Lumbar epidural hematoma associated with spondylolyses

2008 ◽  
Vol 8 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Chima O. Ohaegbulam ◽  
Ian F. Dunn ◽  
Pierre d'Hemecourt ◽  
Mark R. Proctor
Keyword(s):  
Epidural Hematoma ◽  
Surgical Intervention ◽  
Relevant Literature ◽  
Young Male ◽  
Active Patient ◽  
Male Patients

✓ This report describes 3 young male patients with multiple lumbar spondylolyses in combination with a symptomatic epidural hematoma. The records of all 3 patients were reviewed for clinical details. All patients were successfully treated without surgical intervention. Initial neuroimaging results for all patients revealed epidural hematomas, and follow-up imaging confirmed resolution of the hematomas. The relevant literature is briefly reviewed to examine the rarity of this combination. Spontaneous epidural hematomas may occur in the setting of spondylolysis, and this diagnosis should be considered when imaging reveals an unusual epidural lesion in a young active patient.

scholarly journals 10-year follow-up of young male patients with mild hypertension.

1990 ◽  
Vol 54 (11) ◽  
pp. 1383-1389 ◽  
Author(s):  
YUZURU SATO ◽  
KUNIO HIWADA ◽  
RUMI TANAKA ◽  
TATSUO KOKUBU
Keyword(s):  
Mild Hypertension ◽  
Young Male ◽  
Male Patients

Corneal collagen cross-linking for management of keratoconus in patients affected by Tourette syndrome

2020 ◽  
pp. 112067212094510
Author(s):  
Karl Anders Knutsson ◽  
Giorgio Paganoni ◽  
Oriella Ambrosio ◽  
Giulio Ferrari ◽  
Paolo Rama
Keyword(s):  
Visual Acuity ◽  
Tourette Syndrome ◽  
Case Series ◽  
Young Male ◽  
Cross Linking ◽  
Male Patients ◽  
Collagen Cross Linking ◽  
Corneal Collagen

Purpose: To present a series of two patients affected by Tourette syndrome (TS) and progressive keratoconus. Case series: Two young male patients with keratoconus and TS were referred to our center. In both patients eye rubbing was present and in one patient, an ocular tic was present determining blepharospasm. Progression of keratoconus occurred in both cases and corneal collagen cross-linking (CXL) was performed. All treated eyes showed topographic stability with stable refraction and conserved visual acuity, with a follow-up period ranging from 1.5 to 2.5 years. Conclusion: Patients with keratoconus and TS should be observed frequently to document topographical and refractive changes, and in case of progressing disease, CXL should be performed in order to prevent further progression.

scholarly journals Surgical treatment and operation time in HIV-negative cryptococcal meningitis

2019 ◽  
Author(s):  
Xiang Zhao ◽  
Jie Zhao ◽  
Shaobo Yang ◽  
Wenyang Li ◽  
Ying Liu ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Cryptococcal Meningitis ◽  
Surgical Intervention ◽  
Operation Time ◽  
Loss Of Consciousness ◽  
Progressive Loss ◽  
Male Patients ◽  
Central South ◽  
Hiv Negative

Abstract Background: There are still no unified guidelines of surgical treatment and timing for HIV-negative patients with cryptococcal meningitis (CM). Methods: The clinical data and follow-up data were collected from HIV-negative CM patients in Xiangya Hospital of Central South University from January 2009 to November 2018, and 42 patients who were treated with surgical intervention were enrolled in the present study. These 42 patients were divided into ventriculoatrial (VA) group, ventriculoperitoneal (VP) group, external ventricle drainage (EVD) group, hydrocephalus (HYC) group, non-HYC group, EVD group and non-EVD group (VA/VP) according to different surgical procedures. Statistical analyses were conducted using SPSS (version 19.0, Chicago, IL, USA). Results: Signs of headache, fever and loss of consciousness in the VA group were significantly improved compared with the EVD group at 1 week after operation (P<0.05). The mortality rate of the VA group was significantly lower than that of the EVD group (P<0.05). Moreover, male patients were more prone to have HYC (P<0.05). Younger patients tended to develop HYC (P<0.05). Cerebrospinal fluid (CSF) sugar in the non-HYC group was significantly lower compared with the HYC group (P<0.05). Time of CM-to-operation in the non-HYC group was markedly shorter compared with the HYC group (P<0.01). Conclusions: VA procedure could be one of the first choices for the treatment of uncontrollable intracranial hypertension caused by CM. Severe uncontrollable headache, loss of consciousness and cerebral hernia were indications of emergency surgery. Repeated headache, hearing impairment, and especially progressive loss of vision were indications of early surgery to avoid permanent damage to nerve functions of HIV-negative CM patients.

scholarly journals BIOCHEMICAL MARKERS OF ENDOTHELIAL DYSFUNCTION, THEIR CHANGES UNDER THE INFLUENCE OF TREATMENT WITH VARIOUS BETA-ADRENOBLOCKERS IN YOUNG MEN WITH MYOCARDIAL INFARCTION

