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A Pain in the Neck: Review of Cervicogenic Headache and Associated Disorders 颈部疼痛:颈源性头痛及相关疾病的综述
Pub Date : 2010-06-28 DOI: 10.29046/JHNJ.005.1.006
Sanjay Yadla, J. Gehret, Peter G. Campbell, S. Mandel, J. Ratliff
Introduction Cervicogenic headache describes pain referred to the head from a source in the cervical spine1. The diagnosis of this disorder is controversial. Some authorities believe that clinical criteria alone are sufficient while others, including the International Headache Society, require confirmatory tests to establish the diagnosis7. A multidisciplinary approach is often required to adequately manage this disorder. The purpose of the current review is to provide an overview of the diagnosis and treatment of cervicogenic headache. Further discussion focuses on associated disorders including whiplash, a common cause of cervicogenic headache.
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引用次数: 1
Complications of Decompressive Craniectomy 开颅减压术的并发症
Pub Date : 2010-06-28 DOI: 10.29046/JHNJ.005.1.004
Andrew C. Margules, Jack Jallo
Introduction Management of intracranial hypertension is often the greatest challenge for a neurosurgeon treating a patient who has suffered a severe traumatic brain injury (TBI). Too sharp a rise in intracranial pressure (ICP) can overwhelm the brain’s ability to regulate cerebral blood flow (CBF). The resulting cerebral ischemia can contribute to diminished function or to death. Conventional treatment options, such as hyperosmolar dehydration, hyperventilation and barbiturate coma, form the first line of defense. However, it has been reported that 10-15% of patients with intracranial hypertension resulting from severe TBI do not respond to maximal medical management.1 In these refractory cases, decompressive craniectomy may provide a lifesaving reduction in ICP.
颅内高压的处理通常是神经外科医生治疗严重创伤性脑损伤(TBI)患者的最大挑战。颅内压(ICP)的急剧升高会使大脑调节脑血流量(CBF)的能力不堪重负。由此引起的脑缺血可导致功能减退或死亡。常规治疗方案,如高渗性脱水、过度通气和巴比妥酸昏迷,是第一道防线。然而,据报道,10-15%由严重脑外伤引起的颅内高压患者对最大限度的医疗管理没有反应在这些难治性病例中,减压颅骨切除术可能提供挽救生命的ICP降低。
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引用次数: 1
Case Illustration of a Patient with Hyperhidrosis Treated by ETS and Outcomes Review of ETS at a Single Institution 一例多汗症患者接受ETS治疗的病例说明和单一机构ETS的结果回顾
Pub Date : 2009-12-30 DOI: 10.29046/JHNJ.004.4.007
Rani Nasser, Andrew C. Margules, J. Jallo
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引用次数: 0
JHN Journal (Download the full PDF of this issue) JHN期刊(下载全文PDF)
Pub Date : 2008-12-31 DOI: 10.29046/JHNJ.004.1
Rosenwasser, H. Robert
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引用次数: 0
Surgical Management of Fungal Vertebral Osteomyelitis 真菌性椎体骨髓炎的外科治疗
Pub Date : 1900-01-01 DOI: 10.29046/JHNJ.006.2.001
B. Zussman, D. Penn, J. Harrop
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引用次数: 5
Fever and Infection in the Neurosurgical Intensive Care Unit 神经外科重症监护病房的发烧和感染
Pub Date : 1900-01-01 DOI: 10.29046/JHNJ.005.2.005
C. Laws, J. Jallo
Let us know how access to this document benefits you This Article is brought to you for free and open access by the Jefferson Digital Commons. The Jefferson Digital Commons is a service of Thomas Jefferson University's Center for Teaching and Learning (CTL). The Commons is a showcase for Jefferson books and journals, peer-reviewed scholarly publications, unique historical collections from the University archives, and teaching tools. The Jefferson Digital Commons allows researchers and interested readers anywhere in the world to learn about and keep up to date with Jefferson scholarship.
让我们知道访问此文档对您有什么好处。本文由杰斐逊数字共享资源以免费和开放的方式提供给您。杰斐逊数字公共资源是托马斯·杰斐逊大学教学中心(CTL)的一项服务。公共资源是杰斐逊书籍和期刊、同行评审的学术出版物、大学档案中独特的历史收藏品和教学工具的展示场所。杰斐逊数字共享允许世界上任何地方的研究人员和感兴趣的读者了解并跟上杰斐逊奖学金的最新信息。
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引用次数: 12
Moyamoya: A Review of the Disease and Current Treatments 烟雾病:疾病综述及目前的治疗方法
Pub Date : 1900-01-01 DOI: 10.29046/JHNJ.009.2.001
Eliza Anderson, Cory Bovenzi, Thana Theofanis, N. Chalouhi, R. Rosenwasser, P. Jabbour, S. Tjoumakaris
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引用次数: 0
Epidural Abscess of the Central Nervous System 中枢神经系统硬膜外脓肿
Pub Date : 1900-01-01 DOI: 10.29046/jhnj.015.1.003
K. Belden, J. Jallo, Linda Mwamuka
This increase is likely due to a rising number of patients with risk factors for SEA including intravenous drug use (IVDU), diabetes mellitus, advanced age, renal failure, and compromised immunity as well as degenerative spinal column disease and the growing use of therapeutic spinal interventions including instrumentation, injections, catheter placement and anesthetic procedures.7,8 The ongoing opioid epidemic in the United States has had a particular impact on the increased incidence of SEA given the risks of endovascular infection and metastatic seeding associated with intravenous drug use.9 The clinical utility of associated risk factors in the diagnosis of SEA in unclear, however, given their apparent absence in 20-50% of patients.10 Detection of SEA with the wide-spread availability of sensitive imaging modalities such as magnetic resonance imaging (MRI) has also improved diagnostic accuracy in recent decades.8
这一增加可能是由于具有SEA危险因素的患者数量增加,包括静脉注射药物(IVDU)、糖尿病、高龄、肾功能衰竭、免疫力低下以及退行性脊柱疾病,以及越来越多地使用治疗性脊柱干预措施,包括器械、注射、导管放置和麻醉程序。7,8鉴于与静脉注射药物相关的血管内感染和转移性播种的风险,美国持续的阿片类药物流行对SEA发病率的增加产生了特别的影响然而,相关危险因素在SEA诊断中的临床应用尚不清楚,因为它们在20-50%的患者中明显缺失近几十年来,随着诸如磁共振成像(MRI)等敏感成像方式的广泛应用,对SEA的检测也提高了诊断的准确性
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引用次数: 0
Spinal Cord Ependymomas 脊髓室管膜瘤
Pub Date : 1900-01-01 DOI: 10.29046/JHNJ.004.3.001
Teresita Crnp Msn DeVera, Carol A. Rn Blyzniuk
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引用次数: 0
Multi-modality Management of an Intradural-Extramedullary Hemangioblastoma: A Case Report 硬膜内-髓外血管母细胞瘤的综合治疗1例
Pub Date : 1900-01-01 DOI: 10.29046/JHNJ.006.1.007
B. Zussman, D. Penn, Shiveindra B. Jeyamohan, M. Werner-Wasik, D. Andrews, J. Harrop
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引用次数: 1
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