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Precoccygeal Epidermoid Cyst: A rare Cause of Low Back Pain 尾部前表皮样囊肿:一种罕见的腰痛原因
Pub Date : 2018-03-06 DOI: 10.4172/2325-9701.1000290
K. Bagathsingh, E. Tsianaka, Gowtham Kuncha, A. Chanrasekaran
A rare pathological entity of retro-rectal space is the formation of tumors (mass lesions), which arise from the surrounding tissues. Usually, the retro-rectal tumor formations appear to be asymptomatic for a long period of time. When a patient is symptomatic, s/he most commonly complains about sacral and coccygeal pain (coccygodynia). In our study, we reported a case of patient with precoccygeal epidermoid cyst who was presented with typical low back pain. In conclusion we can state that precoccygeal epidermoid cyst is an extremely rare pathological condition, which although can be the cause of LBP. So, it must be included in the group of the rare causes of LBP and each physician must always be suspicious of such a case, following the diagnostic algorithm.
一种罕见的病理实体的直肠后间隙是肿瘤的形成(肿块病变),它产生于周围的组织。通常,直肠后肿瘤形成在很长一段时间内表现为无症状。当患者有症状时,他/她最常抱怨的是骶骨和尾骨疼痛(尾骨痛症)。在我们的研究中,我们报告了一例尾骨前表皮样囊肿患者,其表现为典型的腰痛。综上所述,尾骨前表皮样囊肿是一种极为罕见的病理状况,尽管它可能是引起腰痛的原因。因此,它必须被列入罕见的LBP的原因组,每个医生必须始终怀疑这样的情况下,按照诊断算法。
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引用次数: 0
Ochronotic Lumbar Disc Herniation with Radiculopathy: Report of Two Cases 老年性腰椎间盘突出伴神经根病2例报告
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701.1000293
A. Rahimizadeh, Gholam Housain Shahriyari, E. Abbasnejad, Shaghayegh Rahimizadeh, V. Hassani
Alkaptonuria is a rare genetic disorder caused by deficiency of the enzyme homogentisic acid dioxidase (HGA). This deficiency leads to deposition of HGA and its products as an ochre-colored pigment in the large joints, intervertebral discs, skin, and within major arteries. Affection of the intervertebral discs mostly occurs at the thoracic and lumbar regions which ultimately results in degeneration, calcification, pseudo-blocked vertebra, and ankyloses in a stepwise manner. Rarely, an affected lumbar disc might herniate into the canal and cause radiculopathy before its calcification. Herein we present two women in whom neuroradiological evaluation of an acute left lower limb radiculopathy revealed a sequestrated L4-L5 disc herniation in both cases. Disc prolapse in these patients was associated with calcification of the thoracic and the upper lumbar intervertebral discs, compatible with ochronosis. Following removal of the pigmented disc material, both patients exhibited marked recovery. With careful review of the literature, we found that besides our cases, only 19 cases have been published previously
尿酸是一种罕见的遗传性疾病,由酶均质酸二氧化酶(HGA)缺乏引起。这种缺乏导致HGA及其产物作为赭色色素沉积在大关节、椎间盘、皮肤和大动脉内。椎间盘的损害主要发生在胸椎和腰椎,最终逐步导致退变、钙化、假性椎体阻塞和强直性。极少数情况下,受影响的腰椎间盘可能会突出到椎管中,在其钙化之前引起神经根病。在这里,我们介绍了两名女性,她们的急性左下肢神经根病的神经放射学评估显示,在这两种情况下,L4-L5椎间盘突出。这些患者的椎间盘突出与胸椎和上腰椎间盘的钙化有关,与衰老相一致。在去除色素盘材料后,两名患者均表现出明显的恢复。通过对文献的仔细回顾,我们发现除了我们的病例外,只有19例病例以前发表过
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引用次数: 0
Alzheimer vs legal liability 老年痴呆症与法律责任
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-C7-029
Hamid Hassbrabu
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引用次数: 0
The SRS apparatus in the neurosurgical pathologies SRS装置在神经外科病理学中的应用
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-C3-018
Alexandrina S Nikova
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引用次数: 0
Safety and efficacy of rTMS in treating depression and cognitive dysfunction following traumatic brain injury: Experience of an outpatient neurorehabilitation center rTMS治疗外伤性脑损伤后抑郁和认知功能障碍的安全性和有效性:门诊神经康复中心的经验
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-C6-025
O. Gj
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引用次数: 0
Anterior migration of fusion cages in degenerative lumbar disease treated with transforaminal lumbar interbody fusion (TLIF): Surgical revision-a case report 经椎间孔腰椎椎体间融合(TLIF)治疗退行性腰椎疾病时融合器前移:手术修正-一例报告
