Surgical Management for Intradural Spinal Lipoma in Adult Patients Without Spinal Dysraphism

2010 ◽  
Vol 20 (3) ◽  
pp. 130-135
Author(s):  
Alaa Azzazi ◽  
Mohamed Sedik ◽  
Sameh Sakr
Keyword(s):  
Surgical Management ◽  
Spinal Dysraphism ◽  
Adult Patients ◽  
Spinal Lipoma

Surgical management of congenital heart defects in adolescent and adult patients, between years 2001–2008

2009 ◽  
Vol 150 (37) ◽  
pp. 1739-1743 ◽  
Author(s):  
István Hartyánszky ◽  
Andrea Székely ◽  
László Király ◽  
Zsolt Prodán ◽  
Sándor Mihályi ◽  
...  
Keyword(s):  
Surgical Management ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Adult Patients

A felnőttkorban operált veleszületett szívhibák között vezetnek az I. rekonstrukciós beavatkozások: a) frissen felismert betegségek, b) megelőzően inoperábilisnak ítélt kórképek, c) pulmonalis hypertonia, jobbkamra-elégtelenség miatt „elkésett” műtétek. Növekszik a II. REDO műtétek száma: a) residuumok korrigálása, b) kinőtt, diszfunkciós homograftok cseréje, c) műtéti/intervenciós korrigálás utáni recoarctatio (aneurysma, dissectio) sebészete, d) aorta valvulotomia/valvuloplastica, illetve társvitiumok (TGA) korrigálásának következményeként Ross-műtét, műbillentyű-beültetés . Betegek, eredmények: A 2001–2008 között végzett 4496 műtét közül 166 volt fiatal-felnőtt korú (16–52, átlagéletkor: 28 év) (Ia: 77, Ib: 15, Ic: 4, IIa: 11, IIb: 22, IIc: 9, IId: 28). Műtéti mortalitás nem volt, 1 beteg pulmonalis hypertoniás krízisben, 1 jobbkamra-elégtelenség miatti malignus ritmuszavarban, 2 többszerv-elégtelenségben halt meg. Konklúzió: A rizikófaktorokat a pulmonalis hypertonia és a jobbkamra-elégtelenség jelenti. A bonyolult sebészi megoldások a „congenitalis szívsebész” számára nem jelentenek problémát, de koraibb diagnózisok, terápiában az extracorporalis membránoxigenátor használata az eredményeket javíthatja.

scholarly journals Spinal dysraphism with spinal lipoma.

1984 ◽  
Vol 33 (2) ◽  
pp. 458-461
Author(s):  
Hirofumi Harada ◽  
Nobutaka Kuroya ◽  
Shougo Masumi
Keyword(s):  
Spinal Dysraphism ◽  
Spinal Lipoma

Patterns of spinal cord malformation in cloacal exstrophy

2021 ◽  
pp. 1-8
Author(s):  
Neetu Kumar ◽  
Chinky Chatur ◽  
Ankit Balani ◽  
May Bisharat ◽  
Zubair Tahir ◽  
...  
Keyword(s):  
Spinal Dysraphism ◽  
Spinal Lipoma ◽  
Cloacal Exstrophy ◽  
Secondary Neurulation ◽  
Spinal Cord Malformation ◽  
Large Subgroup ◽  
Normal Spine ◽  
Spinal Mri ◽  
Terminal Myelocystocele

