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.
{"title":"A Pain in the Neck: Review of Cervicogenic Headache and Associated Disorders","authors":"Sanjay Yadla, J. Gehret, Peter G. Campbell, S. Mandel, J. Ratliff","doi":"10.29046/JHNJ.005.1.006","DOIUrl":"https://doi.org/10.29046/JHNJ.005.1.006","url":null,"abstract":"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.","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132459324","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}
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.
{"title":"Complications of Decompressive Craniectomy","authors":"Andrew C. Margules, Jack Jallo","doi":"10.29046/JHNJ.005.1.004","DOIUrl":"https://doi.org/10.29046/JHNJ.005.1.004","url":null,"abstract":"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.","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2010-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130886772","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}
{"title":"Case Illustration of a Patient with Hyperhidrosis Treated by ETS and Outcomes Review of ETS at a Single Institution","authors":"Rani Nasser, Andrew C. Margules, J. Jallo","doi":"10.29046/JHNJ.004.4.007","DOIUrl":"https://doi.org/10.29046/JHNJ.004.4.007","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125760209","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}
{"title":"JHN Journal (Download the full PDF of this issue)","authors":"Rosenwasser, H. Robert","doi":"10.29046/JHNJ.004.1","DOIUrl":"https://doi.org/10.29046/JHNJ.004.1","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126103864","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}
{"title":"Surgical Management of Fungal Vertebral Osteomyelitis","authors":"B. Zussman, D. Penn, J. Harrop","doi":"10.29046/JHNJ.006.2.001","DOIUrl":"https://doi.org/10.29046/JHNJ.006.2.001","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129790512","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}
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.
{"title":"Fever and Infection in the Neurosurgical Intensive Care Unit","authors":"C. Laws, J. Jallo","doi":"10.29046/JHNJ.005.2.005","DOIUrl":"https://doi.org/10.29046/JHNJ.005.2.005","url":null,"abstract":"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.","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128246555","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}
Eliza Anderson, Cory Bovenzi, Thana Theofanis, N. Chalouhi, R. Rosenwasser, P. Jabbour, S. Tjoumakaris
{"title":"Moyamoya: A Review of the Disease and Current Treatments","authors":"Eliza Anderson, Cory Bovenzi, Thana Theofanis, N. Chalouhi, R. Rosenwasser, P. Jabbour, S. Tjoumakaris","doi":"10.29046/JHNJ.009.2.001","DOIUrl":"https://doi.org/10.29046/JHNJ.009.2.001","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130377237","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}
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
{"title":"Epidural Abscess of the Central Nervous System","authors":"K. Belden, J. Jallo, Linda Mwamuka","doi":"10.29046/jhnj.015.1.003","DOIUrl":"https://doi.org/10.29046/jhnj.015.1.003","url":null,"abstract":"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","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"484 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127010183","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}
B. Zussman, D. Penn, Shiveindra B. Jeyamohan, M. Werner-Wasik, D. Andrews, J. Harrop
{"title":"Multi-modality Management of an Intradural-Extramedullary Hemangioblastoma: A Case Report","authors":"B. Zussman, D. Penn, Shiveindra B. Jeyamohan, M. Werner-Wasik, D. Andrews, J. Harrop","doi":"10.29046/JHNJ.006.1.007","DOIUrl":"https://doi.org/10.29046/JHNJ.006.1.007","url":null,"abstract":"","PeriodicalId":355574,"journal":{"name":"JHN Journal","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132209877","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}