scholarly journals Tandem spinal stenosis: clinical pattern, diagnosis and surgical tactics

2021 ◽  
Vol 23 (1) ◽  
pp. 146-153
Author(s):  
V. M. Feniksov ◽  
P. V. Zelenkov
Keyword(s):  
Spinal Stenosis ◽  
Spinal Canal ◽  
Clinical Presentation ◽  
Late Diagnosis ◽  
Diagnosis And Treatment ◽  
Clinical Pattern ◽  
Pattern Diagnosis ◽  
Tandem Spinal Stenosis ◽  
Surgical Tactics ◽  
The One

The purpose of this review is to present an up-to-date look at the features of diagnosis and treatment of tandem spinal stenosis. Tandem spinal stenosis is a degenerative narrowing of the spinal canal of two or more parts of the spine column. Diagnosis of the one-level degenerative spinal stenosis is commonly quite easy in the practice of a spinal surgeons, while the diagnosis of tandem spinal stenosis is often difficult. The clinical presentation of tandem spinal stenosis presents a constellation of different symptoms and often cause late diagnosis. Data on the prevalence of tandem spinal stenosis are very variable, and the etiology cannot be fully studied. Thereby, comprehensive assessments of the symptoms and imaging provide assistance with the accurate and timely diagnosis. The choice of surgical method should consider possibility of staged decompression of each stenotic levels with priority for proximal parts of spine column.

scholarly journals Tandem Spinal Stenosis at the Brazzaville Academic Hospital

2020 ◽  
Vol 5 (3 And 4) ◽  
pp. 125-132
Author(s):  
Boukassa Leon ◽  
◽  
Ngackosso Olivier Brice ◽  
Kinata Bambino Sinclair Brice ◽  
Ekouele Mbaki Hugues Brieux ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Surgical Treatment ◽  
Spinal Stenosis ◽  
Academic Hospital ◽  
Cervical Segment ◽  
Tandem Spinal Stenosis ◽  
Set Up ◽  
The One ◽  
Two Stages ◽  
Early Surgical Treatment

Background and Aim: Tandem Spinal Stenosis (TSS) can be defined as simultaneous stenosis of two distinct spinal (cervical, thoracic and lumbar) areas. Characterized by an association of the spinal, radicular and medullary signs of the limbs, the planning of his surgery remains controversial. We reported the one that was set up on the cases observed at the Brazzaville Academic Hospital.  Methods and Materials/Patients: A retrospective study of 16 patients operated for TSS, from June 2009 to May 2019, was conducted. We analyzed the demographic, clinical, paraclinical, therapeutic and evolutionary data of these patients. Results: For ten years, a total of 16 patients (9 men and 7 women) with SST have been received. The average age was 57 years (ranged 41-72 years). The signs evolved for 17.6 months (13 and 30 months). These were lombo-sciatalgias in 15 cases, signs of medullary compression: cervical in 14 cases and thoracic in 2 cases. Medical imaging had objective 13 cervico-lumbar associations, two thoraco-lumbar associations and one cervico-thoracic. The surgery was performed in one stage in two cases and two stages in 14 cases. These were laminectomies for lumbar and thoracic disorders, discectomy or somatotomy in the cervical segment. The order of surgical management was cervico-thoraco-lumbar (cranio- caudal order). Signs improved in 13 patients and stabilized in 3 patients. Conclusion: TSS is not uncommon. It should be researched in a patient with bifocal spinal and radiculo-medullary signs. Their early surgical treatment, in one or two stages, yields satisfactory results.

Immunohistochemistry Particularities of Retroperitoneal Tumors

2018 ◽  
Vol 69 (7) ◽  
pp. 1813-1816 ◽  
Author(s):  
Ovidiu Gabriel Bratu ◽  
Radu Dragos Marcu ◽  
Bogdan Socea ◽  
Tiberiu Paul Neagu ◽  
Camelia Cristina Diaconu ◽  
...  
Keyword(s):  
Clinical Presentation ◽  
Histopathological Examination ◽  
Good Reason ◽  
Definitive Diagnosis ◽  
Histological Type ◽  
Not Given ◽  
Medical Specialties ◽  
Retroperitoneal Tumors ◽  
Extreme Variability ◽  
The One

