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Back Pain,

Takayuki Nishimoto, Yukihiro Bonkohara, Hironori Murakami
Anomalous retroaortic left brachiocephalic vein( ARLBV) is a rare vascular abnormaly, usually asossiated with congenital heart diseases. We present a very rare case of Stanford type A acute aortic dissection associated with ARLBV. A 70-year-old man was referred to our hospital complaining of worsening back pain and chest pain. Computed tomographic angiogram showed Stanford type A acute aortic dissection from the ascending aorta to the distal abdominal aorta. Furthermore, systemic venous anomalies were revealed...
February 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Sayed Abdullah Ahmadi, Shinji Takahashi, Masatoshi Hoshino, Kazushi Takayama, Ryuichi Sasaoka, Tadao Tsujio, Hiroyuki Yasuda, Fumiaki Kanematsu, Hiroshi Kono, Hiromitsu Toyoda, Hiroaki Nakamura
BACKGROUND CONTEXT: Osteoprotic vertebral fractures(OFV) are common in elderly people. The association between back pain due to OVF with MRI signal change is unclear. In this study we hypothesized that MRI findingswould be a predictive factor for back pain measured by VAS at 6 months follow-up. PURPOSE: The aim was to study the magnetic resonance imaging (MRI) findings that predict back pain after osteoporotic vertebral fractures (OVF) and the association between radiological findings and scores of back pain...
February 14, 2019: Spine Journal: Official Journal of the North American Spine Society
Karthik Madhavan, Lee Onn Chieng, Valerie L Armstrong, Michael Y Wang
OBJECTIVEDiscitis and osteomyelitis are seen in end-stage renal disease (ESRD) patients due to repeated vascular access for hemodialysis and urinary tract infections leading to recurrent bacteremia. Discitis and osteomyelitis are underdiagnosed due to the nonspecific initial presentation of back pain. In this article, we review the literature for better understanding of the problem and the importance of early diagnosis by primary care physicians and nephrologists. In addition, we discuss the decision-making, follow-up, management, and neurological outcomes...
February 15, 2019: Journal of Neurosurgery. Spine
Chiara Demartini, Rosaria Greco, Anna Maria Zanaboni, Grazia Sances, Roberto De Icco, David Borsook, Cristina Tassorelli
Migraine is a disease for which there is still no defined pathophysiological etiology and few translational models. The organic nitrate nitroglycerin has been in use as an experimental model of migraine in both human and animal studies for several years. The drug produces a number of effects within the head, that includes blood vessels, nerves and brain areas that may produce a response similar to a migraine attack in predisposed subjects. A better understanding of the nature of these changes and how well they parallel a true migraine attack would allow for a translational model to better understand some of the mechanisms involved in the generation of a migraine attack...
February 13, 2019: Progress in Neurobiology
Nishant Tiwari, Benita Tamrazi, Nathan Robison, Mark Krieger, Jianling Ji, Di Tian
Diffuse leptomeningeal glioneuronal tumors (DLGNTs) are newly recognized as an entity in the 2016 revision of the WHO Classification of tumors of the central nervous system. They typically present as diffuse leptomeningeal infiltrates along the neuraxis with focal and superficial involvement of the parenchyma. Here, we report a DLGNT with unusual radiological and histological features. A 13-year-old girl presented with scoliosis and back pain. Magnetic resonance imaging demonstrated a syrinx from C2 to T11 and an intramedullary mass from T6 to T9-10...
February 15, 2019: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
P Hampel, A Köpnick, S Roch
BACKGROUND: This study investigated the long-term effects (12 months post-rehabilitation) of a standard inpatient multidisciplinary rehabilitation program for patients with chronic low back pain (CLBP), in which a control group (CG) received pain competence training and an intervention group (IG) received combined pain competence and depression prevention training. METHODS: In this prospective control group study with cluster-block randomization, a total of n = 583 patients were included into per protocol analyses...
February 15, 2019: BMC Psychology
Jeong Hee Cho, Yoonseon Park, Naeun Woo
There have been reports of central nervous systemic inflammatory disease associated with vaccination. We describe a female patient who developed longitudinally extensive transverse myelitis following seasonal influenza vaccination. A 38-year-old woman had severe neck and back pain with urinary retention. She received influenza vaccine 3 days before symptom onset. Examination revealed mild quadriparesis with diffuse hyperreflexia. Magnetic resonance imaging (MRI) of the spine showed a T2 hyperintense lesion with gadolinium enhancement in the spinal cord extending from the cervicomedullary junction to the level of T10...