OBJECTIVE The objective of this study was to assess the prevalence and spectrum of spinal dysraphism in a cohort of children with cloacal exstrophy (CEX) using MRI. METHODS Children with CEX presenting between 1999 and 2019 with baseline spinal MRI were included. The images were reviewed in consensus to assess the type of dysraphism. The dysraphisms were initially reviewed and described based on their descriptive anatomy, and then classified according to anomalies of gastrulation, primary neurulation, or secondary neurulation. RESULTS Thirty-four children were included. Thirty-three of these children had closed spinal dysraphism, and 1 had a normal spine. Of the 33 cases of closed spinal dysraphism, the conus and/or filum terminale were involved in all cases. The most common malformations were spinal lipoma (n = 20) and terminal myelocystocele (n = 11). The lipomas were heterogeneous: 4 dorsal, 9 transitional, 4 chaotic, and 3 terminal. A large subgroup (10/20, 50%) within the lipomas had an unusual morphology of noncontiguous double lipomas, the proximal fat related to the conus and the distal fat within the filum. These were difficult to characterize using existing classifications. In 2 cases, only a thickened filum was noted. The majority of these malformations were compatible with a disorder of secondary neurulation. CONCLUSIONS Complex spinal dysraphisms are consistently associated with CEX. The unusual dysraphism patterns found in this group of patients highlight the limitations of current embryological classifications. Given the propensity for neurological deterioration in this group of patients, spinal MRI should be routinely performed. The type and distribution of malformations seen have implications for the wider understanding of the pathogenesis and classification of lumbosacral lipomas.

Ten-year experience with surgical treatment of adults with congenital cardiac disease

2010 ◽  
Vol 21 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Pierre Wauthy ◽  
Jacques Massaut ◽  
Ahmed Sanoussi ◽  
Hélène Demanet ◽  
Marielle Morissens ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Surgical Management ◽  
Cardiac Disease ◽  
Functional Class ◽  
Adult Patients ◽  
Morbidity And Mortality ◽  
Curative Treatment ◽  
Previous Operation ◽  
Congenital Cardiac Disease

AbstractThe number of adults with congenital cardiac disease continues to increase, and adult patients are now more numerous than paediatric patients. We sought to identify risk factors for perioperative death and report our results with surgical management of adult patients with congenital cardiac disease. We retrospectively analysed in-hospital data for 244 consecutive adult patients who underwent surgical treatment of congenital cardiac disease in our centre between January, 1998 and December, 2007. The mean patient age was 27.2 plus or minus 11.9 years, 29% were in functional class III or IV, and 25% were cyanosed. Of the patients, half were operated on for the first time. A total of 61% of patients underwent curative operations, 36% a reoperation after curative treatment, and 3% a palliative operation. Overall mortality was 4.9%. Predictive factors for hospital death were functional class, cyanosis, non-sinus rhythm, a history of only palliative previous operation(s), and an indication for palliative treatment. Functional class, cyanosis, type of initial congenital cardiac disease (single ventricle and double-outlet right ventricle), and only palliative previous operation were risk factors for prolonged intensive care stay (more than 48 hours). The surgical management of adult patients with congenital cardiac disease has improved during recent decades. These generally young patients, with a complex pathology, today present a low post-operative morbidity and mortality. Patients having undergone palliative surgery and reaching adulthood without curative treatment present with an increased risk of morbidity and mortality. Univentricular hearts and double-outlet right ventricles were associated with the highest morbidity.

scholarly journals Surgical Management of Spinal Dysraphism: Five -year Experience in a Central Hospital

2014 ◽  
Vol 34 (1) ◽  
pp. 34-38
Author(s):  
N Banskota ◽  
R Jha ◽  
N Khadka ◽  
GR Sharma ◽  
P Bista ◽  
...  
Keyword(s):  
Surgical Management ◽  
Neural Tube ◽  
Neural Tube Defects ◽  
Clinical Presentation ◽  
Spinal Dysraphism ◽  
Cell Mass ◽  
Sensory Loss ◽  
Fetal Life ◽  
Common Location ◽  
Lower Limb Paralysis

