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Procedure: Cervical Discectomy

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Total 417 results found since Jan 2013.

Cervical artery dissection - retrospective analysis of 19 cases.
Abstract Cervical artery dissection is a common cause of stroke in young adults. It might occur shortly after a forceful neck trauma or a minor injury. However, spontaneous dissection is also common, which is associated with genetic, anatomical or environmental risk factors. Cervical artery dissection can produce a broad spectrum of clinical presentation varying from local symptoms to focal neurological deficits determined by the arterial territory involved. Early recognition is important since immediate initiation of treatment can significantly improve patient outcomes. While clinical features may raise suspicion...
Source: Orvosi Hetilap - May 29, 2019 Category: General Medicine Authors: Forró C, Mészáros Z, Sipos M, Kerényi RZ, Barsi P, Rudas G, Bereczki D, Vastagh I Tags: Orv Hetil Source Type: research

A Serious Diagnosis Lacking Common Symptoms
​BY JENNIFER TUONG; IVAN KHARCHENKO; JEAN LUC AGARD; & AHMED RAZIUDDIN, MDA 65-year-old man who had HIV well-controlled with highly active antiretroviral therapy, hypertension, sciatica, and restless leg syndrome presented to the emergency department with left leg pain. He also had had chemotherapy and radiation for anal cancer. The patient said the pain had started 45 minutes earlier when he was sitting on the toilet.He described the pain as sore in quality and 10/10 on the pain scale. He reported that it had started in his lower back and radiated to his left leg. He said he had had no trauma or weakness to the regi...
Source: The Case Files - May 28, 2019 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Stroke prevention.
Abstract Prevention is essential to stroke management because of the high risk of recurrence. Stroke incidence is increased by known risk factors, which can be prevented. Cardiovascular prevention after stroke or TIA also includes aetiology-specific treatment, when it is known. Endovascular treatment is not indicated as a first-line treatment for atheromatous cervical or intracranial stenosis. Endovascular or surgical treatment is not indicated as first-line treatment for cervical arterial dissection because of its minor risk of stroke recurrence. PMID: 31151843 [PubMed - as supplied by publisher]
Source: Presse Medicale - May 27, 2019 Category: General Medicine Authors: Janot K, Charbonnier G, Boustia F, Lima Maldonado I, Bibi R, Pucheux J, Herbreteau D Tags: Presse Med Source Type: research

A Case of Bilateral Extracranial Internal Carotid Artery Dissection Due to the Helmet Strap After Motorcycle Crash
The authors report a case of a man who developed stroke symptoms a few days after a road accident on his motorcycle. Radiographic examinations revealed the presence of bilateral dissection of the extracranial internal carotid arteries with signs of involvement of the brain parenchyma. The location, timing, and presentation lead to the conclusion that the carotid lesions were secondary to the motorcycle collision; in particular, we suppose that it is due to the pressure exerted by the helmet strap worn. Although helmets have undoubtedly prevented serious injuries, this report highlights that the helmets themselves may caus...
Source: The American Journal of Forensic Medicine and Pathology - May 14, 2019 Category: Forensic Medicine Tags: Case Reports Source Type: research

Stroke Dysbiosis Index (SDI) in Gut Microbiome Are Associated With Brain Injury and Prognosis of Stroke
Conclusions: We developed an index to measure gut microbiota dysbiosis in stroke patients; this index was significantly correlated with patients' outcome and was causally related to outcome in a mouse model of stroke. Our model facilitates the potential clinical application of gut microbiota data in stroke and adds quantitative evidence linking the gut microbiota to stroke. Introduction Ischemic stroke imposes a heavy burden on society, with 24.9 million cases worldwide (1). Although intravenous thrombolysis and endovascular treatment greatly improve some patients' prognosis, the prognosis for most pa...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Propensity Score-Matched Analysis of Lesion Patterns in Stroke Patients With Patent Foramen Ovale and Patients With Spontaneous Intracranial Artery Dissection
Conclusion: The present study suggests that lesion patterns observed from DWI of patients with PFO and SIAD might provide clues to the etiology of infarcts. Single lesions (cortical or subcortical) might be a typical feature of PFO associated strokes, while multiple lesions in one vascular territory might be a specific feature of SIAD associated strokes. Introduction Both patent foramen ovale (PFO) and spontaneous intracranial artery dissection (SIAD) are important stroke risk factors, especially in young and middle-aged adults (1–3). About 25% of patients with ischemic stroke are cryptogenic (4), and PFO is ...
Source: Frontiers in Neurology - April 23, 2019 Category: Neurology Source Type: research

