Pub Date : 2022-04-26DOI: 10.21129/nerve.2022.00073
T. Bae, Young Jin Kim, J. So
are found Schwannomas are benign tumors originating from the Schwann cells of the peripheral nerve sheath; these tumors usually occur in the head, neck, and extremities and account for almost 40% of extra-medullary tumors occurring in the human spine. The general consensus for the treatment of these tumors is gross total resection. However, due to differences in volume and the complex location involving both the spinal canal and the para-spinal area including the foramen, no consensus exists regarding the choice of a surgical approach. The classic surgical method is usually through the posterior or posterior-lateral approach. Here, we present a case of paraspinal schwannoma removed via the retroperitoneal approach.
{"title":"Large Paraspinal Schwannoma Removal via the Retroperitoneal Approach: A Case Report","authors":"T. Bae, Young Jin Kim, J. So","doi":"10.21129/nerve.2022.00073","DOIUrl":"https://doi.org/10.21129/nerve.2022.00073","url":null,"abstract":"are found Schwannomas are benign tumors originating from the Schwann cells of the peripheral nerve sheath; these tumors usually occur in the head, neck, and extremities and account for almost 40% of extra-medullary tumors occurring in the human spine. The general consensus for the treatment of these tumors is gross total resection. However, due to differences in volume and the complex location involving both the spinal canal and the para-spinal area including the foramen, no consensus exists regarding the choice of a surgical approach. The classic surgical method is usually through the posterior or posterior-lateral approach. Here, we present a case of paraspinal schwannoma removed via the retroperitoneal approach.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123442549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-21DOI: 10.21129/nerve.2022.00052
J. Mun, Do-Hyoung Kim, S. Hyun, Ki-Jeong Kim
is a that originates from ectopic noto-chordal cells, and most chordomas arise in the sacrococcygeal and clivus regions. Due to the poor response to adjuvant therapy, complete tumor resection is the treatment of choice. This case report describes a 57-year-old male patient who presented with a very large sacral chordoma involving the S2-S5 bodies, extending to the right piriformis and gluteal muscles. He was successfully treated with a single-stage posterior approach and was free of local recurrence at a 5-year follow-up examination, without neurological deficits. A single posterior approach is a feasible option for the treatment of sacral chordomas.
{"title":"The Single Posterior Approach for Resection of Sacral Chordoma: A Case Report","authors":"J. Mun, Do-Hyoung Kim, S. Hyun, Ki-Jeong Kim","doi":"10.21129/nerve.2022.00052","DOIUrl":"https://doi.org/10.21129/nerve.2022.00052","url":null,"abstract":"is a that originates from ectopic noto-chordal cells, and most chordomas arise in the sacrococcygeal and clivus regions. Due to the poor response to adjuvant therapy, complete tumor resection is the treatment of choice. This case report describes a 57-year-old male patient who presented with a very large sacral chordoma involving the S2-S5 bodies, extending to the right piriformis and gluteal muscles. He was successfully treated with a single-stage posterior approach and was free of local recurrence at a 5-year follow-up examination, without neurological deficits. A single posterior approach is a feasible option for the treatment of sacral chordomas.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134508619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-20DOI: 10.21129/nerve.2022.00038
Junyeong Jeon, H. Shin, Jung Jae Lee
{"title":"Spontaneous Resorption of Lumbar Disc Herniation with Literature Review: Caution before Deciding on Surgery","authors":"Junyeong Jeon, H. Shin, Jung Jae Lee","doi":"10.21129/nerve.2022.00038","DOIUrl":"https://doi.org/10.21129/nerve.2022.00038","url":null,"abstract":"","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130069106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-20DOI: 10.21129/nerve.2022.00010
Seong-Gon Kim, M. Shin, Jong-Tae Kim, D. Choi
{"title":"Spontaneous Anterior Atlas Fracture Following C1 Laminectomy without Fusion: A Case Report","authors":"Seong-Gon Kim, M. Shin, Jong-Tae Kim, D. Choi","doi":"10.21129/nerve.2022.00010","DOIUrl":"https://doi.org/10.21129/nerve.2022.00010","url":null,"abstract":"","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123028891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-20DOI: 10.21129/nerve.2022.00045
B. Son, Changik Lee
{"title":"Nerve Transfers to the Musculocutaneous and Suprascapular Nerve for Restoration of Elbow and Shoulder Function in Brachial Plexus Avulsion: An Early Experience","authors":"B. Son, Changik Lee","doi":"10.21129/nerve.2022.00045","DOIUrl":"https://doi.org/10.21129/nerve.2022.00045","url":null,"abstract":"","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"11 8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123684226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.21129/nerve.2021.7.2.103
Jiyong Park, Sung-Kyun Hwang
We report the treatment of a rare case of central hyperthermia due to intracerebral hemorrhage (ICH) in the basal ganglia with baclofen. Central hyperthermia is associated with a high mortality rate and poor prognosis among patients with failure of the thermoregulation system. A 35-year-old man arrived at the emergency room with the sudden loss of consciousness and right-sided hemiparesis. Computed tomography revealed an ICH in the left basal ganglia with a midline shift. Following craniotomy and evacuation of the ICH, the patient developed persistent hyperthermia. Laboratory investigations for fever did not aid in determining the origin, and the fever did not respond to any antibiotics or antipyretics. Oral baclofen was started at a dose of 30 mg/day, which was increased to 90 mg/day. The patient’s temperature markedly decreased to the normal range. Baclofen can be considered for treating suspected central hyperthermia in patients with ICH.