February 5, 2019: Multiple Sclerosis and related Disorders
Brandon B Carlson, Todd J Albert
INTRODUCTION: Intervertebral disc herniation (IDH) can cause back pain and/or radiculopathy and accounts for a significant portion of patients having spinal surgery in the USA. One of the most impactful and well-executed randomized trials to study diagnosis, treatments, and outcomes in patients with three commonly treated spinal conditions was the Spine Patient Outcomes Research Trial (SPORT). This study and the subsequent data analyses have resulted in numerous publications related to IDH...
February 15, 2019: International Orthopaedics
Brigitte Wirth, Fabienne Riner, Cynthia Peterson, Barry Kim Humphreys, Mazda Farshad, Susanne Becker, Petra Schweinhardt
Background: A close collaboration between surgeons and non-surgical spine experts is crucial for optimal care of low back pain (LBP) patients. The affiliation of a chiropractic teaching clinic to a university hospital with a large spine division in Zurich, Switzerland, enables such collaboration. The aim of this study was to describe the trajectories and outcomes of patients with chronic LBP referred from the spine surgery division to the chiropractic teaching clinic. Methods: The patients filled in an 11-point numeric rating scale (NRS) for pain intensity and the Bournemouth Questionnaire (BQ) (bio-psycho-social measure) at baseline and after 1 week, 1, 3, 6 and 12 months...
2019: Chiropractic & Manual Therapies
Azadeh Nazari, Shahram Naderi Mazjin, Mansour Shamsipour
Tramadol abuse is a critical and growing health concern in Asia. In Iran, tramadol abuse arises most commonly as a result of self-medicating that leads to tramadol dependence. Buprenorphine, a partial agonist of mu opioid receptors approved for the treatment of tramadol dependence, is administered sublingually due to its extensive first-pass metabolism and resulting low oral bioavailability. A 50-year-old man presenting with tramadol dependence after self-medicating for chronic low back pain experienced adverse reactions to a minimal dosage (0...
2019: Current Therapeutic Research, Clinical and Experimental
Ghanshyam Das Singhal, Shakti Singhal, Gunjan Agrawal, Deepti Singhal, Vipin Arora
Objective: The objective of this study was to retrospectively study Chiari I malformation patients (<18 years) treated surgically. Materials and Methods: Chiari I malformation patients (<18 years) treated surgically at our institute were retrospectively studied. Results: During the study period between January 1999 and June 2011, fifty patients, aged ≤18 years with Chiari malformation, were treated surgically and formed the basis for this series...
January 2019: Journal of Neurosciences in Rural Practice
Hironobu Makino, Hisashi Kametaka, Tadaomi Fukada, Takahiro Akiyama, Manabu Saitou, Shunsuke Tabe, Ryosuke Okura, Miyako Oya, Kazuhiro Seike, Hideyuki Yoshitomi, Masaru Miyazaki
A 38-year-old woman who presented with complaints of back pain was diagnosed with cancer of the pancreatic body. Since invasion of the celiac artery/superior mesenteric artery was suspected, she was referred to our department for chemotherapy. She received 4 courses of gemcitabine plus S-1(GS), and she underwent distal pancreatectomy with en bloc celiac axis resection/portal vein resection/reconstruction using a left renal vein graft(OP-CAR). Histopathological examination of the resected specimen revealed a positive margin(R1)...
January 2019: Gan to Kagaku Ryoho. Cancer & Chemotherapy
David B Anderson, Manuela L Ferreira, Ian A Harris, Gavin A Davis, Ralph Stanford, David Beard, Qiang Li, Stephen Jan, Ralph J Mobbs, Christopher G Maher, Renata Yong, Tara Zammit, Jane Latimer, Rachelle Buchbinder
INTRODUCTION: Central lumbar spinal stenosis (LSS) is a common cause of pain, reduced function and quality of life in older adults. Current management of LSS includes surgery to decompress the spinal canal and alleviate symptoms. However, evidence supporting surgical decompression derives from unblinded randomised trials with high cross-over rates or cohort studies showing modest benefits. This protocol describes the design of the SUrgery for Spinal Stenosis (SUcceSS) trial -the first randomised placebo-controlled trial of decompressive surgery for symptomatic LSS...
February 13, 2019: BMJ Open
Pierre Grobost, Mehdi Boudissa, Gaël Kerschbaumer, Sébastien Ruatti, Jérôme Tonetti
AND BACKGROUND DATA: Many authors have demonstrated the necessity of reconstruction of the anterior column in spinal trauma with vertebral body collapse or nonunion. There is no publication comparing the result depending on the time between trauma and anterior reconstruction of the vertebral body. OBJECTIVE: To compare long-term clinical and radiological results between early and late anterior vertebral body reconstruction with expandable cages in patients with thoracic and lumbar spine trauma...