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-c1-012
L. Pena
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引用次数: 0
Crossing the bridge from research to clinical: Possibility to use deep neural network for the individual brain modellings 跨越从研究到临床的桥梁:在个体大脑模型中使用深度神经网络的可能性
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-C6-026
Dong H. Kim
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引用次数: 0
Transcranial magnetic stimulation (TMS) in the treatment of depression: Effect of TMS on depression 经颅磁刺激(TMS)治疗抑郁症:TMS对抑郁症的影响
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-C6-027
W. Myung, Doh-Kwan Kim
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引用次数: 0
A comparative study of the artificial disc replacement versus discectomy and fusion in the treatment of cervical discogenic cases 人工椎间盘置换术与椎间盘切除术融合治疗颈椎间盘源性病例的比较研究
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-c3-016
M. Zeid
Complete or artificial replacement of the disk is a procedure aimed at preserving the height of the intervertebral disk while restoring the physiological motion that a person would have with a healthy disk. This is a surgical procedure which removes the disc tissue and places bone between the vertebral bodies. The purpose of this operation is to connect the vertebra that causes pain around the bone. It is assumed that the discomfort would be reduced substantially by removing the disc tissue and reducing movement. The specific indications, limitations, technique, pitfalls, and complications of the procedure of Cervical Disc Arthroplasty (CDA), compared to (Anterior Cervical Discectomy & Fusion ) ACDF, and the relative predisposition of both procedures to the ( Adjacent Segment Disease ) in process. Radiographic evidence of adjacent segment degeneration (ASDeg) following anterior cervical discectomy and fusion (ACDF) was, however, recognized to exceed 50 percent within 10 years, while the annual incidence of symptomatic adjacent segment disease (ASD-ASD is a neurological and developmental condition that begins early in infancy and persists for a person's life. It affects how one person behaves, interacts, communicates, and connects with others. This encompasses what used to be called the Asperger syndrome and omnipresent developmental disabilities. It is considered a "spectrum" condition since a variety of symptoms can occur in people with ASD. People with ASD can have difficulty talking to you, or when you talk to them they may not look you in the eye. You may have restricted interests and repetitive behaviors, too. We may be spending a lot of time putting things in order or they could constantly say the same phrase. They may often seem to be in their "own world") is approximately 2.9%, the problem which inspired the development of motion sparing surgeries, of which cervical disc arthroplasty (CDA) is still a debatable issue.
完全或人工椎间盘置换术是一种旨在保持椎间盘高度的手术,同时恢复正常椎间盘患者的生理运动。这是一种移除椎间盘组织并在椎体之间放置骨头的外科手术。该手术的目的是连接引起骨周围疼痛的椎体。假定通过切除椎间盘组织和减少活动,不适将大大减轻。颈椎椎间盘置换术(CDA)与前路颈椎椎间盘切除术融合(ACDF)的具体适应症、局限性、技术、缺陷和并发症,以及两种手术对术中相邻节段疾病的相对易感。然而,前路颈椎椎间盘切除术和融合术(ACDF)后相邻节段退变(ASDeg)的影像学证据被认为在10年内超过50%,而症状性相邻节段疾病(ASD-ASD)的年发病率是一种神经和发育疾病,始于婴儿期早期,并持续一生。它会影响一个人的行为、互动、沟通和与他人的联系。这包括过去被称为阿斯伯格综合症和无所不在的发育障碍。它被认为是一种“谱系”疾病,因为ASD患者可能出现各种症状。患有自闭症谱系障碍的人很难和你说话,或者当你和他们说话时,他们可能不看你的眼睛。你也可能有限制的兴趣和重复的行为。我们可能会花很多时间把事情整理好,或者他们可能会不断地说同样的话。他们可能经常看起来在“自己的世界”中)大约是2.9%,这个问题激发了运动保留手术的发展,其中颈椎间盘置换术(CDA)仍然是一个有争议的问题。
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引用次数: 0
Iatrogenic lumbar subarachnoid hemorrhage as a complication of repeated attempts of lumbar puncture 医源性腰椎蛛网膜下腔出血是反复尝试腰椎穿刺的并发症
Pub Date : 2018-01-01 DOI: 10.4172/2325-9701-c3-017
S. Y. Tan, S. Yiek, Weibeng Ng
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引用次数: 0
期刊
Journal of spine & neurosurgery
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