2021 ◽  
Vol 74 (3) ◽  
pp. 625-629
Author(s):  
Ievgenii V. Andrieiev ◽  
Yulia M. Makukha ◽  
Anatoliy M. Kravchenko ◽  
Ludmila V. Gayova
Keyword(s):  
Myocardial Infarction ◽  
Endothelial Dysfunction ◽  
Beta Blockers ◽  
Young Men ◽  
Young Male ◽  
Group I ◽  
Caucasian Race ◽  
Male Patients ◽  
Positive Effect

The aim: Is to determine the levels of markers of endothelial dysfunction in young men with myocardial infarction and their changes during the treatment with beta-blockers with different pharmacological properties. Materials and methods: 112 male patients of Caucasian race of the Ukrainian population under the age of 50 with MI. Group I received Nebivolol, group II – bisoprolol. Results: During the 6-month follow-up, positive dynamics of NOS-2 and ET-1 was observed. The level of NOS-2 in groups I – II was 4272.3±162.7, 4629.7±161.2 pg/mL, respectively (p<0.05). The dynamics of ET-1 showed significant decrease of its level in all groups Conclusions: Significant changes in markers of endothelial dysfunction, namely NOS3/eNOS, NOS2/iNOS and ET-1, are observed in young male patients of the Ukrainian population with MI. During 6 months of treatment, positive changes were observed in the form of an increase in NOS-3 levels and a significant decrease in ET-1 and NOS-2 levels. The inclusion of Nebivolol in the basic therapy for this group of patients is associated with an additional positive effect on the normalization of levels NO synthase and the reduction of ET-1.

scholarly journals Extensive long-segment cervicothoracic traumatic spinal epidural hematoma with avulsion of C7, C8, and T1 nerve roots

2014 ◽  
Vol 05 (04) ◽  
pp. 414-416 ◽  
Author(s):  
Kanwaljeet Garg ◽  
Guru Dutta Satyarthee ◽  
Raghav Singla ◽  
Bhawani Shankar Sharma
Keyword(s):  
Epidural Hematoma ◽  
Surgical Intervention ◽  
Relevant Literature ◽  
Spinal Epidural Hematoma ◽  
Imaging Findings ◽  
Management Options ◽  
Nerve Roots ◽  
Neurologic Recovery ◽  
Neurologic Function ◽  
Spinal Epidural

ABSTRACTTraumatic spinal epidural hematoma (TSEH) is of rare clinical occurrence. We report a case of a young man with posttraumatic long-segment spinal epidural hematoma. Evacuation of the hematoma led to complete neurologic recovery in our patient. Our case highlights the importance of early diagnosis and prompt surgical intervention for the evacuation of hematoma in preservation or maximum recovery of neurologic function. Imaging findings, management options, and the relevant literature are reviewed.

scholarly journals Spontaneous Decompression of Extradural Hematoma Through Skull Fracture

2014 ◽  
Vol 3 (2) ◽  
pp. 79-81
Keyword(s):  
Epidural Hematoma ◽  
Relevant Literature ◽  
Skull Fracture ◽  
Neurological Status ◽  
Computed Tomography Scan ◽  
Extradural Hematoma ◽  
Surgical Evacuation ◽  
Acute Epidural Hematoma ◽  
Tomography Scan

ABSTRACT It has been increasingly recognized that there is a subgroup of patients, the extradural hematoma can disappear rapidly without surgical evacuation. In present, we report a case of 65-year-old gentleman whose follow-up computed tomography scan, showed reduction in the size of acute epidural hematoma and review the relevant literature. However, we need to remember if there is no improvement in the neurological status of the patient, a follow-up scan still is needed to assess the size of the hematoma. How to cite this article Agrawal A. Spontaneous Decompression of Extradural Hematoma Through Skull Fracture. Panam J Trauma Crit Care Emerg Surg 2014;3(2):79-81.

scholarly journals Inguinal Exploration for the Management of Impalpable Undescended Testes

2017 ◽  
Vol 37 (1) ◽  
pp. 36-40
Author(s):  
Bijay Thapa ◽  
Madhusudan Pun
Keyword(s):  
Retrospective Study ◽  
General Anaesthesia ◽  
Surgical Procedure ◽  
Surgical Intervention ◽  
Undescended Testes ◽  
Clinical Notes ◽  
Impalpable Testis ◽  
Male Patients

