T3-T4 disc herniations: clinical presentation, imaging, and transaxillary approach

2021 ◽  
Author(s):  
E.M.J. Cornips ◽  
B. Maesen ◽  
G. Geskes ◽  
J.G. Maessen ◽  
E.A.M. Beuls ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Transaxillary Approach ◽  
Disc Herniations

An Oblique Paraspinal Approach for Intracanalicular Disc Herniations of the Upper Lumbar Spine: Technical Case Report

2006 ◽  
Vol 59 (suppl_4) ◽  
pp. ONS-E487-ONS-E488 ◽  
Author(s):  
Ki-Hyoung Moon ◽  
Sang-Ho Lee ◽  
Byoung Joon Kong ◽  
Song-Woo Shin ◽  
Arun Bhanot ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Clinical Presentation ◽  
Facet Joint ◽  
Leg Pain ◽  
Herniated Disc ◽  
Motor Weakness ◽  
Paraspinal Approach ◽  
Disc Herniations ◽  
Surgical Field

Abstract OBJECTIVE: To present our experience of treating the central or paramedian disc herniations of the upper lumbar levels through a paraspinal approach. CLINICAL PRESENTATION: We present four patients with intracanalicular disc herniations at the L1–L2 or L2–L3 level. All patients had unilateral or bilateral radicular leg pain and motor weakness. TECHNIQUE: Considering the unique characteristics of the upper lumbar spine, we performed the oblique paraspinal approach to expose the central portion of disc and removed the herniated disc effectively. Postoperatively, their symptoms were improved. There was no instability during the follow-up period. @@CONCLUSION:@@ The oblique paraspinal approach for the treatment of central disc herniations at the upper lumbar levels is an effective nonfusion technique that preserves most of the facet joint and provides a wide surgical field.

Clinical Presentation, Diagnosis, and Surgical Treatment of Spontaneous Cervical Intradural Disc Herniations: A Review of the Literature

2018 ◽  
Vol 109 ◽  
pp. 275-284 ◽  
Author(s):  
Arunprasad Gunasekaran ◽  
Nova Kristine M. de los Reyes ◽  
Jerry Walters ◽  
Noojan Kazemi
Keyword(s):  
Surgical Treatment ◽  
Clinical Presentation ◽  
Review Of The Literature ◽  
Disc Herniations

Unique Features of Herniated Discs at the Cervicothoracic Junction: Clinical Presentation, Imaging, Operative Management, and Outcome after Anterior Decompressive Operation in 10 Patients

Neurosurgery ◽  
2006 ◽  
Vol 58 (3) ◽  
pp. 497-501 ◽  
Author(s):  
Nicholas H. Post ◽  
Paul R. Cooper ◽  
Anthony K. Frempong-Boadu ◽  
Mary Ellen Costa
Keyword(s):  
Anterior Approach ◽  
Clinical Presentation ◽  
Operative Management ◽  
Anterior Cervical Discectomy ◽  
Motor Deficit ◽  
Imaging Studies ◽  
Disc Space ◽  
Cervical Discectomy ◽  
Single Level ◽  
Disc Herniations

Abstract OBJECTIVE: Disc herniations at the C7–T1 level are unusual (4% of all herniated cervical discs) and are often incorrectly diagnosed because of unusual neurological findings and suboptimal imaging studies. Furthermore, the anterior approach may be problematic because the manubrium and slope of the vertebral bodies away from the surgeon obscures the end plates. The recurrent laryngeal nerve and the thoracic duct may be injured by respective right- or left-sided approaches. A posterior approach to this level has, therefore, been advocated, but results of C7–T1 herniations treated anteriorly have not been specifically addressed in the literature. We, therefore, reviewed our experience in the operative management of patients undergoing single level anterior cervical discectomy and fusion at the C7–T1 interspace for the 10 years ending June 2004 with regard to clinical presentation, imaging, problems of operative exposure, and neurological outcome. METHODS: Of 268 patients with single level anterior cervical discectomy and fusions (ACDFs), 10 (3.7%) had C7–T1 disc herniations. We retrospectively reviewed the medical records, operative reports, and imaging studies of these 10 patients. RESULTS: All patients presented with C8 motor deficit without myelopathy. The operation was carried out through an anterior approach with a skin incision 3 cm above the clavicle. Visualization of the C7–T1 disc space was achieved in all without difficulty. Eight of 10 patients are neurologically intact. CONCLUSION: The C7–T1 disc herniates laterally because of the absence of Luschka joints at this level. Central herniation with myelopathy is rare. An anterior approach was easily accomplished in all patients. Recovery of motor function was related to duration and severity of preoperative deficit.