February 11, 2019: Orthopaedics & Traumatology, Surgery & Research: OTSR
Thauana Luiza de Oliveira, Hilton Telles Libanori, Marcelo M Pinheiro
BACKGROUND: In recent decades, obesity has become a public health problem in many countries. The objective of this study was to evaluate the main joint and extra-articular manifestations related to spondyloarthritis (SpA) after bariatric surgery (BS) in a retrospective cohort. METHODS: Demographic, clinical, laboratory and imaging data from nine patients whose SpA symptoms started after a BS have been described. Modified New York (mNY) criteria for ankylosing spondylitis (AS) and the Assessment of Spondyloarthritis International Society (ASAS) criteria for axial (ax-SpA) and peripheral (p-SpA) spondyloarthritis were applied...
February 14, 2019: Advances in rheumatology
Joe Iwanaga, Emily Simonds, Maia Schumacher, Emre Yilmaz, Juan Altafulla, R Shane Tubbs
Superior cluneal nerve entrapment neuropathy is one cause of low back pain often referred to as "pseudosciatica." Studies have found that the superior cluneal nerve can arise variably from the T11 to L5. The osteofibrous tunnels formed by a groove on the iliac crest might compress the superior cluneal nerve. Therefore, the purpose of this study was to investigate the origin of the superior cluneal nerve and its course through such bony grooves. Twenty sides from ten fresh frozen Caucasian cadavers were used in this study...
February 11, 2019: World Neurosurgery
Lucien Chassin-Trubert, Giorgio Prousse, Baris Ata Ozdemir, Youcef Lounes, William Alonso, Myriam Clapiès, Pierre Alric, Ludovic Canaud
OBJECTIF: The aim of this paper is to report a case of filter associated inferior vena cava (IVC) thrombosis with perforation of the duodenum and penetration of a vertebral body by the filter struts. CASE REPORT: A 37 year old woman with a medical history of Behcet`s disease treated with corticosteroids, underwent placement of a retrievable IVC filter because of recurrent ileofemoral venous thrombosis regardless of therapeutic levels of anticoagulation. Despite a correct positioning of the filter, the second follow-up CT-scan, performed at 1 year, showed a complete thrombosis of the infra-renal IVC segment, with perforation of the vessel wall by the filter struts and penetration in the duodenum...
February 11, 2019: Annals of Vascular Surgery
Matthew F Jacques, Rachel C Stockley, Emma I Bostock, Jonathon Smith, Christian G DeGoede, Christopher I Morse
INTRODUCTION: The purpose of this study was to present and compare pain between adult males with Duchenne (DMD), Becker's (BMD), Limb-Girdle (LGMD) Facioscapulohumeral (FSHD) forms of Muscular Dystrophy (MD), and healthy controls (CTRL), using three different methods of assessment. METHODS: Pain was assessed using 1) a whole body visual analogue scale (VAS) of pain, 2) a generalised body map and 3) a localised body map. RESULTS: All types of MD reported more VAS pain than CTRL, with 97% of all MD participants reporting pain; however, no differences were reported between types of MD...
2019: PloS One
Marc Parisien, Alexander Samoshkin, Shannon N Tansley, Marjo H Piltonen, Loren J Martin, Nehme El-Hachem, Concetta Dagostino, Massimo Allegri, Jeffrey S Mogil, Arkady Khoutorsky, Luda Diatchenko
Chronic pain is a debilitating and poorly treated condition whose underlying mechanisms are poorly understood. Nerve injury and inflammation cause alterations in gene expression in tissues associated with pain processing, supporting molecular and cellular mechanisms that maintain painful states. However, it is not known whether transcriptome changes can be used to reconstruct a molecular pathophysiology of pain. In the current study, we identify molecular pathways contributing to chronic pain states through the analysis of global changes in the transcriptome of dorsal root ganglia, spinal cord, brain, and blood in mouse assays of nerve injury- and inflammation-induced pain...
January 3, 2019: Pain
Mamiko Noguchi, Michal Glinka, Graham R Mayberry, Kimihiro Noguchi, Jack P Callaghan
Potential alternatives for conventional sitting and standing postures are hybrid sit-stand postures (i.e., perching). The purposes of this study were i) to identify where lumbopelvic and pelvic angles deviate from sitting and standing and ii) to use these breakpoints to define three distinct postural phases: sitting, perching, and standing, in order to examine differences in muscle activations and ground reaction forces between phases. Twenty-four participants completed 19 one-minute static trials, from sitting (90°) to standing (180°), sequentially in 5°trunk-thigh angle increments...
February 14, 2019: Ergonomics
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