Introduction: The primary goal of surgical intervention with an impalpable testis is to locate and reposition the gonad. There has been much debate in the management of impalpable undescended testes. Many centres still advocate the role of open inguinal exploration in impalpable testes.Materials and methods: This retrospective study included 35 male patients. The clinical notes were reviewed for details of age at operation, side, location and condition of testes intraoperatively and the type of operation performed. Standard approach of inguinal explorations was performed under general anaesthesia. Follow up in first week and after 3 months was done. Results: 25(71.42%) impalpable testes were in left side, 9(25.71%) were on right side and 1(2.85%) was bilateral. At exploration 17(47.22%) were intracanalicular, nine (25%) were intraabdominal with seven low and two high,49(11.11%) were scrotal and six (16.66%) were absent, seven (41.17%) canalicular testes underwent orchidopexy and 10(58.22%) underwent gonadectomy for atrophied testes. Seven (77.77%) low abdominal testes were brought down to scrotum and two (22.22%) high abdominal were brought down to lower inguinal area as a first stage surgery. All 4(100%) scrotal testes were atrophied and gonadectomy performed. Six patients were diagnosed anorchia, 14 (87.5%) of impalpable testes that underwent orchidopexy were in a follow up with excellent results. One high first stage orchidopexy and another canalicular testes were found to have atrophied who did orchidectomy in follow-up.Conclusion: Inguinal exploration is a safe, reliable and successful surgical procedure for the management of impalpable testes including intraabdominal testes without procedure related complications.

Responsiveness and ceiling effects of the English version of the 12-item International Hip Outcome Tool following hip arthroscopy at minimum one-year follow-up

2020 ◽  
Vol 102-B (8) ◽  
pp. 1010-1015
Author(s):  
Patrick G. Robinson ◽  
Julian F. Maempel ◽  
Iain R. Murray ◽  
Conor S. Rankin ◽  
David F. Hamilton ◽  
...  
Keyword(s):  
Effect Size ◽  
Hip Arthroscopy ◽  
Young Male ◽  
English Version ◽  
Maximum Score ◽  
Ceiling Effects ◽  
Male Patients ◽  
One Year ◽  
Outcome Tool

Aims Responsiveness and ceiling effects are key properties of an outcome score. No such data have been reported for the original English version of the International Hip Outcome Tool 12 (iHOT-12) at a follow-up of more than four months. The aim of this study was to identify the responsiveness and ceiling effects of the English version iHOT-12 in a series of patients undergoing hip arthroscopy for intra-articular hip pathology at a minimum of one year postoperatively. Methods A total of 171 consecutive patients undergoing hip arthroscopy with a diagnosis of femoroacetabular impingement (FAI) under the care of a single surgeon between January 2013 and March 2017 were included. iHOT-12 and EuroQol 5D-5L (EQ-5D-5L) scores were available pre- and postoperatively. Effect size and ceiling effects for the iHOT-12 were calculated with subgroup analysis. Results A total of 122 patients (71.3%) completed postoperative PROMs scores with median follow-up of 24.3 months (interquartile range (IQR) 17.2 to 33.5). The median total cohort iHOT-12 score improved significantly from 31.0 (IQR 20 to 58) preoperatively to 72.5 (IQR 47 to 90) postoperatively (p < 0.001). The effect size (Cohen’s d) was 1.59. In all, 33 patients (27%) scored within ten points (10%) of the maximum score and 38 patients (31.1%) scored within the previously reported minimal clinically important difference (MCID) of the maximum score. Furthermore, nine (47%) male patients aged < 30 years scored within 10% of the maximum score and ten (53%) scored within the previously reported MCID of the maximum score. Conclusion There is a previously unreported ceiling effect of the iHOT-12 at a minimum one-year follow-up which is particularly marked in young, male patients following hip arthroscopy for FAI. This tool may not have the maximum measurement required to capture the true outcome following this procedure. Cite this article: Bone Joint J 2020;102-B(8):1010–1015.

scholarly journals Habenula deep brain stimulation for intractable schizophrenia: a pilot study

2020 ◽  
Vol 49 (1) ◽  
pp. E9 ◽  
Author(s):  
Yuhan Wang ◽  
Chencheng Zhang ◽  
Yingying Zhang ◽  
Hengfen Gong ◽  
Jun Li ◽  
...  
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Surgical Intervention ◽  
Clinical Symptoms ◽  
Study Participation ◽  
Treatment Resistant ◽  
Clinical Benefits ◽  
Male Patients ◽  
Deep Brain

Schizophrenia is a psychiatric disorder associated with significant morbidity and mortality. Although antipsychotic medications and electroconvulsive therapy can be used to manage the clinical symptoms of schizophrenia, a substantial portion (10%–30%) of patients do not clinically respond to these treatments or cannot tolerate the side effects. Recently, deep brain stimulation (DBS) has emerged as a promising safe and effective therapeutic intervention for various psychiatric disorders. Here, the authors explore the utility of DBS of the habenula (HB) in the clinical management of 2 young adult male patients with severe, chronic, and treatment-resistant schizophrenia. After HB DBS surgery, both patients experienced improvements in clinical symptoms during the first 6 months of treatment. However, only 1 patient retained the clinical benefits and reached a favorable outcome at 12-month follow-up. The symptoms of the other patient subsequently worsened and became so profound that he needed to be hospitalized at 10-month follow-up and withdrawn from further study participation. It is tentatively concluded that HB DBS could ultimately be a relatively safe and effective surgical intervention for certain patients with treatment-resistant schizophrenia.

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