVEL OF EVIDENCE Prognostic and Epidemiologic; Level IV.
Source: The Journal of Trauma: Injury, Infection, and Critical Care - June 1, 2022 Category: Orthopaedics Tags: 2020 AAST QUICK SHOT Source Type: research

New ischemic lesions on brain magnetic resonance imaging in patients with blunt traumatic cerebrovascular injury
BACKGROUND Patients with blunt cerebrovascular injuries are at risk of thromboembolic stroke. Although primary prevention with antithrombotic therapy is widely used in this setting, its effectiveness is not well defined and requires further investigation. The aim of this study was to evaluate the utility of magnetic resonance imaging (MRI)–detected ischemic brain lesions as a possible future outcome for randomized clinical trials in this patient population. METHODS This prospective observational study included 20 adult blunt trauma patients admitted to a level I trauma center with a screening neck CTA showing extrac...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 29, 2020 Category: Orthopaedics Tags: ORIGINAL ARTICLES Source Type: research

Poststroke crowned dens syndrome
A 64-year-old man with left hemiparesis was referred to our hospital. Cerebral magnetic resonance imaging demonstrated brain infarction in the right anterior cerebral artery region. An infusion of recombinant tissue plasminogen activator 104 minutes after the onset of symptoms improved neurologic symptom score from 7 to 0 by the National Institutes of Health Stroke scale.
Source: The Spine Journal - July 8, 2013 Category: Orthopaedics Authors: Tomohiro Morita, Tetsuya Tanimoto, Seiji Kaji, Toshio Fukutake Tags: Images of Spine Care Source Type: research

Rheumatoid Arthritis–Induced Lateral Atlantoaxial Subluxation With Multiple Vertebrobasilar Infarctions
Conclusion. In patients with RA, the potential risk of AAS should be recognized. Lateral AAS in particular may induce cerebral ischemia by positional VA occlusion in advanced stages of the disease. Level of Evidence: N/A
Source: Spine - January 31, 2015 Category: Orthopaedics Tags: Case Report Source Type: research

Balloonsacroplasty: C-arm or CT controlled application? : Experience with 46 patients.
CONCLUSION: Balloon sacroplasty results in a reliable and significant reduction in pain for sacral insufficiency fractures. The C-arm controlled cement application resulted in more frequent extravasation and complications than CT-guided application. PMID: 25681131 [PubMed - as supplied by publisher]
Source: Der Unfallchirurg - February 15, 2015 Category: Orthopaedics Authors: Prokop A, Andresen R, Chmielnicki M Tags: Unfallchirurg Source Type: research

Conversion paralysis after cervical spine arthroplasty: A case report and literature review
We report a case of conversion paralysis after cervical spine arthroplasty performed in a 45-year-old woman to treat cervico-brachial neuralgia due to a left-sided C6–C7 disc herniation. Upon awakening from the anaesthesia, she had left hemiplegia sparing the face, with normal sensory function. Magnetic resonance imaging (MRI) of the brain ruled out a stroke. MRI of the spinal cord showed artefacts from the cobalt-chrome prosthesis that precluded confident elimination of mechanical spinal cord compression. Surgery performed on the same day to substitute a cage for the prosthesis ruled out spinal cord compression, while e...
Source: Orthopaedics and Traumatology: Surgery and Research - July 18, 2015 Category: Orthopaedics Source Type: research

Resolution of traumatic bilateral vertebral artery injury
We described a case of traumatic bilateral vertebral artery injury (VAI) including unilateral vertebral arterial occlusion that resolved 3  months post-injury with antiplatelet and direct oral anticoagulant therapy. This resolution of traumatic bilateral VAI is very rare. Vertebral artery injury should be suspected in patients with displaced fracture dislocation of the cervical spine, particularly in the elder and those with ankylosi ng spondylitis, and therefore imaging of these patients should include a modality to look at the patency of the vertebral arteries.Case descriptionA 70-year-old man who was diagnosed with an...
Source: European Spine Journal - March 1, 2018 Category: Orthopaedics Source Type: research

Sickle cell bone disease and response to intravenous bisphosphonates in children
ConclusionChildren with SCD have the potential for extensive and early-onset bone morbidity. In this series, IV bisphosphonates were effective for bone pain analgesia and did not trigger sickle cell complications.
Source: Osteoporosis International - July 29, 2022 Category: Orthopaedics Source Type: research

A Cadaver Feasibility Study of Extradural Contralateral C7 Ventral Root Transfer Technique for Treating Upper Extremity Paralysis
Study Design. A total of 6 formalin-fixed cadavers were included in the cadaver feasibility study. Objective. The aim was to ascertain the anatomical feasibility of extradural contralateral C7 ventral root transfer technique by cervical posterior. Summary of Background Data. Upper limb spastic hemiplegia is a common sequela after stroke. In our previous study, the authors established a method by transferring contralateral C7 dorsal and ventral roots to the corresponding C7 dorsal and ventral roots on the affected side in the cervical posterior. Methods. In the present study, six formalin-fixed cada...
Source: Spine - August 18, 2022 Category: Orthopaedics Tags: Anatomy Source Type: research