{"title":"Central Hyperthermia Due to Intracerebral Hemorrhage Treated with Baclofen: A Case Report","authors":"Jiyong Park, Sung-Kyun Hwang","doi":"10.21129/nerve.2021.7.2.103","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.103","url":null,"abstract":"We report the treatment of a rare case of central hyperthermia due to intracerebral hemorrhage (ICH) in the basal ganglia with baclofen. Central hyperthermia is associated with a high mortality rate and poor prognosis among patients with failure of the thermoregulation system. A 35-year-old man arrived at the emergency room with the sudden loss of consciousness and right-sided hemiparesis. Computed tomography revealed an ICH in the left basal ganglia with a midline shift. Following craniotomy and evacuation of the ICH, the patient developed persistent hyperthermia. Laboratory investigations for fever did not aid in determining the origin, and the fever did not respond to any antibiotics or antipyretics. Oral baclofen was started at a dose of 30 mg/day, which was increased to 90 mg/day. The patient’s temperature markedly decreased to the normal range. Baclofen can be considered for treating suspected central hyperthermia in patients with ICH.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125069002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.21129/nerve.2021.7.2.31
Jeong-Woo Kwun, Young Jin Kim, J. So
Objective: The study aims to show both the short- and long-term treatment outcome of occipital nerve block (ONB) patients with occipital neuralgia (ON).Methods: Patients who visited our hospital between 2013 and 2020 were reviewed retrospectively. Patients were excluded if the medical records were incomplete, if they had received a cervical operation, if they had a traumatic event prior to the symptom onset, or if the follow-up period was less than 3 months. ONB targeted the greater occipital nerve, the lesser occipital nerve or both. Short term follow-up period was defined as 3 months and long term was defined as 12 months. Injection consisted of a mixture of triamcinolone acetonide, lidocaine, and normal saline. Visual analogue scale (VAS) was recorded and compared before and during the follow-up to period to assess treatment outcome.Results: Clinical charts of 309 candidates were reviewed and 72 patients were excluded, making it 237 patients. VAS scores significantly decreased in both 3-month follow-up (from 7.20±0.94 to 3.48 ±1.66, p<0.05) and after 1 year follow-up (from 7.20±0.94 to 2.71±1.07, p<0.05). Only 8 patients (3.3%) were refractory to ONB and the procedure was found to be relatively safe since only 2 patients (0.8%) showed transient side effects.Conclusion: There are many treatment options for ON. However, from the results of our study, conservative treatment via ONB may have sufficient effect in controlling symptoms of ON in both short and long term.
{"title":"Could a Simple Nerve Block be Considered as a Treatment Option for Occipital Neuralgia with Both Short-Term and Long-Term Effects?","authors":"Jeong-Woo Kwun, Young Jin Kim, J. So","doi":"10.21129/nerve.2021.7.2.31","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.31","url":null,"abstract":"Objective: The study aims to show both the short- and long-term treatment outcome of occipital nerve block (ONB) patients with occipital neuralgia (ON).Methods: Patients who visited our hospital between 2013 and 2020 were reviewed retrospectively. Patients were excluded if the medical records were incomplete, if they had received a cervical operation, if they had a traumatic event prior to the symptom onset, or if the follow-up period was less than 3 months. ONB targeted the greater occipital nerve, the lesser occipital nerve or both. Short term follow-up period was defined as 3 months and long term was defined as 12 months. Injection consisted of a mixture of triamcinolone acetonide, lidocaine, and normal saline. Visual analogue scale (VAS) was recorded and compared before and during the follow-up to period to assess treatment outcome.Results: Clinical charts of 309 candidates were reviewed and 72 patients were excluded, making it 237 patients. VAS scores significantly decreased in both 3-month follow-up (from 7.20±0.94 to 3.48 ±1.66, p<0.05) and after 1 year follow-up (from 7.20±0.94 to 2.71±1.07, p<0.05). Only 8 patients (3.3%) were refractory to ONB and the procedure was found to be relatively safe since only 2 patients (0.8%) showed transient side effects.Conclusion: There are many treatment options for ON. However, from the results of our study, conservative treatment via ONB may have sufficient effect in controlling symptoms of ON in both short and long term.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124744475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.21129/nerve.2021.7.2.89
G. Park, H. Jang, Jung-soo Park, Jong-Myong Lee, E. Koh, Ha-young Choi
Acute cerebral infarctions usually demonstrate hypodensity on non-contrast computed tomography (CT). However, in some cases, cerebral infarctions may appear to be isodense on imaging conducted during the subacute stage (2-3 weeks after onset). This phenomenon was previously called the fogging effect and has also been reported in magnetic resonance imaging. It is generally reported at T2 image, but can also be observed in diffusion-weighted image (DWI). We report three cases of the fogging effect demonstrated on CT and DWI that was conducted in the subacute stage of ischemic cerebral infarcts. The fogging effect can result in incorrect judgment during the diagnosis and treatment of cerebral infarction patients in the subacute stage. Therefore, it is important that clinicians anticipate this occurrence and necessitates the development of better detection methodologies.