Retroperitoneal space is called sometimes no man�s land�and for a good reason: this is disputed anatomical territory for many surgical and medical specialties. Their wide histological diversity and unspecific clinical presentation make them a challenge for the surgeon. In order to improve their detection immunohistochemistry seems to show promising results. Methods of detection have evolved over time to identify as much as possible the histological type of tumor. Because of this extreme variability immunohistochemistry through its various markers is the one that often sets the definitive diagnosis, the simple histopathological examination being insufficient. This paper aims to highlight the main markers used in retroperitoneal tumors. As it can be seen there is a huge histologic areal for these tumors. Some have proven some of them still not. Given the fact that there is a tendency toward personalized therapy it is imperative to identify the histological type of tumor as soon as possible.

scholarly journals The Diagnosis and Therapy of Degenerative Knee Joint Disease: Expert Consensus from the Chinese Pain Medicine Panel

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Dong Huang ◽  
Yan-Qing Liu ◽  
Li-Shuang Liang ◽  
Xue-Wu Lin ◽  
Tao Song ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Diagnosis And Treatment ◽  
Joint Disease ◽  
Knee Joints ◽  
Reproduction Rate ◽  
Pain Specialist ◽  
Chinese Association ◽  
The One ◽  
Almost All ◽  
Based Medicine

At present, there are many constantly updated guidelines and consensuses on the diagnosis and treatment of osteoarthritis both at home and abroad. The recommendations established using methods of evidence-based medicine has experienced strict research on controlling bias and promoting reproduction rate. As a result, the previous evidence was reevaluated, and a lot of changes were provoked in the diagnosis and treatment concept of osteoarthritis. However, several methods not recommended by foreign guidelines are still in use in the current clinical practice in China. On the one hand, Chinese experts have not reached extensive consensus on whether it is necessary to make changes according to foreign guidelines. On the other hand, almost all the current relevant guidelines are on osteoarthritis, but the lesions around knee joints which, as a whole, bear the largest weight in human body, cannot be ignored. For this purpose, Chinese Association for the Study of Pain (CASP) organized some leading experts to formulate this Chinese Pain Specialist Consensus on the diagnosis and treatment of degenerative knee osteoarthritis (DKOA) in combination with the guidelines in foreign countries and the expert experience of clinical practice in China. The consensus, which includes the definition, pathophysiology, epidemiology, clinical manifestation, diagnostic criteria, and treatments of DKOA, is intended to be used by first-line doctors, including pain physicians to manage patients with DKOA.

Diaphragmatic endometriosis and thoracic endometriosis syndrome: a review on diagnosis and treatment

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Thiers Soares ◽  
Marco Aurelio Oliveira ◽  
Karen Panisset ◽  
Nassir Habib ◽  
Sara Rahman ◽  
...  
Keyword(s):  
Multidisciplinary Treatment ◽  
Posterior Part ◽  
Pulmonary Nodules ◽  
Diagnosis And Treatment ◽  
Childbearing Age ◽  
Invasive Approach ◽  
Catamenial Pneumothorax ◽  
Abdominal Approach ◽  
The One ◽  
Thoracic Endometriosis

Abstract Endometriosis of the diaphragm has been gaining more attention in the practice of gynecologists and thoracic surgeons in recent years. Understanding related symptoms and developing imaging methods have improved their approach. A review of the literature was performed with the aim to report on incidence, diagnosis, treatment and prognosis of diaphragmatic endometriosis. We also cover the issue of the Thoracic Endometriosis Syndrome (TES). Complaints of cyclic chest pain in patients of childbearing age should have as differential diagnosis the presence of thoracic endometriosis. Catamenial pneumothorax is the main manifestation of diaphragmatic endometriosis and Thoracic Endometriosis Syndrome. Other possible manifestations are hemothorax, pulmonary nodules, and diaphragmatic hernia. Despite the possibility of drug treatment, many patients will be submitted to surgical treatment. The minimally invasive approach should be the one of choice. The robotic pathway allows for an easier approach due to its ability to articulate robotic arms, allowing the treatment of lesions in hard-to-reach locations, such as the posterior part of the diaphragm. Multidisciplinary treatment should be used in most cases, as only abdominal approach is not sufficient for the diagnosis and treatment of lesions in the thoracic cavity. The approach of endometriosis of the diaphragm and Thoracic Endometriosis Syndrome should be multidisciplinary, allowing the improvement of quality of life in most patients.

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