Introduction: Spinal dysraphism is a heterogeneous group of congenital spinal anomalies resulting from defective closure of the neural tube early in fetal life and anomalous development of the caudal cell mass. Meningomyelocele is common among Neural tube defects. Patients with myelomeningocele present with a spectrum of impairments, including primary functional deficits like are lower limb paralysis, sensory loss, bladderbowel dysfunction and cognitive dysfunction. Medical, surgical management and rehabilitation have helped patients with neural tube defects to participate and be productive in mainstream society. The aims of this study were to review the clinical presentation, surgical management and their outcome in the patient with spinal dysraphism. Materials and Methods: This is a retrospective study of Forty-one cases of spinal dysraphism managed during a period of five years from January 2008 to December 2012 in Department of Neurosurgery, National Academy of Medical Sciences (NAMS), Bir Hospital. Demographic profiles, clinical presentation of patients with spinal dysraphism, associated hydocephalus, surgical management and outcome were studied. Results: Out of total 41 cases studied, male patients outnumbered female with 58.5% to 41.5%. Age ranged from 5 days to 29 years and mean age was 2.71 years whereas. Lump (97%) and paraparesis (88%) were frequent mode of presentation. Lumbar lesion (65%) was commonest followed by lumbosacral (29%). Hydrocephalus was present in 51% of cases and in 24% cases developed hydrocephalus later after repair. Total 75.6% of cases were treated with VP shunt. Conclusion: Spinal dysraphism is debilitating entity and management is challenging. Lump on back and weakness of limb are major factor for children and their parents seek medical service. Lesion in low back (lumbar and lumbosacral) were most common location. Besides repair, majority of them needed CSF diversion surgery for hydocephalus. Aim of surgical management was to prevent further deterioration, control of hydrocephalus or leak. DOI: http://dx.doi.org/10.3126/jnps.v34i1.9378 J Nepal Paediatr Soc 2014;34(1):34-38

1710 CONTEMPORARY MEDICAL AND SURGICAL MANAGEMENT OF ADULT PATIENTS WITH SPINA BIFIDA

2013 ◽  
Vol 189 (4S) ◽  
Author(s):  
Kalen Rimar ◽  
Alyssa Greiman ◽  
Jessica T. Casey ◽  
Shubhra Mukherjee ◽  
Stephanie J. Kielb
Keyword(s):  
Spina Bifida ◽  
Surgical Management ◽  
Adult Patients

scholarly journals Surgical management of symptomatic low back pain and monoradicular leg pain in adolescent and young adult patients

SANAMED ◽  
2014 ◽  
Vol 9 (2) ◽  
pp. 161-166
Author(s):  
Svetoslav Kalevski ◽  
Dimiter Haritonov ◽  
Nikolay Peev ◽  
Evgenia Alevska
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Young Adult ◽  
Surgical Management ◽  
Adult Patients ◽  
Adolescent And Young Adult ◽  
Leg Pain ◽  
Low Back

scholarly journals Surgical and Nonsurgical Techniques in Orthodontics

2021 ◽  
Vol 2 (6) ◽  
pp. 18-19
Author(s):  
V. Joshi
Keyword(s):  
Surgical Management ◽  
Orthognathic Surgery ◽  
Adult Patients ◽  
Growing Period ◽  
Recent Introduction ◽  
Surgical Methods ◽  
Different Types

Orthognathic surgery can be extremely useful in management of patients with complex malocclusions. It can benefit the patients by treating the esthetic and functional deformities. The collaboration between orthodontists and oral surgeons is crucial in obtaining optimal results for such complicated cases. The timing of the treatment and the age of the patient at the time of treatment play an important role in determining the type of treatment. This review discusses the different types of malocclusions in which the patient can be treated with conventional mechanics if presented during growing period and surgical management if presented after the growth is completed. Furthermore, the review describes the recent introduction of mini-screws and the non-surgical methods that can be used to treat complex malocclusions for adult patients.

Surgical management of craniopharyngiomas in adult patients: a systematic review and consensus statement on behalf of the EANS skull base section

2020 ◽  
Vol 162 (5) ◽  
pp. 1159-1177 ◽  
Author(s):  
Giulia Cossu ◽  
Emmanuel Jouanneau ◽  
Luigi M Cavallo ◽  
Samer K Elbabaa ◽  
Lorenzo Giammattei ◽  
...  
Keyword(s):  
Systematic Review ◽  
Skull Base ◽  
Surgical Management ◽  
Consensus Statement ◽  
Adult Patients ◽  
Base Section
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