Angiographical Identification of Intracranial, Atherosclerosis-Related, Large Vessel Occlusion in Endovascular Treatment
Conclusions Among only a few identification methods, the ICAS-LVO can be feasibly identified by angiographical findings. The identification of ICAS-LVO based on based on occlusion type, is a reliable and practical identification method for ICAS-LVO. Procedural details by occlusion type and its predictability to endovascular results were reported. Furthermore, occlusion type can be determined before or in the early stages of the procedure, which may be most helpful in setting up an optimal endovascular treatment strategy. Author Contributions J-HB established the study idea, designed the manuscript structure, acquired an...
Source: Frontiers in Neurology - April 15, 2019 Category: Neurology Source Type: research

Rivaroxaban in cervical and “cervico-cerebral” artery dissections: a new therapeutic option?
We describe four cases of CADs and, firstly in literature, cervico-cerebral (CCADs) in young patients (average age of 42  years) treated with rivaroxaban 20 mg daily. Three of these four dissections had affected the vertebral artery (condition with an unfavorable prognosis and more often complicated by subarachnoid hemorrhages), and the other one was a carotid dissection at the extra-intracranial passage. All patien ts were followed clinically and with serial neurosonological examinations at 1, 3, and 6 months and with magnetic resonance angiography (MRA) at 6 months. All patients presented a good outcome with vascular...
Source: Neurological Sciences - April 11, 2019 Category: Neurology Source Type: research

Physician-Modified Thoracic Stent-Grafts for the arch after surgical treatment of type A dissection
ConclusionsThe use of physician modified thoracic stent-grafts for the treatment of dissecting aortic arch aneurysm after surgical treatment of acute type A dissection is both feasible and effective. Durability concerns will need to be assessed in future studies.Graphical abstract
Source: The Annals of Thoracic Surgery - March 20, 2019 Category: Cardiovascular & Thoracic Surgery Source Type: research

Stroke Prevention Agents on Par After Cervical Artery Dissection (CME/CE)
(MedPage Today) -- Antiplatelet or anticoagulant treatment performed equally well in 1-year follow-up in CADISS trial
Source: MedPage Today Cardiovascular - March 5, 2019 Category: Cardiology Source Type: news

Antiplatelets, Anticoagulants Similar After Cervical Dissection Antiplatelets, Anticoagulants Similar After Cervical Dissection
There was no difference in rates of stroke, residual stenosis, or occlusion at 1 year in patients treated with anticoagulants vs antiplatelet agents in the CADISS trial.Medscape Medical News
Source: Medscape Pathology Headlines - February 28, 2019 Category: Pathology Tags: Neurology & Neurosurgery News Source Type: news

Preventing Stroke After Cervical Artery Dissection
(MedPage Today) -- Antiplatelets, anticoagulants show similar outcomes at 1 year
Source: MedPage Today Cardiovascular - February 26, 2019 Category: Cardiology Source Type: news

Antiplatelet Therapy vs Anticoagulation in Cervical Artery Dissection
This randomized clinical trial examines whether antiplatelent or anticoagulant therapy is more effective in preventing stroke in cervical dissection and the risk of recurrent stroke in a randomized clinical trial setting.
Source: JAMA Neurology - February 25, 2019 Category: Neurology Source Type: research

Flu-like Illness Linked to Stroke, Cervical Dissection Flu-like Illness Linked to Stroke, Cervical Dissection
New research further supports the notion that inflammation may affect stroke risk.Medscape Medical News
Source: Medscape Medical News Headlines - February 6, 2019 Category: Consumer Health News Tags: Neurology & Neurosurgery News Source Type: news

Spontaneous bilateral internal carotid and vertebral artery dissections with dominant-hemisphere circulation maintained by external carotid artery-ophthalmic artery anastomoses.
Abstract Spontaneous cervical artery dissection (sCAD) is a major cause of stroke in young adults. Multiple sCAD is a rarer, more poorly understood presentation of sCAD that has been increasingly attributed to cervical trauma such as spinal manipulation or genetic polymorphisms in extracellular matrix components. The authors present the case of a 49-year-old, otherwise healthy woman, who over the course of 2 weeks developed progressive, hemodynamically significant, bilateral internal carotid artery and vertebral artery dissections. Collateral response involved extensive external carotid artery-internal carotid art...
Source: Neurosurgical Focus - February 1, 2019 Category: Neurosurgery Authors: Golub D, Hu L, Dogra S, Torres J, Shapiro M Tags: Neurosurg Focus Source Type: research