{"title":"Computed Tomography/Diffusion Weighted Magnetic Resonance Imaging Fogging Effect in the Subacute Stage of Ischemic Cerebral Infarct: A Report of Three Cases","authors":"G. Park, H. Jang, Jung-soo Park, Jong-Myong Lee, E. Koh, Ha-young Choi","doi":"10.21129/nerve.2021.7.2.89","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.89","url":null,"abstract":"Acute cerebral infarctions usually demonstrate hypodensity on non-contrast computed tomography (CT). However, in some cases, cerebral infarctions may appear to be isodense on imaging conducted during the subacute stage (2-3 weeks after onset). This phenomenon was previously called the fogging effect and has also been reported in magnetic resonance imaging. It is generally reported at T2 image, but can also be observed in diffusion-weighted image (DWI). We report three cases of the fogging effect demonstrated on CT and DWI that was conducted in the subacute stage of ischemic cerebral infarcts. The fogging effect can result in incorrect judgment during the diagnosis and treatment of cerebral infarction patients in the subacute stage. Therefore, it is important that clinicians anticipate this occurrence and necessitates the development of better detection methodologies.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126209315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-31DOI: 10.21129/nerve.2021.7.2.78
D.-M. Seo, Yongjae Cho, Na Yang
Objective: The main purpose of this study was to evaluate the clinical and radiologic factors of disc height loss in spontaneous resolution of herniated lumbar disc patients.Methods: From January 2017 to December 2018, a total of 56 symptomatic herniated lumbar disc patients (36 men and 20 women) were investigated retrospectively in this study. Clinical findings including age, sex, pain, and smoking history were examined in each group (group A, patients with not-changed disc heights; group B, patients with decreased disc heights). Radiologically, the level, severity, laterality, modic change, and disc degeneration of lumbar disc herniation were investigated between groups. We compared demographic and radiologic findings between groups.Results: A total of 56 patients were enrolled (group A, 30 patients; group B, 26 patients). There were no significant statistical differences in age, sex, visual analog scale (VAS) scores, level of disc herniation, and laterality of disc herniation between groups. Group A had more protrusion cases (14/30 cases) and group B had more Sequestration (11/26 cases). About Modic change and disc degeneration classification, group B had more modic change cases and more disc degeneration cases than group B.Conclusion: In this study, there were no significant differences in demographic findings, level of disc herniation, the status of disc herniation, laterality of disc herniation, VAS of back pain between group A and group B.
{"title":"Clinical and Radiologic Analysis of Disc Heights Change in Conservatively Treated Lumbar Herniated Disc Patients","authors":"D.-M. Seo, Yongjae Cho, Na Yang","doi":"10.21129/nerve.2021.7.2.78","DOIUrl":"https://doi.org/10.21129/nerve.2021.7.2.78","url":null,"abstract":"Objective: The main purpose of this study was to evaluate the clinical and radiologic factors of disc height loss in spontaneous resolution of herniated lumbar disc patients.Methods: From January 2017 to December 2018, a total of 56 symptomatic herniated lumbar disc patients (36 men and 20 women) were investigated retrospectively in this study. Clinical findings including age, sex, pain, and smoking history were examined in each group (group A, patients with not-changed disc heights; group B, patients with decreased disc heights). Radiologically, the level, severity, laterality, modic change, and disc degeneration of lumbar disc herniation were investigated between groups. We compared demographic and radiologic findings between groups.Results: A total of 56 patients were enrolled (group A, 30 patients; group B, 26 patients). There were no significant statistical differences in age, sex, visual analog scale (VAS) scores, level of disc herniation, and laterality of disc herniation between groups. Group A had more protrusion cases (14/30 cases) and group B had more Sequestration (11/26 cases). About Modic change and disc degeneration classification, group B had more modic change cases and more disc degeneration cases than group B.Conclusion: In this study, there were no significant differences in demographic findings, level of disc herniation, the status of disc herniation, laterality of disc herniation, VAS of back pain between group A and group B.","PeriodicalId":229172,"journal":{"name":"The Nerve","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123235851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：