Bilateral paramedian thalamic infarction in the setting of uncontrolled atrial fibrillation with rapid ventricular response.

This case report outlines the first reported case of bilateral paramedian thalamic infarct, likely stemming from a rare artery of Percheron (AOP) variant, secondary to uncontrolled atrial fibrillation with rapid ventricular response. We underscore the importance of considering hypoperfusion due to decreased cerebral perfusion as a potential mechanism in cryptogenic AOP infarcts, challenging the conventional association with embolic etiology. This report contributes to the limited literature on AOP infarctions, emphasizing the need for heightened awareness among healthcare providers for diverse clinical presentations and potential etiologies to improve diagnosis and management, ultimately enhancing patient outcomes.

Estimating the effects of vegetation and increased albedo on the urban heat island effect with spatial causal inference.

The urban heat island effect causes increased heat stress in urban areas. Cool roofs and urban greening have been promoted as mitigation strategies to reduce this effect. However, evaluating their efficacy remains a challenge, as potential temperature reductions depend on local characteristics.

The S1 dorsal foramen: Nuances of anatomy.

Background: Access to the dorsal S1 neural foramen is frequently performed, but can be challenging.

Purpose: To report previously undescribed nuances of dorsal S1 foraminal anatomy, including a bony flange that may obstruct access to the foramen.

Methods: Fluoroscopic - advanced imaging correlations of the S1 foraminal aperture were performed.

Report on 7 Years' Experience Implementing an Undergraduate Medical Curriculum for Osteopathic Medical Students Using Entrustable Professional Activities.

Calls for changes in undergraduate medical education and the advent of the single graduate medical education accreditation system have challenged the osteopathic medical profession to maintain its identity and distinctiveness while adapting to innovations. For the osteopathic medical profession to thrive, its colleges must provide students with an educational framework that solidifies their osteopathic identity. The authors developed an integrated anatomy-clinical skills course at the University of New England College of Osteopathic Medicine, Osteopathic Clinical Skills, that used the performance benchmarks of the Entrustable Professional Activities and the Osteopathic Core Competencies for Medical Students from the American Association of Colleges of Osteopathic Medicine.

Synovial Cysts Confounding Access to the Dorsal S1 Neural Foramen in Transforaminal Epidural Steroid Injections.

Objectives: The S1 dorsal foramen is the route for 30% of lumbar transforaminal epidural injections; it is therefore important to identify structures impeding S1 foraminal access. The study objective was to characterize the imaging findings, prevalence, and anatomic origin of synovial cysts presenting within the S1 neural foramen.

Methods: A case series (N = 14) established imaging characteristics of S1 synovial cysts.

The ability of single site, single depth sacral lateral branch blocks to anesthetize the sacroiliac joint complex.

Objective: To determine the physiologic effectiveness of single site, single depth sacral lateral branch injections.

Design: Randomized, controlled, and double-blinded study.

Setting: Outpatient pain management center.

Ventral innervation of the lateral C1-C2 joint: an anatomical study.

Objective: Clinical observation has suggested the presence of ventral cervical extra-articular pain pathways in patients with C1-C2 joint pain. However, the existence of ventral innervation to the C1-C2 joint has not been documented. The objective of this study was to determine whether ventral innervation to the lateral C1-C2 joint exists, and to describe its relational anatomy.

Sensory stimulation-guided sacroiliac joint radiofrequency neurotomy: technique based on neuroanatomy of the dorsal sacral plexus.

Study Design: A retrospective audit and examination of anatomic findings.

Objective: To examine the effectiveness of sensory stimulation-guided radiofrequency neurotomy for the treatment of recalcitrant sacroiliac joint pain.

Summary Of Background Data: Sacroiliac joint-mediated pain is a distinct clinical entity.