Jansky-Bielschowsky syndrome, a lysosomal disease: First diagnosed cash in Oman

1992 ◽  
Vol 50 (1) ◽  
pp. 632-633
Author(s):  
Line Buhl ◽  
David Muirhead
Keyword(s):  
Mental Retardation ◽  
Clinical Picture ◽  
Neurological Disorder ◽  
Clinical Presentation ◽  
Neuronal Ceroid Lipofuscinosis ◽  
Infantile Form ◽  
Lysosomal Disease ◽  
Juvenile Form ◽  
Progressive Encephalopathy ◽  
Lysosomal Diseases

There are four lysosomal diseases of which the neuronal ceroid lipofuscinosis is the rarest. The clinical presentation and their characteric abnormal ultrastructure subdivide them into four types. These are known as the Infantile form (Santavuori-Haltia), Late infantile form (Jansky-Bielschowsky), Juvenile form (Batten-Spielmeyer-Voght) and the Adult form (Kuph's).An 8 year old Omani girl presented wth myclonic jerks since the age of 4 years, with progressive encephalopathy, mental retardation, ataxia and loss of vision. An ophthalmoscopy was performed followed by rectal suction biopsies (fig. 1). A previous sibling had died of an undiagnosed neurological disorder with a similar clinical picture.

An Overview of Dementias

2012 ◽  
Vol 21 (3) ◽  
pp. 75-84
Author(s):  
Venkata Vijaya K. Dalai ◽  
Jason E. Childress ◽  
Paul E Schulz
Keyword(s):  
Clinical Presentation ◽  
Treatment Options ◽  
Current Treatment ◽  
Great Variability ◽  
Health Concern ◽  
Public Health Concern ◽  
Life Threatening ◽  
The Common ◽  
Neurodegenerative Dementias ◽  
Made In

Dementia is a major public health concern that afflicts an estimated 24.3 million people worldwide. Great strides are being made in order to better diagnose, prevent, and treat these disorders. Dementia is associated with multiple complications, some of which can be life-threatening, such as dysphagia. There is great variability between dementias in terms of when dysphagia and other swallowing disorders occur. In order to prepare the reader for the other articles in this publication discussing swallowing issues in depth, the authors of this article will provide a brief overview of the prevalence, risk factors, pathogenesis, clinical presentation, diagnosis, current treatment options, and implications for eating for the common forms of neurodegenerative dementias.

Ruptured abdominal aortic aneurysms: Clinical presentation in Auckland 1993-1997

2001 ◽  
Vol 71 (6) ◽  
pp. 341-344
Author(s):  
Johanna Rose ◽  
Ian Civil ◽  
Timothy Koelmeyer ◽  
David Haydock ◽  
Dave Adams
Keyword(s):  
Clinical Presentation ◽  
Abdominal Aortic Aneurysms ◽  
Aortic Aneurysms ◽  
Abdominal Aortic ◽  
Ruptured Abdominal Aortic Aneurysms

Abstract #137: Combined Clinical Presentation of Allgrove’s Syndrome and 47xxx Syndrome in a 14 Year Old Girl

2016 ◽  
Vol 22 ◽  
pp. 21
Author(s):  
Sri Nagesh. V ◽  
Y. Muralidhar Reddy ◽  
Prajnya Ranganath ◽  
Vikrant Reddy
Keyword(s):  
Clinical Presentation
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